Inspection Reports for
Pinecrest Assisted Living Facility, LLC
709 River Ridge Road, DANVILLE, VA, 24541
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
9.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% worse than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
24
18
12
6
0
Census
Latest occupancy rate
38 residents
Based on a July 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Nov 6, 2025
Visit Reason
The inspection was conducted in response to a complaint received on 2025-10-21 regarding allegations related to admission, retention, and discharge of residents at the facility.
Complaint Details
The complaint was not substantiated based on the evidence gathered during the investigation.
Findings
The investigation did not substantiate the complaint allegations; however, violations unrelated to the complaint were identified, including failure to retain a copy of the written discharge statement in the resident's record and failure to return property or things of value held in trust to the resident or their legal representative within 60 days of discharge.
Deficiencies (2)
Facility failed to ensure that a copy of the written discharge statement was retained in the resident's record.
Facility failed to ensure within 60 days of discharge that each resident or legal representative was given a final statement of account, refunds due, and return of property or things of value held in trust or custody by the facility.
Report Facts
Number of resident records reviewed: 1
Number of staff interviews conducted: 2
Date of discharge statement missing: Oct 18, 2025
Medication counts: 11
Inspection duration: 2.33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Marie Swink | Licensing Inspector | Conducted the inspection and is the contact for the report |
| Staff 1 | Interviewed staff member who confirmed findings related to discharge statement and medication return |
Inspection Report
Renewal
Census: 38
Deficiencies: 8
Date: Jul 8, 2025
Visit Reason
The inspection was a renewal visit to assess compliance with applicable standards and laws for Pinecrest Assisted Living Facility.
Findings
The inspection identified multiple violations including failure to ensure timely tuberculosis risk assessments for staff, admitting a resident not meeting ambulatory-only license requirements, failure to post current activity schedules, medication administration errors, missing medications, incomplete Do Not Resuscitate order documentation, facility maintenance issues, and incomplete individualized service plans for residents with cognitive impairments.
Deficiencies (8)
Failure to ensure staff submit a tuberculosis risk assessment no older than 30 days prior to starting work.
Admitting and retaining a resident who requires a level of care not provided or licensed for, specifically a resident with dementia unable to use signaling device.
Failure to post the current month's activity schedule in a conspicuous location accessible to residents and families.
Medications not administered according to physician's instructions, including discrepancies in Acetaminophen dosing.
Medications ordered for PRN administration were not available or properly stored at the facility.
Do Not Resuscitate (DNR) orders were not properly documented in the resident's Individualized Service Plan (ISP).
Interior and exterior of buildings were not maintained in good repair; floor seams held together with black tape due to water damage.
Individualized Service Plan did not include documentation of resident's inability to use signaling device due to memory loss.
Report Facts
Number of residents present: 38
Number of resident records reviewed: 4
Number of staff records reviewed: 3
Number of resident interviews conducted: 2
Number of staff interviews conducted: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Marie Swink | Licensing Inspector | Conducted the inspection and interviews |
| Staff 1 | Interviewed regarding tuberculosis risk assessment, resident care, activity calendar posting, DNR order, and medication administration | |
| Staff 2 | Interviewed regarding resident care, medication availability, and resident supervision | |
| Staff 3 | Interviewed regarding medication administration, medication audits, and resident supervision | |
| Staff 6 | Coordinated reassessments, contacted consultant pharmacist, and advised staff on corrective actions |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: May 13, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-05-07 regarding allegations related to general provisions, admission, retention and discharge of residents, and resident care and related services at Pinecrest Assisted Living Facility.
Complaint Details
The complaint was substantiated in part. The evidence supported non-compliance in admission, retention, and discharge of residents. A violation notice was issued and the licensee was given the opportunity to submit a plan of correction.
Findings
The investigation supported some, but not all, of the allegations. Areas of non-compliance were found related to admission, retention, and discharge of residents. Specific violations included failure to include all rules regarding resident conduct and restrictions in the facility agreement, and failure to ensure residents' monthly statements only contained itemized charges made by the facility.
Deficiencies (2)
Facility failed to ensure that all requirements or rules regarding resident conduct and other restrictions or special conditions were included in the facility agreement.
Facility failed to ensure that residents' monthly statements of charges and payments only contained itemized charges made by the facility.
