Inspection Reports for The Estates at Charlottesville

The inspection was a monitoring visit triggered by a self-reported incident received by VDSS Division of Licensing on May 17, 2025, related to Resident Care and Related Services.

The licensing inspector completed a tour of the secure environment and reviewed documentation, activities, and staff interactions. The investigation found no evidence of non-compliance with standards or law.

Mandated monitoring inspection conducted to review compliance with applicable standards and regulations for the assisted living facility.

The inspection found no violations with applicable standards or law. The inspection summary will be posted publicly within five business days.

The inspection was a non-mandated monitoring visit conducted to review staffing and supervision as well as resident care and related services following a self-reported incident received by VDSS Division of Licensing on 2025-04-30.

The inspection found no violations with applicable standards or law based on the evidence gathered during the inspection.

The inspection was conducted in response to a complaint received on 2024-10-17 regarding allegations in the area of Admission, Retention and Discharge of Residents.

The investigation did not substantiate the complaint allegations of non-compliance. However, a non-complaint related violation was identified regarding failure to review and update fall risk ratings after each fall.

Complaint was received on 2024-10-17 regarding Admission, Retention and Discharge of Residents. The evidence did not support the allegations of non-compliance with standards or law.

The inspection was a non-mandated monitoring visit conducted following a self-reported incident received on 2024-07-16 regarding allegations in Resident Care and Staffing and Supervision.

The investigation found no evidence of non-compliance with standards or laws. The inspection included a tour of the facility, interviews with residents and staff, and observations of memory care.

The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with applicable standards and regulations.

The inspection found non-compliance related to individualized service plans for two residents, which did not include descriptions of identified needs such as DNR orders. A violation notice was issued and the facility was given the opportunity to submit a plan of correction.

The inspection visit was conducted in response to a complaint received by VDSS Division of Licensing on 2024-02-28 regarding allegations in the area of Resident Care and Related Services.

The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. An exit meeting was conducted to review the inspection findings.

Complaint related to Resident Care and Related Services; the allegations were not substantiated.

The inspection was conducted due to a complaint related to personnel background checks at the assisted living facility.

The facility failed to comply with background check regulations by employing a staff member convicted of a barrier crime and lacking an original criminal background check for another staff member. Corrective actions included termination and re-submission of background checks.

The visit was complaint-related and substantiated, involving violations of background check requirements for staff.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2023-07-20 regarding an allegation in the area of Resident Care and Related Services.

The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. An exit meeting was planned to review the inspection findings.

Complaint related inspection with no substantiated findings of non-compliance.

The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on June 15, 2023, regarding allegations in the area of Personnel at The Estates at Charlottesville assisted living facility.

The investigation found non-compliance with regulations as the facility's administrator was not currently licensed as an assisted living or nursing home administrator by the Virginia Board of Long Term Care Administrators. A violation was issued based on this finding.

The complaint was substantiated as the evidence supported the allegations of non-compliance regarding the administrator's licensure status.

The inspection was a monitoring visit conducted by the licensing inspector following a self-reported incident received by VDSS Division of Licensing on 4/19/2023 in the area of Building and Grounds.

The evidence gathered during the investigation did not support non-compliance with standards or law. No deficiencies or violations were found during the inspection.

The inspection was a renewal visit to assess compliance with applicable standards and laws for the assisted living facility.

The inspection found non-compliance related to the Virginia Statewide Fire Code due to the absence of an annual fire inspection for 2022, which was confirmed by the administrator.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2023-03-03 regarding allegations in the areas of Building and Grounds and Resident Care and Related Services.

The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. An exit meeting was conducted to review the inspection findings.

Complaint related inspection triggered by allegations in Building and Grounds and Resident Care and Related Services. The complaint was not substantiated.

An unannounced monitoring inspection was conducted to follow-up on a self-reported incident related to resident care and related services.

The investigation confirmed non-compliance with standards regarding the facility's failure to assume general responsibility for a resident's health, safety, and well-being, and failure to implement an infection control program consistent with CDC guidelines.

The visit was not complaint-related; it was a monitoring inspection following a self-reported incident.

A non-mandated on-site complaint inspection was conducted due to a complaint received regarding allegations in resident care and related services, building and grounds, and staffing and supervision.

The investigation found no evidence to support the allegations of non-compliance with standards or law.

Complaint related visit; the evidence gathered did not support allegations of non-compliance with standards or law.

A monitoring inspection was initiated on 2021-11-09 and concluded on 2021-12-01 to review compliance with applicable standards and laws at the assisted living facility.

The inspection determined non-compliance with applicable standards due to the facility's failure to immediately notify the Department's regional licensing office about the resignation of the licensed administrator, employment of a new administrator, and the last date of employment of the previous administrator.

A renewal inspection was initiated with the licensee on 5/3/2021 and concluded on 5/6/2021 to assess compliance with applicable standards and laws.

The inspection determined non-compliance with applicable standards or laws, specifically the facility admitted and retained one individual with a condition prohibited by regulation 22VAC40-73-310-H.

The inspection was conducted using an alternate remote protocol due to a state of emergency health pandemic. Licensing staff followed up on a referral regarding allegations related to a resident discharge, which the facility had previously self-reported.

Evidence gathered during the investigation did not support the allegations related to the resident discharge.