Inspection Reports for Hilton Plaza Inc.
311 Main St, Newport News, VA 23601, United States, VA, 23601
Back to Facility ProfileDeficiencies per Year
40
30
20
10
0
Unclassified
Census Over Time
Inspection Report
Renewal
Census: 58
Deficiencies: 0
Jun 2, 2025
Visit Reason
An unannounced mandated renewal inspection was conducted to review compliance with applicable standards and licensing requirements.
Findings
The inspection found no violations with applicable standards or laws. The licensing inspector completed a tour of the physical plant, reviewed resident and staff records, and conducted interviews and observations.
Report Facts
Number of resident records reviewed: 7
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 4
Inspection Report
Monitoring
Census: 62
Deficiencies: 4
Apr 14, 2025
Visit Reason
An unannounced non-mandated monitoring inspection was conducted to review compliance with applicable standards and laws.
Findings
The inspection found multiple violations including incomplete resident admission documents, lack of appropriate psychotropic medication treatment plans, missing signatures on orientation documents, and hot water temperatures below the required range.
Deficiencies (4)
| Description |
|---|
| Facility failed to ensure the written assurance was provided to the resident with a date at the time of admission. |
| Facility failed to ensure it did not admit or retain individuals with psychotropic medications without appropriate diagnosis and treatment plans. |
| Facility failed to ensure acknowledgment of having received the orientation was signed and dated by the resident or legal representative. |
| Facility's hot water at taps available was not maintained within a range of 105 to 120 degrees Fahrenheit. |
Report Facts
Number of residents present: 62
Number of resident records reviewed: 4
Number of staff interviews conducted: 3
Water temperature readings: 99.1
Water temperature readings: 101
Water temperature readings: 94.8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Acknowledged missing dates and signatures on resident documents | |
| Staff #2 | Acknowledged water temperatures were not within required range |
Inspection Report
Monitoring
Census: 59
Deficiencies: 3
Feb 24, 2025
Visit Reason
An on-site non-mandated monitoring inspection was conducted to review compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found non-compliance with several standards including failure to ensure appropriate psychotropic medication treatment plans, incomplete individualized service plans for assessed needs, and maintenance issues with the interior of the building.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure it did not admit or retain individuals with psychotropic medications without appropriate diagnosis and treatment plans for two of six records. |
| Facility failed to ensure the individualized service plan (ISP) included all assessed needs for two of six records. |
| Facility failed to ensure the interior of the building was maintained in good repair, including peeling wallpaper and crumbling bathroom pilaster. |
Report Facts
Number of residents present: 59
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of staff interviews conducted: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Acknowledged lack of treatment plans and incomplete ISPs | |
| Staff #2 | Acknowledged lack of treatment plans, incomplete ISPs, and maintenance issues |
Inspection Report
Monitoring
Census: 62
Deficiencies: 2
Dec 12, 2024
Visit Reason
An on-site unannounced non-mandated monitoring inspection was conducted to review compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found non-compliance with applicable standards, including deficiencies in preliminary plans of care not specifying services staff would provide, and resident rooms lacking pillows and sufficient chairs. Violations were documented and a plan of correction was requested.
Deficiencies (2)
| Description |
|---|
| The facility failed to ensure the preliminary plan of care included what services staff were to provide for the residents. |
| Residents' rooms did not have pillows on the beds and some rooms did not have enough chairs for the number of residents assigned. |
Report Facts
Number of residents present: 62
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of resident interviews: 2
Number of staff interviews: 4
Correction date for preliminary plan of care deficiency: Dec 28, 2024
Correction date for resident accommodations deficiency: Dec 27, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Darunda Flint | Licensing Inspector | Inspector conducting the monitoring visit |
| Willie Barnes | Licensing Inspector | Contact person for questions about the licensing program |
Inspection Report
Monitoring
Census: 62
Deficiencies: 5
Oct 15, 2024
Visit Reason
An on-site non-mandated monitoring inspection was conducted to review compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found multiple violations including failure to ensure psychotropic treatment plans, incomplete individualized service plans, improper PRN medication orders and availability, and inadequate hot water temperature for residents.
