Inspection Reports for Paul Spring Community

The inspection was a monitoring visit conducted on August 14, 2025, following a self-reported incident received on July 23, 2025, regarding allegations in administration, staffing, and resident care.

The inspection found no violations of applicable standards or laws. The licensing inspector observed residents participating in activities and interacting with staff without issue.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-06-27 regarding allegations in the areas of Administration and Administrative Services, Staffing and Supervision, and Resident Care and Related Services.

The investigation found no evidence to support the allegations of non-compliance with standards or law. The inspection summary will be posted publicly within 5 business days of receipt.

Complaint investigation related to allegations in Administration and Administrative Services, Staffing and Supervision, and Resident Care and Related Services. The allegations were not substantiated.

The inspection was a monitoring visit conducted to review allegations related to Admission, Retention and Discharge of Residents and Resident Care and Related Services, following a self-report received by VDSS Division of Licensing.

The investigation supported some but not all of the self-report; areas of non-compliance were found in Admission, Retention and Discharge of Residents and Resident Care and Related Services. A violation notice was issued related to retaining a resident with a non-healing dermal ulcer stage III without proper documentation.

The inspection was conducted as a monitoring visit following a self-report incident received by VDSS Division of Licensing regarding allegations in the areas of Personnel and Resident Care and Related Services.

The investigation did not support the self-report of non-compliance with standards or law. The licensing inspector observed the physical plant and resident activities without identifying deficiencies.

The inspection was a renewal inspection conducted on January 8 and 9, 2025, to assess compliance with applicable standards and regulations for the assisted living facility.

The inspection identified multiple violations including failure to maintain volunteer documentation, inadequate personal assistance and care documentation for residents, and incomplete emergency preparedness reviews and drills. Plans of correction were submitted addressing these deficiencies.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 12/30/2024 regarding allegations in the area of Resident Care and Related Services.

The investigation supported the allegations of non-compliance related to personal care, specifically failure to provide toileting care as required by the resident's individualized service plan. Violations were issued based on documentation and staff interview confirming inconsistent peri-care.

The complaint was substantiated as the evidence gathered supported the allegations of non-compliance with standards or law related to resident care and toileting assistance.

The inspection was a monitoring visit triggered by a self-reported incident received on 2024-07-05 regarding allegations in the areas of admission, retention, discharge of residents, resident care, and accommodations.

The investigation did not support the self-report of non-compliance with standards or law. The licensing inspector toured the facility, observed resident interactions, and reviewed one resident record.

An unannounced focused monitoring inspection was conducted to review resident care and related services.

Two resident records were observed and interviews were conducted. No violations were cited during the inspection.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2023-12-04 regarding an allegation in the area of Building and Grounds.

The licensing inspector completed a tour of the physical plant including the building and grounds, conducted six interviews, and found that the evidence did not support the allegation of non-compliance with standards or law.

Complaint related to Building and Grounds; the allegation was not substantiated as the evidence did not support non-compliance.

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

The inspection found non-compliance with medication administration standards, including failure to administer medications according to physician instructions and failure to ensure availability and proper storage of PRN medications.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2023-09-25 regarding an allegation related to building and grounds at the facility.

The licensing inspector completed a tour of the physical plant including the building and grounds and conducted three interviews. The evidence gathered did not support the allegation of non-compliance with standards or law.

Complaint related to building and grounds; investigation did not substantiate the allegation of non-compliance.

An unannounced monitoring inspection was conducted to follow-up on facility reported incidents.

Interview conducted, resident records observed, and one staff record was observed. No violations were cited during the inspection.

An unannounced monitoring inspection was conducted in response to facility-reported incidents to review building, grounds, and records.

The inspection found non-compliance with applicable standards related to supervision of resident schedules, care, and activities, including prevention of falls and wandering. A violation notice was issued to the facility.

The inspection was a monitoring visit conducted on August 4, 2023, to review compliance with resident care and related services standards following incident reports received on August 2 and August 4, 2023.

