Inspection Reports for
Morningside House of Fredericksburg
3020 Gordon W. Shelton Boulevard, FREDERICKSBURG, VA, 22401
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
9.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% worse than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
49 residents
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 49
Deficiencies: 0
Date: Jul 8, 2025
Visit Reason
The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on April 30, 2025, regarding allegations in the area of resident care.
Complaint Details
Complaint related to resident care; the complaint was not substantiated based on the investigation findings.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No deficiencies were cited.
Report Facts
Residents present: 49
Resident records reviewed: 1
Staff records reviewed: 0
Staff interviews conducted: 2
Resident interviews conducted: 0
Inspection Report
Renewal
Census: 49
Deficiencies: 7
Date: Jun 26, 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 admission assessments, staff training, resident room access, medication orders, first aid certification, and fire drill documentation. The facility was found non-compliant with several regulatory standards and was required to submit plans of correction.
Deficiencies (7)
Failed to ensure prior to admission a resident was assessed by an independent clinical psychologist or physician for serious cognitive impairment.
Failed to ensure a written determination of appropriate placement in the special care unit was documented in the resident's chart.
Failed to ensure direct care staff attended at least 10 hours of cognitive impairment training within four months of employment.
Failed to ensure direct care staff were first aid certified.
Failed to ensure residents were not locked out of their rooms.
Failed to ensure PRN medications included directions for what to do if symptoms persisted.
Failed to ensure fire and emergency evacuation drill records included all nine required elements.
Report Facts
Number of residents present: 49
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with staff: 3
Staff training hours required: 10
Date of fire drill missing elements: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Direct Care Aide (DCA) | Named in findings related to lack of cognitive impairment training and first aid certification |
| Staff 4 | Interviewed staff confirming multiple deficiencies including missing assessments, training, and fire drill documentation |
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 7
Date: Sep 16, 2024
Visit Reason
The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on 2024-09-06 regarding allegations in the area of Resident Care at Morningside House of Fredericksburg.
Complaint Details
The complaint investigation was substantiated in part; evidence supported some allegations related to resident care deficiencies including incomplete skin assessments, failure to report incidents, incomplete assessments, failure to update service plans, and failure to provide adequate treatment and follow-up.
Findings
The investigation supported some, but not all, of the allegations. Areas of non-compliance included incident reports, physician orders, individualized service plans, facility policies and procedures, and resident care. Multiple violations were cited related to failure to comply with facility policies, failure to report major incidents, incomplete assessments, failure to update service plans, failure to prevent avoidable complications, and failure to document treatments and follow-up.
Deficiencies (7)
Facility failed to ensure compliance with its own policies and procedures related to skin assessments.
Facility failed to report major incidents to the regional licensing office within 24 hours.
Facility failed to complete the Uniform Assessment Instrument within 90 days of admission.
Facility failed to update the Individualized Service Plan as needed for significant changes in resident condition.
Facility failed to provide services to prevent clinically avoidable complications, including weight monitoring and dietary interventions.
Facility failed to implement interventions promptly when a nutritional problem was suspected.
Facility failed to ensure treatments ordered by a physician or other prescriber were documented and provided according to instructions.
Report Facts
Number of residents present: 50
Number of resident records reviewed: 1
Number of staff interviews conducted: 4
Audit percentage: 20
Audit percentage: 100
Audit count: 10
Inspection Report
Renewal
Census: 51
Deficiencies: 5
Date: Jul 26, 2024
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 multiple violations including failure to provide at least 21 hours of scheduled activities per week, failure to record menu substitutions on the posted menu, unavailability and improper labeling/storage of PRN medications, incomplete first aid kits, and insufficient emergency water supply.
Deficiencies (5)
Facility failed to ensure at least 21 hours of scheduled activities were available to residents.
Facility failed to ensure menu substitutions or additions were recorded on the posted menu.
Facility failed to ensure medications ordered for PRN administration were available, properly labeled, and properly stored.
Facility failed to ensure first aid kits were checked monthly and contained all required items not past expiration.
Facility failed to ensure availability of a 96-hour supply of emergency food and drinking water with at least 48 hours on site.
Report Facts
Residents present: 51
Resident records reviewed: 6
Staff records reviewed: 3
Staff interviews conducted: 3
Scheduled activity hours required: 21
Emergency water supply hours required on site: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeff Marnien | Licensing Inspector | Contact person for questions regarding the inspection |
Inspection Report
Original Licensing
Census: 55
Deficiencies: 0
Date: Jan 29, 2024
Visit Reason
The Licensing conducted an announced initial inspection to verify compliance with regulations, including physical plant review, window and room measurements, and policy and procedure review.
Findings
No violations were cited during the inspection. The building, fire, and health inspections had been submitted and reviewed, and an exit interview was held.
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