Deficiencies (5)
| Description |
|---|
| Facility failed to ensure it did not admit or retain individuals with psychotropic medical condition without a diagnosis and treatment. |
| Facility failed to ensure that the resident's individualized service plan included all assessed needs. |
| Facility failed to ensure PRN medication orders included all required information such as exact dosage and time frames. |
| Facility failed to ensure medications ordered for PRN administration were available, properly labeled, and properly stored. |
| Facility failed to ensure hot water at taps available to residents was maintained within the required temperature range of 105 to 120 degrees Fahrenheit. |
Report Facts
Number of residents present: 62
Number of resident records reviewed: 7
Number of staff records reviewed: 3
Number of resident interviews conducted: 2
Number of staff interviews conducted: 4
Date to be corrected for all violations: Oct 21, 2024
Water temperature measured: 91.9
Inspection Report
Monitoring
Census: 61
Deficiencies: 10
Aug 5, 2024
Visit Reason
An unannounced non-mandated monitoring inspection was conducted to review compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found multiple violations including failure to report major incidents within 24 hours, incomplete staff orientation and training records, untimely health screenings, outdated staff schedules, incomplete resident admission documentation, lack of psychotropic treatment plans, incomplete individualized service plans, failure to review residents' rights with staff, and inadequate air conditioning resulting in temperatures exceeding 80 degrees Fahrenheit in resident areas.
Deficiencies (10)
| Description |
|---|
| Failed to report to the licensing office within 24 hours any major incident affecting resident safety. |
| Failed to ensure staff orientation and training occurred within the first seven working days of employment. |
| Failed to ensure required health information (TB screening) was conducted within the required timeframe. |
| Failed to maintain a current written work schedule including names, job classifications, and staff in charge. |
| Failed to ensure documented interview and mental health screening were included in resident records with proper signatures and dates. |
| Failed to provide written assurance of appropriate licensing to residents prior to admission with signed documentation. |
| Failed to admit or retain individuals with psychotropic medications without appropriate diagnosis and treatment plans. |
| Failed to ensure individualized service plans included all assessed needs such as allergies. |
| Failed to ensure residents' rights and responsibilities were reviewed and documented with staff. |
| Failed to maintain air conditioning system to keep resident areas at or below 80 degrees Fahrenheit. |
Report Facts
Number of residents present: 61
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of resident interviews: 2
Number of staff interviews: 3
Temperature readings: 87.6
Correction dates: 8
Inspection Report
Renewal
Census: 54
Deficiencies: 10
Jun 12, 2024
Visit Reason
An unannounced renewal inspection was conducted on June 12, 2024, to assess compliance with licensing standards for the assisted living facility.
Findings
The inspection identified multiple violations related to expired hand sanitizer use, incomplete tuberculosis evaluations for staff, missing physical examinations for residents prior to admission, incomplete individualized service plans (ISP), incomplete medication orders lacking diagnosis information, unlabeled medical equipment, incomplete medication administration records, and cleanliness and maintenance issues with furnishings and equipment.
Deficiencies (10)
| Description |
|---|
| Facility failed to ensure staff followed hand hygiene policies; expired hand sanitizer was used during medication pass. |
| Facility failed to ensure subsequent tuberculosis evaluation and reports were completed for one of three staff records reviewed. |
| Facility failed to ensure a resident had a physical examination within 30 days preceding admission. |
| Resident's individualized service plan (ISP) did not include all assessed needs. |
| Resident's annual/reassessed ISP did not include all assessed needs. |
| Physician's orders did not include diagnosis for prescribed medications. |
| Single-use and dedicated medical supplies and equipment were not appropriately labeled. |
| Medication administration record (MAR) did not include diagnosis, condition, or specific indications for administering drugs or supplements. |
| Bed linen for a resident was not clean; box spring cover had stains. |
| Furnishings, fixtures, and equipment were not kept clean and in good repair; issues included slow drains, damaged window blinds, and ill-fitting commode top. |
Report Facts
Residents present: 54
Resident records reviewed: 6
Staff records reviewed: 3
Resident interviews conducted: 2
Staff interviews conducted: 2
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 0
Feb 14, 2024
Visit Reason
An unannounced complaint inspection was conducted following a complaint received by VDSS Division of Licensing on 2024-01-24 regarding allegations in health safety, welfare, and resident care.
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 a copy is required to be posted at the facility.
Complaint Details
Complaint received on 2024-01-24 regarding health safety, welfare, and resident care; investigation did not substantiate the allegations.
Report Facts
Number of residents present: 64
Number of resident records reviewed: 3
Number of staff records reviewed: 2
Number of resident interviews conducted: 2
Number of staff interviews conducted: 1
Inspection Report
Renewal
Census: 62
Deficiencies: 37
Mar 27, 2023
Visit Reason
The inspection was a renewal inspection conducted over multiple days (March 27, 30, April 6, and April 19, 2023) to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found multiple violations of state regulations including deficiencies in documentation, staff training, resident care plans, facility maintenance, medication administration, and safety measures. The facility was cited for non-compliance in numerous areas and required to submit plans of correction.
