Inspection Reports for
Kensington Reston Owner LLC
11501 Sunrise Valley Drive, RESTON, VA, 20191
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
67% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
87 residents
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Renewal
Census: 87
Deficiencies: 4
Date: Jul 15, 2025
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection identified multiple violations related to resident assessments, staff qualifications, and medication management. The facility was found non-compliant with several standards, and plans of correction were proposed to address these deficiencies.
Deficiencies (4)
Facility did not ensure that prior to each resident's admission to the safe, secure environment, the resident is assessed by an independent clinical psychologist as having a serious cognitive impairment due to a primary psychiatric diagnosis of dementia.
Facility did not ensure that each staff record contained documentation of qualifications for employment related to the staff person's position, including any specified relevant information.
Facility did not ensure that the medication management plan was implemented to ensure that each resident's prescription medications are filled and refilled in a timely manner to avoid missed dosages.
Facility did not ensure that medications ordered for PRN administration were available and properly stored at the facility.
Report Facts
Number of residents present: 87
Number of resident records reviewed: 6
Number of interviews with residents: 3
Number of interviews with staff: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marshall Massenberg | Licensing Inspector | Named as the current inspector conducting the inspection |
Inspection Report
Monitoring
Deficiencies: 1
Date: May 14, 2025
Visit Reason
The inspection was a monitoring visit conducted on May 14, 2025 and June 30, 2025 to review compliance with personnel, staffing and supervision, and resident care and related services standards. The visit was not complaint-related but was triggered by self-reported incidents regarding resident care.
Findings
The inspection found non-compliance with applicable standards or laws, specifically that the facility did not ensure that the written acknowledgement of an annual review of resident rights was retained in each staff person's record. A violation notice was issued and the licensee was given the opportunity to submit a plan of correction.
Deficiencies (1)
The facility did not ensure that the written acknowledgement of an annual review of resident rights is retained in each staff person's record.
Report Facts
Number of resident records reviewed: 6
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Named in deficiency for missing documentation of annual resident rights review |
Inspection Report
Monitoring
Deficiencies: 0
Date: Feb 25, 2025
Visit Reason
The inspection was a monitoring visit conducted on December 18, 2024 and February 25, 2025 to review resident care and related services at the facility.
Findings
The evidence gathered during the investigation did not support the self-report of non-compliance with standards or law. No deficiencies were cited.
Report Facts
Resident records reviewed: 3
Resident interviews: 1
Staff interviews: 2
Inspection Report
Complaint Investigation
Census: 91
Deficiencies: 0
Date: Nov 18, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-10-09 regarding allegations in the area of Administration and Administrative Services.
Complaint Details
Complaint related to Administration and Administrative Services; the allegation was not substantiated.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. The inspection findings were reviewed in an exit meeting and will be posted publicly.
Inspection Report
Monitoring
Deficiencies: 0
Date: Nov 18, 2024
Visit Reason
The inspection was a monitoring visit conducted to review resident care and related services following self-reported incidents received by the VDSS Division of Licensing.
Findings
The evidence gathered during the investigation did not support the self-report of non-compliance with standards or law. No deficiencies were cited.
Report Facts
Number of resident records reviewed: 2
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Deficiencies: 0
Date: Aug 23, 2024
Visit Reason
The inspection was a monitoring visit conducted on August 23, 2024, following a self-reported incident received on August 10, 2024, regarding an allegation in the area of Resident Care and Related Services.
Findings
The inspection included a tour of the physical plant, review of one resident record, and interviews with two staff members. The evidence gathered determined no violations with applicable standards or law.
Report Facts
Number of resident records reviewed: 1
Number of interviews with staff: 2
Inspection Report
Renewal
Deficiencies: 0
Date: Aug 23, 2024
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with licensing requirements for the assisted living facility.
Findings
An unannounced inspection was conducted on 8/23/24, including observation of resident rooms and measurements. No violations were cited during the inspection.
Inspection Report
Renewal
Census: 88
Deficiencies: 8
Date: Aug 5, 2024
Visit Reason
The inspection was a renewal visit conducted on August 5 and 6, 2024, to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection identified multiple violations including insufficient annual training hours for direct care staff, incomplete documentation for private duty personnel, unsigned hospice provider agreements, lack of written discharge statements, discrepancies in individualized service plans, unlocked medication storage, incomplete medication administration documentation, and failure to provide written responses to resident council recommendations.
Deficiencies (8)
Facility did not ensure all direct care staff attend at least 18 hours of training annually.
Facility did not ensure required information is present for private duty personnel who are not employees of a licensed home care organization.
Hospice provider agreement did not include all required information and was not signed by facility or company representatives.
