Inspection Reports for HH Riverhouse

100 Caroline Street, VA, 22401-6104

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 1.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

84% better than Virginia average
Virginia average: 9.1 deficiencies/year

Deficiencies per year

4 3 2 1 0
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 75 residents

Based on a August 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

56 63 70 77 84 May 2021 Jul 2022 Sep 2024 Mar 2025 Aug 2025
Inspection Report Complaint Investigation Census: 75 Deficiencies: 0 Aug 8, 2025
Visit Reason
The inspection was conducted due to complaints received by VDSS Division of Licensing on 2025-05-20 and 2025-08-01 regarding allegations in the area of Resident Care and Related Services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings will be posted publicly and an exit meeting will be conducted to review the findings.
Complaint Details
Complaints were received on 2025-05-20 and 2025-08-01 regarding Resident Care and Related Services. The investigation did not substantiate the allegations.
Report Facts
Number of residents present: 75 Number of resident records reviewed: 1 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1
Inspection Report Complaint Investigation Census: 75 Deficiencies: 0 Aug 8, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-07-02 regarding allegations in the area of Resident Care and Related Services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings will be posted to the VDSS website within 5 business days of receipt of the inspection summary.
Complaint Details
Complaint related inspection regarding allegations in Resident Care and Related Services; the allegations were not substantiated.
Report Facts
Number of residents present: 75 Number of resident records reviewed: 1 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1
Inspection Report Complaint Investigation Census: 75 Deficiencies: 0 Aug 8, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-02-10 regarding allegations in the area of Resident Care and Related Services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings will be posted to the VDSS website within 5 business days of receipt.
Complaint Details
Complaint related to Resident Care and Related Services; the allegations were not substantiated based on the investigation.
Report Facts
Number of residents present: 75 Number of resident records reviewed: 1 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1
Employees Mentioned
NameTitleContext
Sarah PearsonLicensing InspectorInspector who conducted the complaint investigation
Inspection Report Monitoring Census: 75 Deficiencies: 0 Aug 8, 2025
Visit Reason
The inspection was a monitoring visit conducted on August 8, 2025, following a complaint and self-reported incident received by VDSS on July 3 and July 9, 2025, regarding allegations in Resident Care and Related Services.
Findings
The investigation did not support the allegations of non-compliance with standards or law. The inspection findings will be posted publicly and an exit meeting will be conducted to review the findings.
Complaint Details
A complaint and self-reported incident were received regarding Resident Care and Related Services, but the evidence gathered did not substantiate the allegations of non-compliance.
Report Facts
Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1
Employees Mentioned
NameTitleContext
Sarah PearsonLicensing InspectorInspector conducting the monitoring visit
Inspection Report Renewal Census: 79 Deficiencies: 2 Jun 9, 2025
Visit Reason
The inspection was a renewal visit conducted on June 9 and 10, 2025, to assess compliance with applicable standards and laws for the assisted living facility HH Riverhouse.
Findings
The inspection found non-compliance with applicable standards or laws, resulting in documented violations. The facility failed to document action taken in response to a licensed health care professional's recommendations and failed to obtain criminal history records prior to the 30th day of employment for some staff.
Deficiencies (2)
Description
Facility failed to document action taken in response to the recommendations of the licensed health care professional regarding a gradual dose reduction of Seroquel for resident 4.
Facility failed to obtain the criminal history record prior to the 30th day of employment for each employee, as evidenced by missing State Police criminal background check for Staff 2.
Report Facts
Number of residents present: 79 Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 4
Inspection Report Monitoring Census: 76 Deficiencies: 0 Mar 17, 2025
Visit Reason
The inspection was a monitoring visit conducted on March 17, 2025, to review administration, administrative services, and resident care at the assisted living facility.
Findings
The licensing inspector toured the physical plant and observed residents. The investigation did not support any self-reported non-compliance with standards or laws, and no deficiencies were noted in the report.
Report Facts
Resident records reviewed: 1 Staff records reviewed: 1 Resident interviews conducted: 0 Staff interviews conducted: 2
Inspection Report Monitoring Census: 76 Deficiencies: 0 Mar 17, 2025
Visit Reason
The inspection was a monitoring visit conducted on March 17, 2025, to review resident care and related services at the facility.
Findings
The licensing inspector completed a tour of the physical plant and observed residents. The evidence gathered did not support any self-reported non-compliance with standards or laws.
Report Facts
Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1
Employees Mentioned
NameTitleContext
Sarah PearsonLicensing InspectorCurrent inspector conducting the monitoring inspection
Inspection Report Complaint Investigation Census: 77 Deficiencies: 0 Jan 13, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging non-compliance with standards or law at the assisted living facility.
Findings
The investigation found no evidence to support the allegations of non-compliance. Residents were observed participating in activities, and no deficiencies were noted.
Complaint Details
The evidence gathered during the investigation did not support the allegations of non-compliance with standard(s) or law.
Inspection Report Monitoring Census: 77 Deficiencies: 0 Jan 13, 2025
Visit Reason
The inspection was a monitoring visit conducted on January 13, 2025, to review resident care and related services at the facility.
Findings
The inspection findings did not support the self-report of non-compliance with standards or law. An exit meeting was planned to review the inspection findings, and the summary will be posted publicly.
Report Facts
Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1
Employees Mentioned
NameTitleContext
