Inspection Reports for
Memory Care at Bristol
301 Village Circle, BRISTOL, VA, 24201
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% better than Virginia average
Virginia average: 9.1 deficiencies/year
Deficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
15 residents
Based on a October 2025 inspection.
Occupancy over time
Inspection Report
Renewal
Census: 15
Deficiencies: 3
Date: Oct 21, 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 found non-compliance with several standards including incomplete assessments of serious cognitive impairment, medication administration timing violations, and missing required bedroom items such as operable bed lamps or bedside lights.
Deficiencies (3)
The facility failed to ensure the assessment of serious cognitive impairment includes all required information for one resident.
The facility failed to ensure that medications were administered within the allowed time frame relative to the facility's standard dosing schedule.
The facility failed to ensure bedrooms contained all required items, specifically operable bed lamps or bedside lights were missing in three rooms.
Report Facts
Number of residents present: 15
Number of resident records reviewed: 5
Number of staff records reviewed: 3
Number of interviews conducted with staff: 3
Number of interviews conducted with residents: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Berry | Licensing Inspector | Conducted the inspection and documented findings |
| Memory Care Director | Named in plans of correction related to deficiencies | |
| Staff #1 | Named in medication administration deficiency and related education |
Inspection Report
Monitoring
Census: 18
Deficiencies: 0
Date: Nov 18, 2024
Visit Reason
The inspection was a monitoring visit conducted to review compliance with additional requirements for facilities that care for adults with serious cognitive impairments.
Findings
The inspection found no violations with applicable standards or laws. The licensing inspector completed a tour of the physical plant and conducted one staff interview.
Inspection Report
Renewal
Census: 18
Deficiencies: 3
Date: Oct 8, 2024
Visit Reason
The inspection was a renewal visit to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance with several standards including unsafe access to harmful materials by residents, incomplete resident personal/social data at admission, and inadequate maintenance and cleanliness of the facility. Violations were documented and a plan of correction was requested.
Deficiencies (3)
Facility failed to ensure that ordinary materials or objects that may be harmful to a resident were inaccessible except under staff supervision.
Facility failed to ensure that all required personal and social information on a person was obtained prior to or at the time of admission.
Facility failed to ensure the interior and exterior of all buildings were maintained in good repair and kept clean and free of rubbish.
Report Facts
Number of residents present: 18
Number of resident records reviewed: 3
Number of staff records reviewed: 6
Number of staff interviews conducted: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Berry | Licensing Inspector | Inspector conducting the inspection |
Inspection Report
Monitoring
Census: 19
Deficiencies: 0
Date: Apr 4, 2024
Visit Reason
The inspection was a monitoring visit conducted to review resident care and related services at the facility.
Findings
The inspection found no violations of applicable standards or laws. Documentation of in-service education was reviewed, and an exit meeting was planned to discuss findings.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 19
Deficiencies: 0
Date: Apr 4, 2024
Visit Reason
The inspection was a monitoring visit conducted to review compliance with resident care and related services standards.
Findings
The inspection found no violations of applicable standards or laws. Documentation of individualized education for staff, in-service, and audits was reviewed, and an exit meeting was planned to discuss findings.
Report Facts
Number of staff records reviewed: 3
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Deficiencies: 1
Date: Feb 28, 2024
Visit Reason
The inspection was a monitoring visit conducted on January 9, 2024, February 13, 2024, and February 28, 2024, to review resident care and related services including medication administration, following a self-reported incident received on January 5, 2024.
Findings
The inspection found non-compliance with regulations related to medication administration, specifically that medications were pre-pulled from pharmacy containers and left in medicine cups, which is against policy. The facility documented violations and provided a plan of correction including staff education, monitoring, and audits to ensure compliance.
Deficiencies (1)
Facility failed to ensure medications remained in the pharmacy issued container with prescription label until administered to the resident.