Deficiencies (37)
| Description |
|---|
| Failed to ensure written acknowledgement of receipt of disclosure by resident or legal representative was retained in the resident's record. |
| Administrator did not serve full-time as on-site agent responsible for day-to-day administration and management. |
| Administrator lacked documentation of required annual medication administration training. |
| Two of four direct care staff did not attend at least 18 hours of annual training. |
| Two of four staff did not submit tuberculosis risk assessment results within seven days prior to first day of work. |
| Written work schedule failed to include names, job classification, absences, substitutions, or changes for all staff working. |
| Failed to ensure documented interviews between administrator/designee and residents or legal representatives for admission and retention decisions. |
| Failed to provide written assurance of appropriate license to meet care needs at admission for residents. |
| Failed to ensure physical examination and tuberculosis risk assessment within 30 days preceding admission. |
| Failed to review and update fall risk rating at least annually. |
| Failed to ascertain and document sex offender status prior to admission for residents with length of stay greater than three days. |
| Failed to keep personal and social information current for residents. |
| Failed to provide orientation for new residents and legal representatives with signed acknowledgement. |
| Discharge statements lacked required information including notification date, method, and signatures. |
| Individualized service plans (ISP) were not completed by qualified staff or lacked required training documentation. |
| Comprehensive ISPs were not completed within 30 days or lacked all assessed needs. |
| ISPs were not signed and dated by licensee, administrator, designee, resident, or legal representative. |
| ISPs were not reviewed and updated at least every 12 months or as resident condition changed. |
| Failed to review residents' rights and responsibilities annually with written acknowledgement. |
| Menu for current week was not posted as required. |
| Medications were not administered according to physician orders and medication aide standards. |
| Medication administration records (MAR) lacked required information such as initials of administering staff. |
| Residents' bedrooms lacked required items such as light bulbs and chairs. |
| Bed linens were not clean or in good repair; mattresses stained. |
| Residents smoked in or on their beds; cigarette butts observed. |
| Hot water temperature at taps was below required range of 105-120°F. |
| Cleaning supplies and hazardous materials were not stored in locked areas. |
| Interior of building was not maintained in good repair, clean, and free of rubbish; multiple maintenance and cleanliness issues noted. |
| Building was not well-ventilated and had foul odors. |
| Building was infested with bed bugs; live and dead bugs observed. |
| Furnishings, fixtures, and equipment including bathtubs and showers were not kept clean or in good repair. |
| Interior and exterior areas were not adequately lighted for safety and comfort. |
| Inadequate supply of toilet tissue and soap accessible to commodes and sinks. |
| Signaling devices in the facility were not operable. |
| Fire and emergency evacuation drawings were not posted conspicuously on each floor. |
| Staff did not participate in resident emergency procedure exercises at least once every six months. |
| Criminal history record reports were not obtained on or prior to the 30th day of employment for several employees. |
Report Facts
Inspection days: 4
Resident census: 62
Staff training hours: 18
Medication administration training hours: 4
Correction deadlines: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Darunda Flint | Inspector | Current inspector conducting the inspection |
| Willie Barnes | Licensing Inspector | Contact person for questions about the inspection |
Inspection Report
Complaint Investigation
Census: 62
Deficiencies: 4
Mar 27, 2023
Visit Reason
An unannounced on-site complaint inspection was conducted due to a complaint received on 2023-02-13 regarding allegations in resident care, neglect, and the building.
Findings
The investigation supported some, but not all, allegations of non-compliance with standards or law. Violations were found related to incident reporting, individualized service plan updates, tuberculosis risk assessments, and medication order documentation.
Complaint Details
Complaint was substantiated in part; evidence supported some allegations of neglect and non-compliance related to resident care and incident reporting.
Deficiencies (4)
| Description |
|---|
| Facility failed to report major incidents affecting resident health, safety, or welfare to the regional licensing office within 24 hours. |
| Facility failed to complete subsequent annual tuberculosis risk assessments for residents. |
| Facility failed to review and update individualized service plans at least annually and as needed for condition changes. |
| Physician or prescriber orders lacked required details including diagnosis or specific indications for medications. |
Report Facts
Inspection dates: 6
Residents present: 62
Resident records reviewed: 3
Staff interviews: 3
Resident interviews: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Willie Barnes | Licensing Inspector | Contact person for questions regarding the inspection |
| Darunda Flint | Current Inspector | Conducted the inspection |
Inspection Report
Renewal
Census: 62
Deficiencies: 16
Jun 28, 2022
Visit Reason
An unannounced on-site renewal inspection was conducted by two inspectors from the Peninsula Licensing Office on June 28, 2022. The inspection included a tour of the facility, emergency preparedness review, medication pass observation, staff and resident interviews, and records review.
Findings
The inspection found multiple violations of applicable standards and laws, including deficiencies in staff training, tuberculosis screening, admission documentation, medication management, facility maintenance, and criminal history checks. The facility was cited for non-compliance and given the opportunity to submit a plan of correction.
