Inspection Reports for
Journeys Crossing
102 N. Stuart Avenue, ELKTON, VA, 22827
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
3.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
29 residents
Based on a July 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 0
Date: Jul 17, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-05-21 regarding allegations in the areas of Administration and Administrative Services and Resident Care and Related Services.
Complaint Details
Complaint received on 2025-05-21 regarding Administration and Administrative Services and Resident Care and Related Services; the allegations were not substantiated.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The licensing inspector observed residents participating in activity programs and completed a tour of the physical plant.
Report Facts
Number of residents present: 29
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 0
Date: Jul 17, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-02-11 regarding allegations in the area of administration and administrative services.
Complaint Details
Complaint investigation triggered by allegations received on 2025-02-11; the complaint was not substantiated.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. The licensing inspector observed residents participating in activity programs and completed a tour of the physical plant.
Report Facts
Number of residents present: 29
Number of staff interviews: 1
Inspection Report
Monitoring
Census: 30
Deficiencies: 3
Date: Jun 9, 2025
Visit Reason
The inspection was a monitoring visit to review compliance with various administrative, personnel, resident care, and safety standards at the assisted living facility.
Findings
The inspection found non-compliance with applicable standards, including failure to ensure staff verified receipt of job descriptions, resident records were not kept in a locked area, and the medication storage area was unlocked during the inspection.
Deficiencies (3)
Facility failed to ensure that staff verified the receipt of their job description.
Facility failed to ensure that resident records were kept in a locked area.
Facility failed to ensure the storage area for medications remained locked.
Report Facts
Number of residents present: 30
Number of resident records reviewed: 5
Number of staff records reviewed: 3
Number of resident interviews: 3
Number of staff interviews: 4
Inspection Report
Renewal
Census: 33
Deficiencies: 0
Date: Nov 14, 2023
Visit Reason
The inspection was a renewal inspection conducted to review the facility's compliance with licensing requirements and regulations.
Findings
The Licensing Inspector reviewed multiple areas including administration, personnel, resident care, and emergency preparedness. The inspector observed residents during activities and meals and reviewed fire drills, emergency drills, staff drills, and healthcare oversight. All facility self-reported incidents since the last inspection were reviewed.
Report Facts
Records reviewed and interviews conducted: 6
Inspection Report
Renewal
Census: 27
Deficiencies: 1
Date: Dec 13, 2022
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance with one applicable standard related to documentation of dietician or nutritionist oversight. The facility was unable to secure a dietician or nutritionist but had physician and hospice review of diet needs. The licensee was given an opportunity to submit a plan of correction.
Deficiencies (1)
No documentation of oversight at least every six months by a dietician or nutritionist or documentation that a contract had been signed.
Report Facts
Number of residents present: 27
Number of resident records reviewed: 3
Number of staff records reviewed: 3
Number of interviews conducted with residents: 4
Number of interviews conducted with staff: 2
Inspection Report
Deficiencies: 1
Date: Oct 4, 2022
Visit Reason
The inspection was conducted following a self-reported incident received by VDSS Division of Licensing on 09/21/2022 regarding allegations in the area of Resident Care. The investigation aimed to assess compliance with applicable standards and laws.
Findings
The investigation supported the self-report of non-compliance related to medication administration. Specifically, the facility failed to ensure medications were administered according to physician's orders and the standards of practice for registered medication aides, resulting in incorrect dosing of Warfarin for a resident.
Deficiencies (1)
Facility failed to ensure medications are administered in accordance with the physician's instructions and consistent with the standards of practice outlined in the current registered medication aide curriculum approved by the Virginia Board of Nursing.
Report Facts
Medication administration dates missed or incorrect dose: 5
INR values: 2.6
INR values: 1.2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill James | Inspector | Named as current inspector conducting the inspection. |
| Rhonda Whitmer | Licensing Inspector | Contact person for questions related to the inspection. |
Inspection Report
Renewal
Census: 28
Deficiencies: 4
Date: Nov 23, 2021
Visit Reason
An unannounced renewal inspection was completed by two licensing inspectors on 11/23/2021 to assess compliance with regulations for the assisted living facility.
Findings
The facility was generally clean and well-maintained, with all required postings visible. However, four violations were identified related to incomplete staff records, missing components in residents' Individualized Service Plans, outdated drug reference materials, and incomplete fire drill documentation.
Deficiencies (4)
Facility failed to ensure staff records contained all required documentation, including signed job descriptions and sworn disclosure statements.
Facility failed to ensure all required components were included on the comprehensive Individualized Service Plan (ISP) for residents.
Facility failed to ensure the drug reference guide for staff who administer medications was no more than 2 years old; the available guide was dated 2016.
Facility failed to ensure fire drills were completed in accordance with the Virginia Statewide Fire Prevention Code; last documented drill was on 08/10/2021.
Report Facts
Violations cited: 4
Staff records reviewed: 5
Resident records reviewed: 4
Inspection Report
Monitoring
Deficiencies: 0
Date: Sep 27, 2021
Visit Reason
A non-mandated monitoring inspection was initiated to review compliance with staffing, resident care, admission, retention, discharge, background checks, and related provisions.
Findings
The investigation found no evidence of non-compliance with standards or law during the inspection period.
Inspection Report
Monitoring
Census: 32
Deficiencies: 2
Date: Jun 10, 2021
Visit Reason
A focused monitoring inspection was initiated due to the state of emergency health pandemic declared by the Governor of Virginia, conducted remotely to ensure compliance with resident care and related services standards.
Findings
The inspection found non-compliance with standards related to the inclusion of hospice services in the Individualized Service Plan and failure to ensure medical procedures ordered by a physician were provided and documented properly, including weight monitoring and notification requirements.
Deficiencies (2)
Facility failed to ensure hospice services provided are included on the Individualized Service Plan (ISP).
Facility failed to ensure medical procedures ordered by a physician are provided according to instructions and documented, including weight monitoring and notification of significant weight gain.
Report Facts
Resident census: 32
Weight gain threshold: 5
Weight gain threshold: 3
Weight gain threshold: 5
Weight measurements: 147.4
Weight measurements: 153.4
Inspection Report
Renewal
Census: 31
Deficiencies: 4
Date: Apr 16, 2021
Visit Reason
A renewal inspection was initiated on 04/16/21 and concluded on 05/10/21 to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection identified multiple violations including failure to provide prompt resident-centered care, improper medication administration, incomplete documentation of medication effectiveness, and failure to obtain timely criminal history reports for staff.
Deficiencies (4)
Failed to provide resident centered care by ensuring prompt response by staff to resident needs as reasonable to the circumstances.
Failed to ensure medications are administered in accordance with physician's or prescriber's instructions and consistent with standards of practice.
Failed to ensure that the Medication Administration Record includes the effectiveness of 'as needed' PRN medications.
Failed to ensure criminal history reports were obtained on or prior to the 30th day of employment for each employee.
Report Facts
Census: 31
Medication administration time: 5.49
Number of resident records reviewed: 3
Number of staff records reviewed: 3
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