Inspection Reports for
Our Lady Of Peace
751 Hillsdale Drive, CHARLOTTESVILLE, VA, 22901
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
139 residents
Based on a October 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Renewal
Census: 139
Deficiencies: 0
Date: Oct 11, 2024
Visit Reason
The inspection was a renewal visit conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection determined non-compliance with applicable standards or laws, and violations were documented. However, the evidence gathered during the inspection also indicated no violations with applicable standards or laws, suggesting a mixed or unclear finding.
Report Facts
Number of resident records reviewed: 8
Number of staff records reviewed: 5
Number of interviews conducted with residents: 4
Number of interviews conducted with staff: 5
Inspection Report
Complaint Investigation
Census: 128
Deficiencies: 0
Date: Jan 31, 2024
Visit Reason
The inspection was conducted in response to a complaint received on 2023-12-13 regarding allegations in the admission, retention, and discharge of residents at the facility.
Complaint Details
A complaint was received by VDSS Division of Licensing on 12/13/2023 regarding allegations in the admission, retention, and discharge of residents. The evidence gathered during the investigation did not support the allegations of non-compliance.
Findings
The investigation found no evidence to support the allegations of non-compliance with standards or law. The resident identified in the complaint is no longer in care.
Report Facts
Number of residents present: 128
Number of resident records reviewed: 1
Number of staff interviews conducted: 2
Inspection Report
Renewal
Census: 120
Deficiencies: 0
Date: Oct 17, 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 no violations with applicable standards or laws. The licensing inspector completed a tour of the physical plant and conducted interviews and record reviews without identifying any deficiencies.
Report Facts
Resident records reviewed: 4
Staff records reviewed: 4
Resident interviews conducted: 10
Staff interviews conducted: 5
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 1, 2022
Visit Reason
The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on 2022-10-19 regarding allegations in resident care and related services.
Complaint Details
Complaint investigation related to allegations in resident care and related services received on 2022-10-19; allegations were not substantiated.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings are subject to public disclosure and must be posted on the facility premises.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 1, 2022
Visit Reason
The inspection was conducted in response to a complaint received on 2022-08-23 regarding allegations in medication administration at the facility.
Complaint Details
A complaint was received by VDSS Division of Licensing on 08/23/2022 regarding allegations in medication administration. The evidence gathered during the investigation did not support the allegation(s) of non-compliance.
Findings
The investigation found no evidence to support the allegations of non-compliance with standards or law related to medication administration.
Report Facts
Number of resident records reviewed: 1
Number of staff interviews conducted: 3
Inspection Report
Renewal
Deficiencies: 8
Date: Nov 1, 2022
Visit Reason
The inspection was a renewal visit conducted on November 1, 2022, to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found multiple areas of non-compliance including failure to complete annual tuberculosis risk assessments, incomplete fall risk ratings, missing discharge statements, lack of annual health and fire inspections, failure to notify physicians of dietitian and pharmacist recommendations, and improper medication administration timing.
Deficiencies (8)
Failure to ensure annual tuberculosis risk assessments were completed for each resident.
Failure to ensure a written fall risk rating was completed by the time the comprehensive ISP was completed.
Failure to maintain a copy of the written statement of discharge in the resident's record.
Failure to ensure compliance with Virginia Department of Health inspections and retain reports for at least two years.
Failure to report dietitian recommendations to residents' physicians and maintain documentation.
Failure to administer medications within one hour before or after the facility's standard dosing schedule.
Failure to inform attending physicians of pharmacist recommendations and document notification.
Failure to ensure annual fire inspection was conducted and reports retained for at least two years.
Report Facts
Number of resident records reviewed: 10
Number of staff records reviewed: 5
Number of resident interviews conducted: 3
Number of staff interviews conducted: 4
Inspection Report
Monitoring
Census: 133
Deficiencies: 0
Date: Apr 26, 2022
Visit Reason
An unannounced monitoring inspection was conducted at the facility to review compliance with applicable standards and laws.
Findings
The inspection determined compliance with applicable standards or law, and no violations were issued to the facility. Technical assistance was offered based on observation of a medication in the medication cart.
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