Inspection Reports for
Morningside House of Spotsylvania

4621 Spotsylvania Parkway, FREDERICKSBURG, VA, 22408

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

75% better than Virginia average
Virginia average: 9.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2025

Census

Latest occupancy rate 37 residents

Based on a July 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

25 30 35 40 45 Jan 2021 Jul 2021 Jul 2022 Jul 2025

Inspection Report

Renewal
Census: 37 Deficiencies: 5 Date: Jul 1, 2025

Visit Reason
The inspection was a renewal visit conducted on July 1 and July 2, 2025, to assess compliance with applicable standards and laws for the assisted living facility.

Findings
The inspection identified multiple violations related to staff training, disclosure statements, written assurances for residents, medication storage, and documentation of resident rounds. The facility was found non-compliant with several regulatory standards and was issued a violation notice with opportunities to submit plans of correction.

Deficiencies (5)
Facility failed to ensure direct care staff received at least 10 hours of training in cognitive impairment within four months of their start date.
Facility failed to provide a department-prepared statement to prospective residents disclosing information about the facility.
Facility failed to provide written assurance that it had the appropriate license to meet resident care needs at the time of admission.
Facility failed to ensure as needed (PRN) medications were properly stored.
Facility failed to document rounds made for residents unable to use the signaling device.
Report Facts
Number of residents present: 37 Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of staff interviews conducted: 3 Number of resident interviews conducted: 0 Training hours required: 10 Plan of correction audit completion date: Aug 11, 2025 Plan of correction staff training completion date: Aug 25, 2025

Employees mentioned
NameTitleContext
Ishmel PaigeLicensing InspectorInspector conducting the inspection
Jeff MarnienLicensing InspectorContact person for questions about the licensing program

Inspection Report

Renewal
Census: 34 Deficiencies: 2 Date: Jul 11, 2022

Visit Reason
The inspection was a renewal inspection conducted on July 11 and 12, 2022, to review compliance with regulatory standards for the assisted living facility.

Findings
The inspection found deficiencies related to staff records, specifically missing documentation of original criminal record reports and current tuberculosis risk assessments for certain staff members.

Deficiencies (2)
Staff records failed to have documentation of required original criminal record reports for Staff C, D, and E.
Staff records failed to have documentation of subsequent risk assessment for tuberculosis for Staff F and G.
Report Facts
Census: 34 Records reviewed: 4 Records reviewed: 7 Interviews conducted: 8

Inspection Report

Renewal
Census: 33 Deficiencies: 0 Date: Jul 27, 2021

Visit Reason
A renewal inspection was initiated on July 22, 2021 and concluded on July 27, 2021 to review the facility's compliance with applicable standards and laws.

Findings
The inspection included review of resident and staff records, activities, schedules, healthcare oversight, and emergency drills. No violations or deficiencies were found during the inspection.

Report Facts
Resident records reviewed: 3 Staff records reviewed: 3

Inspection Report

Routine
Census: 30 Deficiencies: 0 Date: Jan 22, 2021

Visit Reason
The inspection was conducted using an alternate remote protocol due to a state of emergency health pandemic declared by the Governor of Virginia. The inspection was initiated to review compliance with applicable standards and laws for licensure.

Findings
No violations with applicable standards or law were found during the inspection. Not all standards were reviewed, and a recommendation for licensure will be made.

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