Facility did not ensure a discharge statement is provided to the resident at the time of discharge.
Individualized service plans did not include identified needs and dates based upon the uniform assessment instrument.
Medication storage area (second-floor treatment cart) was observed unlocked and unattended.
Medical procedures ordered by a physician were not provided according to instructions and documented properly.
Facility did not ensure a written response is provided to the resident council regarding recommendations about problems/concerns.
Report Facts
Number of residents present: 88
Number of resident records reviewed: 10
Number of staff records reviewed: 5
Number of interviews conducted with residents: 4
Training hours attended by Staff #2: 5.5
Date of hospitalization for Resident #11: Mar 16, 2024
Audit frequency: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marshall Massenberg | Licensing Inspector | Conducted the inspection and is the contact person for questions |
| Staff #2 | Licensed Practical Nurse (LPN) | Named in deficiency for insufficient annual training hours |
| Staff #6 | Reported on Staff #2's hire date, conducted facility tour, confirmed discharge notification and resident council response issues | |
| Executive Director | Responsible for corrective actions and plans of correction |
Inspection Report
Complaint Investigation
Census: 88
Deficiencies: 0
Date: May 2, 2024
Visit Reason
The inspection was conducted as a complaint investigation to determine compliance with standards or laws based on an allegation.
Complaint Details
The inspection was complaint-related, but the allegation of non-compliance was not substantiated.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. Residents were observed participating in activities and congregating throughout the facility.
Inspection Report
Monitoring
Census: 78
Deficiencies: 1
Date: Jul 12, 2023
Visit Reason
The inspection was a monitoring inspection to review various areas including administration, personnel, resident care, and emergency preparedness, and to observe resident activities and medication administration.
Findings
The facility was found to have a deficiency in coordinated plans of care for residents, specifically that Individualized Service Plans did not include wound care for Resident C and home health therapy services for Resident D. A plan of correction was initiated to address these issues.
Deficiencies (1)
Facility did not have a coordinated plan of care for Resident C or D; Resident C's plan did not include wound care and Resident D's plan did not include home health therapy services.
Report Facts
Records reviewed: 9
Interviews conducted: 5
Audit frequency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marshall Massenberg | Current Inspector | Named as the inspector conducting the monitoring inspection |
| Executive Director | Responsible for implementing corrective actions and audits related to deficiencies |
Inspection Report
Monitoring
Deficiencies: 1
Date: Jan 5, 2023
Visit Reason
The inspection was a monitoring visit to review personnel, resident care and related services, and additional requirements for facilities caring for adults with serious cognitive impairments.
Findings
A self-reported allegation of physical abuse was found valid and a violation was cited related to staff training. Specifically, Staff A did not receive the required cognitive impairment training within four months of starting employment.
Deficiencies (1)
Staff A did not receive required cognitive impairment training within four months of starting date.
Report Facts
Training dates scheduled: 2
File audit percentage: 10
Inspection Report
Renewal
Census: 80
Deficiencies: 0
Date: Jul 12, 2022
Visit Reason
The inspection was conducted as a renewal inspection to review the facility's compliance with regulatory requirements.
Findings
The inspection included review of administrative services, personnel, staffing, resident care, accommodations, building and grounds, emergency preparedness, and environment. Records and interviews were conducted, and all self-reported incidents since the last inspection were reviewed.
Report Facts
Records reviewed: 8
Interviews conducted: 5
Inspection Report
Renewal
Census: 45
Deficiencies: 0
Date: Aug 3, 2021
Visit Reason
A renewal inspection was initiated on 2021-08-02 and concluded on 2021-08-03 to review compliance with applicable standards and regulations for the assisted living facility.
Findings
The inspection included review of resident records, staff records, activities calendar, staff schedules, medication administration records, dietary oversight, and fire and emergency drills. No violations were found and no deficiencies were issued.
Inspection Report
Monitoring
Census: 25
Deficiencies: 0
Date: Jun 3, 2021
Visit Reason
A mandated monitoring inspection was initiated due to a state of emergency health pandemic declared by the Governor of Virginia, conducted remotely to ensure compliance with applicable standards and laws.
Findings
The inspection reviewed resident records, staff records, medication administration records, and other documentation, determining no violations with applicable standards or law. No violations were issued.
Inspection Report
Original Licensing
Deficiencies: 0
Date: Jan 13, 2021
Visit Reason
The Licensing Inspector conducted an announced on-site initial inspection to verify physical plant conditions, window and room measurements, and review policies and procedures.
Findings
No violations were cited during the inspection. The local Building, Fire, and Health inspections have been completed, and an exit interview was held.
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