Sarah PearsonLicensing InspectorInspector conducting the monitoring visit
Inspection Report Monitoring Census: 76 Deficiencies: 1 Sep 11, 2024
Visit Reason
The inspection was a monitoring visit to review building and grounds, administration, and resident care services at the assisted living facility.
Findings
The facility was found to have violations related to failure to assume general responsibility for the health, safety, and well-being of residents, including an incident where a resident was unsupervised on an unsecured porch and fell from a wheelchair.
Deficiencies (1)
Description
Facility failed to assume general responsibility for the health, safety, and well-being of residents, evidenced by an unsupervised resident on an unsecured porch who fell from his wheelchair.
Report Facts
Number of residents present: 76 Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of staff interviews conducted: 2
Inspection Report Complaint Investigation Deficiencies: 0 Dec 29, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on a complaint received regarding the facility.
Findings
The complaint was investigated and determined to be not valid after review of administration, resident care, and accommodations.
Complaint Details
Complaint was determined not valid.
Inspection Report Monitoring Census: 78 Deficiencies: 0 Oct 23, 2023
Visit Reason
The inspection was a monitoring visit to review various areas including administration, personnel, resident care, and emergency preparedness, as well as to observe medication administration and audit the medication cart.
Findings
The inspector reviewed 8 records and conducted 4 interviews, observed residents participating in activities and eating lunch, and audited medication administration. No complaint was related to this inspection.
Report Facts
Records reviewed: 8 Interviews conducted: 4
Inspection Report Complaint Investigation Deficiencies: 0 Sep 21, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review administration, staffing, resident care, and building conditions at the facility.
Findings
The complaint was investigated and determined to be not valid with no deficiencies noted.
Complaint Details
Complaint was determined not valid.
Inspection Report Complaint Investigation Deficiencies: 0 Aug 21, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review personnel, staffing and supervision, resident care and related services, building and grounds, and background checks for assisted living facilities.
Findings
The complaint was investigated and determined to be not valid. No deficiencies or violations were explicitly stated in the report.
Complaint Details
Complaint was determined: Not Valid
Inspection Report Renewal Census: 73 Deficiencies: 0 Jul 27, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility HH Riverhouse.
Findings
The inspection reviewed multiple areas including administrative services, personnel, staffing, resident care, accommodations, building grounds, and emergency preparedness. Records and interviews were conducted, and all self-reported incidents since the last inspection were reviewed.
Report Facts
Records reviewed: 8 Interviews conducted: 6
Inspection Report Monitoring Census: 71 Deficiencies: 3 May 4, 2022
Visit Reason
The inspection was a monitoring visit to review various areas including administration, personnel, resident care, emergency preparedness, and environment safety at the assisted living facility.
Findings
The inspection identified deficiencies related to incomplete staff records, including missing sworn disclosure and tuberculosis evaluation documentation, as well as failure to update individualized service plans to reflect changes in resident conditions.
Deficiencies (3)
Description
Facility failed to have documentation of a Sworn Disclosure within staff record as required.
Facility had no documentation of a subsequent tuberculosis evaluation as required.
Facility failed to update an Individualized Service Plan (ISP) to indicate a change in condition for residents in care.
Report Facts
Census: 71 Records reviewed and interviews conducted: 11
Inspection Report Monitoring Census: 61 Deficiencies: 0 May 14, 2021
Visit Reason
A monitoring inspection was initiated on May 14, 2021 and concluded on May 18, 2021 using an alternate remote protocol due to a state of emergency health pandemic declared by the Governor of Virginia.
Findings
The inspection reviewed resident records, staff records, staff schedules, and healthcare oversight documentation and determined no violations with applicable standards or law. No violations were issued.
Inspection Report Complaint Investigation Deficiencies: 0 May 10, 2021
Visit Reason
A complaint inspection was initiated due to allegations regarding resident care and staffing at the facility.
Findings
The investigation found no evidence to support the allegations of non-compliance with standards or law.
Complaint Details
A complaint was received regarding resident care and staffing. The investigation did not substantiate the allegations.
Inspection Report Complaint Investigation Deficiencies: 3 Jul 13, 2020
Visit Reason
A complaint inspection was initiated due to allegations regarding emergency preparedness and resident care, specifically related to COVID-19 protocols and compliance.
Findings
The investigation found non-compliance with Virginia Department of Health recommendations to prevent COVID-19 transmission, including co-mingling of residents during meals and activities, unauthorized relocation of COVID-19 positive residents to an unlicensed facility, and failure to report a staff COVID-19 positive case within 24 hours. However, no violations were issued as the facility had already taken corrective action.
Complaint Details
The complaint was substantiated with evidence supporting allegations of non-compliance in emergency preparedness and resident care related to COVID-19 protocols.
Deficiencies (3)
Description
The licensee failed to follow recommendation by the Virginia Department of Health to prevent or control transmission of an infectious agent in the facility, including co-mingling of residents during meals and activities.
The licensee failed to ensure compliance with all regulations for licensed assisted living facilities and terms of the license, including unauthorized relocation of COVID-19 positive residents to an unlicensed facility.
The licensee did not report to the regional licensing office within 24 hours any major incident that negatively affected or threatened the life, health, safety, or welfare of any resident, specifically a staff COVID-19 positive case.
Report Facts
Residents relocated: 3 Date complaint initiated: Complaint inspection initiated on July 5, 2020 and concluded on October 1, 2020.

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