Deficiencies (16)
| Description |
|---|
| Facility failed to ensure direct care staff attended at least 18 hours of training annually. |
| Facility failed to ensure a staff person submitted tuberculosis risk assessment results within seven days prior to first day of work. |
| Facility failed to document interviews between administrator and residents/legal representatives for admission and retention decisions. |
| Facility failed to provide signed and dated written assurance of appropriate license to residents at admission. |
| Facility failed to ensure physical examination and tuberculosis screening were completed within 30 days preceding admission. |
| Facility failed to keep personal and social information documents current. |
| Facility failed to ensure resident agreement/acknowledgement was signed and dated. |
| Facility failed to provide and document orientation for new residents and legal representatives upon admission. |
| Facility failed to ensure previous assessment (UAI) was no more than 12 months old upon admission. |
| Facility failed to complete comprehensive individualized service plan (ISP) within 30 days including all assessed needs. |
| Facility failed to review and update individualized service plans at least once every 12 months or as needed. |
| Facility failed to have a current annual health inspection report from the Virginia Department of Health. |
| Facility failed to keep a current diet manual readily available to personnel responsible for food preparation. |
| Facility failed to implement medication management plan to ensure timely filling and refilling of prescriptions to avoid missed dosages. |
| Facility failed to maintain the interior of the building in good repair and keep it clean and free of rubbish. |
| Facility failed to obtain criminal history record report on or prior to the 30th day of employment for each employee. |
Report Facts
Inspection dates: 3
Facility census: 62
Required annual training hours: 18
Staff training hours documented: 5
Staff training hours documented: 7
Staff TB test date: Sep 8, 2021
Resident admission date: Jan 25, 2022
Resident physical exam date: Mar 25, 2021
Resident physical exam date: Mar 4, 2021
Resident ISP review date: Apr 22, 2022
Resident ISP date: Jun 19, 2019
Resident ISP date: Aug 21, 2020
Facility last health inspection date: Feb 28, 2020
Staff hire date: Sep 27, 2021
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 3, 2022
Visit Reason
An unannounced complaint inspection was conducted due to a complaint received on 2022-05-24 regarding allegations in the area of resident care and resident care.
Findings
The investigation supported the allegation of non-compliance related to supervision of a resident who frequently left the facility unsupervised, including lack of documentation of times the resident left and returned. Violations were issued based on these findings.
Complaint Details
Complaint was substantiated as evidence supported the allegation of non-compliance with standards regarding resident supervision and care.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure supervision of a resident's schedules, care, and activities, including prevention of falls and wandering from the premises. |
Report Facts
Inspection dates: 3
Distance resident found from facility: 6.6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Darunda Flint | Inspector | Current inspector conducting the complaint inspection |
| Willie Barnes | Licensing Inspector | Contact person for questions regarding the inspection |
| Staff #1 | Interviewed staff who provided information about resident's wandering and supervision issues |
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 1
Jun 3, 2022
Visit Reason
An unannounced complaint inspection was conducted on June 3, 2022, following a complaint received on May 24, 2022 regarding allegations in the area of administration and administrative services.
Findings
The investigation supported the allegation of non-compliance related to the facility's failure to ensure residents' personal funds were made available upon request. Violations were issued based on missing documentation of personal spending disbursements for residents.
Complaint Details
Complaint related: Yes. The complaint was substantiated as evidence supported the allegation of non-compliance with standards regarding resident funds availability.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure resident's funds were made available to the resident upon request, with missing documentation of personal spending money for April and May 2022. |
Report Facts
Census: 68
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 29, 2021
Visit Reason
A complaint inspection was initiated on June 29, 2021, to investigate concerns at Hilton Plaza, Inc.
Findings
The inspection found no violations with applicable standards or law; no deficiencies were issued.
Complaint Details
The inspection was complaint-related and conducted remotely due to a state of emergency health pandemic. No violations were substantiated.
Inspection Report
Monitoring
Deficiencies: 0
Jun 29, 2021
Visit Reason
A monitoring inspection was initiated and conducted using alternate remote protocol due to a state of emergency health pandemic declared by the Governor of Virginia.
Findings
The inspection reviewed resident and staff records and additional documentation to ensure compliance, and determined no violations with applicable standards or law; no violations were issued.
Inspection Report
Renewal
Deficiencies: 0
Jun 25, 2021
Visit Reason
A renewal inspection was initiated and conducted on June 25, 2021, to ensure compliance with applicable standards and laws.
Findings
The inspection found no violations with applicable standards or law; no violations were issued.
Report Facts
Resident records reviewed: 3
Staff records reviewed: 3
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