The investigation did not support the self-report of non-compliance with standards or law. An exit meeting was conducted to review the findings, and the inspection summary will be posted publicly.

An unannounced monitoring inspection was conducted to observe medication administration, resident records, and facility documentation, including interviews.

The inspection found non-compliance with medication administration standards, specifically that medications were not administered according to physician instructions, with documented violations related to incorrect dosing and unclear medication orders.

An unannounced focused monitoring inspection was conducted to follow-up on facility reported incidents.

Resident records were observed and an interview was conducted. No violations were cited during the inspection.

Unannounced monitoring inspections were conducted in response to facility reported incidents on January 31, 2023, February 21, 2023, and March 7, 2023.

Resident records, staff records, and interviews were conducted during the inspections. No violations were cited as a result of the monitoring inspections.

An unannounced complaint inspection was conducted in response to a complaint received by the licensing office regarding Resident Care and Related Services, and Administration and Administrative Services.

The investigation supported the allegation of non-compliance with medication administration standards, including incorrect dosages given to residents and incomplete medication administration records (MAR). Violations were issued related to medication administration errors and documentation deficiencies.

The complaint investigation was substantiated with violations issued for medication administration errors and incomplete MAR documentation.

An unannounced renewal inspection was conducted to assess compliance with applicable standards and laws for the assisted living facility.

The inspection found multiple violations including improper use of physical restraints, unsecured medication storage, medication administration errors, and unsafe storage of hazardous materials. The facility was found non-compliant with several regulatory standards.

An unannounced monitoring inspection was conducted in response to facility reported incidents to review resident records and observe a resident room.

The facility failed to limit medication storage to an out-of-sight place in the rooms of residents capable of self-administering medication, with unlocked medications observed in a resident's bathroom contrary to their assessed needs.

An unannounced monitoring inspection was conducted to observe meals, medication administration, activities, building and grounds, and to review records including resident and staff files.

The inspection identified multiple violations including failure to ensure proper assessment of residents for serious cognitive impairment prior to admission, unsecured medication storage in resident rooms, improper use and documentation of physical restraints, and unsecured hazardous cleaning supplies.

An unannounced complaint inspection was conducted in response to a complaint received regarding Resident Care and Related Services, specifically medication administration and related records.

The complaint was substantiated as the facility failed to ensure medications were administered according to physician orders and standards of practice. Medication administration records showed medications were given despite orders to hold them based on resident blood pressure readings.

The complaint was deemed valid based on a preponderance of evidence supporting the allegation related to medication administration errors.

A non-mandated self-report inspection was initiated due to a self-reported incident regarding an allegation in the area of Resident Care and Related Services.

The evidence gathered during the investigation did not support the self-report of non-compliance with standards or law.

The visit was complaint-related but the evidence did not substantiate the allegation of non-compliance.

A non-mandated complaint inspection was initiated due to allegations regarding admission, retention, and discharge of residents; resident care and related services; and building and grounds.

The investigation found multiple violations related to delayed staff response to resident call bells, failure to provide necessary personal care such as bathing, incomplete and outdated resident records, failure to weigh residents monthly, and improper medication administration.

The complaint was substantiated with violations issued related to admission, retention, discharge, resident care, and building and grounds.

A non-mandated self-report inspection was initiated due to self-reported incidents 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.

A self-reported incident regarding an allegation in the area of Resident Care and Related Services prompted a non-mandated self-report inspection.

The investigation, including an on-site observation, found no evidence to support the self-report of non-compliance with standards or law.

The visit was complaint-related but the evidence gathered did not substantiate the allegation of non-compliance.

A monitoring inspection was initiated due to a self-reported incident regarding allegations in the area of Resident Care and Related Services during a state of emergency health pandemic.

The evidence gathered during the investigation did not support the self-report of non-compliance with standards or law.

A renewal inspection was initiated to assess compliance with applicable standards and laws for the assisted living facility during the state of emergency health pandemic.

The inspection found non-compliance with standards related to resident physical examinations, specifically missing documentation of allergic reactions on one resident's physical exam form.