Report Facts
Number of interviews conducted with staff: 4
Number of resident records reviewed: 0
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of pre-pulled medications: 9
Plan of correction monitoring timeframe: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Berry | Licensing Inspector | Conducted the inspection |
Inspection Report
Monitoring
Census: 18
Deficiencies: 1
Date: Feb 9, 2024
Visit Reason
The inspection was a monitoring visit conducted on multiple dates from November 1, 2023 to February 9, 2024, following a self-reported incident received on October 30, 2023 regarding allegations in resident care, general supervision, and care.
Findings
The investigation supported the self-report of non-compliance related to failure to provide adequate supervision for a resident with serious cognitive impairment who wandered outside the facility. Violations were issued based on staff and collateral interviews confirming the resident exited the safe secure unit unaccompanied and was found outside the premises.
Deficiencies (1)
Facility failed to provide attention to specialized needs such as wandering from the premises.
Report Facts
Number of residents present: 18
Number of resident records reviewed: 1
Number of staff interviews conducted: 3
Incident date: Oct 30, 2023
Inspection Report
Monitoring
Census: 18
Deficiencies: 0
Date: Nov 21, 2023
Visit Reason
The inspection was a monitoring visit conducted on November 21, 2023, to review resident care and related services at the facility.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector completed a tour of the physical plant and reviewed resident records without identifying any deficiencies.
Report Facts
Number of resident records reviewed: 3
Number of interviews conducted with staff: 1
Inspection Report
Renewal
Census: 16
Deficiencies: 4
Date: Oct 3, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with applicable standards and laws.
Findings
The inspection found non-compliance with several standards related to resident record reviews, physical examinations, individualized service plans, and annual review of resident rights. Violations were documented and a plan of correction was requested.
Deficiencies (4)
Facility failed to ensure six months after placement and annually thereafter, a review of the appropriateness of each resident's continued residence in the special care unit was performed.
Facility failed to ensure physical examination reports contained descriptions of residents' reactions to known allergies.
Facility failed to address all identified needs on comprehensive individualized service plans for three of six resident files reviewed.
Facility failed to ensure annual review of residents' rights and responsibilities with written acknowledgment in resident records.
Report Facts
Number of residents present: 16
Number of resident records reviewed: 6
Number of staff records reviewed: 7
Number of interviews with staff: 3
Inspection Report
Monitoring
Census: 18
Deficiencies: 0
Date: Aug 29, 2023
Visit Reason
The inspection was a monitoring visit conducted to review staff training records and the physical plant of the assisted living facility.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector completed a tour of the facility and reviewed staff training records without identifying any deficiencies.
Inspection Report
Monitoring
Census: 19
Deficiencies: 1
Date: May 2, 2023
Visit Reason
The inspection was a monitoring visit conducted on May 2 and May 18, 2023, following a self-reported incident received on April 6, 2023, regarding allegations in resident care and related services.
Findings
The investigation supported the self-report of non-compliance with regulations related to medication administration without valid physician orders. Violations were issued based on documentation review and staff interviews, including administration of unprescribed Melatonin to residents.
Deficiencies (1)
Facility failed to ensure no medication, dietary supplement, diet, medical procedure, or treatment was started, changed, or discontinued without a valid order from a physician or other prescriber.
Report Facts
Number of residents present: 19
Number of resident records reviewed: 2
Number of staff records reviewed: 5
Number of interviews conducted with staff: 1
Medication dosage given without order: 10
Inspection Report
Complaint Investigation
Census: 18
Deficiencies: 1
Date: Mar 9, 2023
Visit Reason
The inspection was conducted due to a complaint received by VDSS Division of Licensing on 01/03/2023 regarding allegations in the areas of resident care and related services, resident accommodations and related provisions, and buildings and grounds.
Complaint Details
Complaint related: Yes. The complaint was partially substantiated with non-compliance found in resident accommodations and related provisions.
Findings
The investigation supported some, but not all, of the allegations; non-compliance was found in resident accommodations and related provisions. A violation notice was issued related to cleanliness and repair of furnishings and equipment, specifically laundry machines being out of order causing a shortage of clean clothing for residents.
Deficiencies (1)
Facility failed to ensure all furnishings, fixtures, and equipment, including furniture, window coverings, sinks, toilets, bathtubs, and showers, were kept clean and in good repair and condition. Laundry machines were out of order during part of December 2022, resulting in unwashed laundry and shortage of clean clothing.
Report Facts
Number of residents present: 18
Number of resident records reviewed: 4
Number of staff interviews conducted: 2
Inspection Report
Monitoring
Deficiencies: 0
Date: Dec 16, 2022
Visit Reason
The inspection was a monitoring visit conducted on December 16, 2022, to assess compliance with applicable standards and laws at the assisted living facility Memory Care at Bristol.
Findings
The inspection found no violations with applicable standards or laws during the monitoring visit.
Inspection Report
Renewal
Deficiencies: 11
Date: Nov 10, 2022
Visit Reason
The inspection was a renewal visit conducted to assess compliance with applicable standards and laws for the assisted living facility Memory Care at Bristol.
Findings
The inspection identified multiple violations including inadequate staffing levels, missing staff documentation such as job descriptions and tuberculosis risk assessments, incomplete resident records, medication management issues, and facility maintenance concerns.
Deficiencies (11)
Facility failed to maintain at least two direct care staff members awake and on duty and for every additional 10 residents, at least one more direct care staff member shall be awake and on duty.
Facility failed to maintain verification that a staff person received a copy of his/her current job description.
Facility failed to ensure each staff person submit results of a tuberculosis risk assessment prior to or within seven days of first day of work.
Facility failed to obtain required personal and social data prior to or at time of admission for one resident.
Facility failed to update the residential agreement with the facility whenever there are changes to any policy or information referenced.
Facility failed to include signed and dated orientation documentation for four residents.
Facility failed to have the menu for the current week dated and posted.
Facility failed to have a physician order reviewed and signed within 14 days for one resident.
Facility failed to store all medications in a locked storage area; several medication cards were left unattended and unlocked.
Facility failed to administer medications consistent with standards; medications found without open dates.
Facility failed to keep all furnishings, fixtures, and equipment clean and in good repair; stained chairs and stained area under sink observed.
Report Facts
Inspection duration: 8
Resident admissions referenced: 4
Residents with unsigned updated agreements: 3
Medications left unattended: 12
Dining chairs stained: 6
Inspection Report
Monitoring
Deficiencies: 2
Date: Aug 4, 2022
Visit Reason
The inspection was a monitoring visit conducted to assess compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found non-compliance with applicable standards related to improper storage of medications and hazardous materials, resulting in documented violations and a violation notice issued to the facility.
Deficiencies (2)
Facility failed to properly store medications administered by the facility, including a bottle of anti-dandruff shampoo found in a resident's shower.
Facility failed to store all hazardous materials in a locked area, including various lotions, conditioners, and toothpaste with warnings to keep out of reach of children.
Report Facts
Audit frequency: 3
Audit frequency: 1
Audit frequency: 1
Medication bottle size: 7
Body lotion size: 11.8
Hair conditioner size: 15
Skin cleanser size: 7.5
Skin moisturizer size: 21
Toothpaste size: 0.85
Toothpaste size: 4
Inspection Report
Original Licensing
Deficiencies: 2
Date: Apr 18, 2022
Visit Reason
The licensing inspector conducted the initial announced inspection of Memory Care at Bristol on April 18, 2022, to assess compliance with regulatory standards.
Findings
Two violations were cited: the facility failed to have a physician's order for bed rails for one resident, and cleaning supplies were not kept in a locked area.
Deficiencies (2)
Facility failed to have a physician's order for bed rails for one resident in care.
Facility failed to keep all cleaning supplies in a locked area.
Report Facts
Plan of correction submission deadline: 10
Audit duration: 3
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