Report Facts
Resident records reviewed: 5
Resident interviews conducted: 1
Staff interviews conducted: 2
Fee charged: 60
Missed appointment fee: 5
Inspection Report
Monitoring
Census: 36
Deficiencies: 0
Date: Sep 23, 2024
Visit Reason
The inspection was a monitoring visit conducted to review personnel, staffing and supervision, and admission, retention, and discharge of residents at the assisted living facility.
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
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of interviews conducted with staff: 2
Inspection Report
Renewal
Census: 38
Deficiencies: 3
Date: Jul 17, 2024
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for the continued licensing of the assisted living facility.
Findings
The inspection found non-compliance with several standards related to staff training, documentation of duties, and physical examination requirements for residents. Violations were documented and a plan of correction was requested.
Deficiencies (3)
The facility failed to ensure that prior to being placed in charge, the staff member was informed of and received training on their duties and responsibilities and provided written documentation of such duties and responsibilities.
The facility failed for direct care staff to be trained in methods of dealing with residents who have a history of aggressive behavior prior to being involved in the care of such residents.
The facility failed to ensure that a physical examination with all required information was obtained within 30 days preceding admission for a resident.
Report Facts
Number of residents present: 38
Number of resident records reviewed: 5
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Marie Swink | Licensing Inspector | Current inspector conducting the inspection |
| Staff 2 | Staff member interviewed and involved in confirming records and training issues | |
| Staff 3 | Staff member lacking training in aggressive behavior methods | |
| Staff 6 | Staff member placed in charge without documented training on duties and responsibilities |
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 0
Date: Jun 12, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on June 5, 2024, regarding allegations in the area of Buildings and Grounds.
Complaint Details
Complaint related to Buildings and Grounds; the complaint was not substantiated based on the investigation findings.
Findings
The licensing inspector completed a tour of the physical plant including the building and grounds. The evidence gathered during the investigation did not support the complaint of non-compliance with standards or law.
Report Facts
Number of residents present: 40
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 6
Number of interviews conducted with staff: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Marie Swink | Licensing Inspector | Current inspector conducting the complaint investigation |
Inspection Report
Monitoring
Census: 42
Deficiencies: 0
Date: Mar 6, 2024
Visit Reason
The inspection was a monitoring visit conducted by the Virginia Department of Social Services following a self-reported incident received on 2024-02-23 regarding allegations in the area of Resident Care and Related Services.
Findings
The investigation found no evidence to support the self-reported non-compliance with standards or law. The inspection findings will be posted publicly and an exit meeting was planned to review the findings.
Report Facts
Resident records reviewed: 1
Staff records reviewed: 0
Resident interviews conducted: 1
Staff interviews conducted: 2
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 0
Date: Mar 6, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on January 31, 2024, regarding allegations in the area of Resident Care and Related Services.
Complaint Details
Complaint related to Resident Care and Related Services; the complaint was not substantiated.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law.
Report Facts
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 2
Inspection Report
Renewal
Census: 36
Deficiencies: 10
Date: Jul 26, 2023
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for Pinecrest Assisted Living Facility.
Findings
The inspection found multiple violations including failure to implement infection control policies, incomplete staff and resident records, failure to post monthly activity schedules, medication management deficiencies, and physical plant issues such as unsecured cleaning supplies and stained carpets. Plans of correction were initiated for all cited violations.
Deficiencies (10)
Failed to implement infection control policy regarding CDC recommendations for blood glucose monitoring practices.
Failed to ensure all staff submitted tuberculosis risk assessment results within required timeframe.
Resident physical examination form was incomplete in required information.
Uniform assessment instruments (UAIs) were incomplete and did not specify type of ADL assistance needed.
Individualized service plans (ISPs) lacked required documentation and updates.
Failed to post a monthly activity schedule.
Failed to implement medication management plan to prevent use of outdated medications and ensure accurate controlled substance counts.
Failed to maintain signed physicians orders in resident records.
Failed to store cleaning supplies in a locked area.
Failed to maintain interior of building in good repair and cleanliness; carpets had heavy stains.
Report Facts
Number of residents present: 36
Number of resident records reviewed: 7
Number of staff records reviewed: 4
Number of resident interviews: 3
Number of staff interviews: 2
Dates missing signatures on medication control sign sheet: 5
Inspection Report
Monitoring
Census: 37
Deficiencies: 11
Date: May 3, 2023
Visit Reason
The inspection was a monitoring visit conducted to assess compliance with applicable standards and laws at Pinecrest Assisted Living Facility.
Findings
The inspection identified multiple violations including failures in staff orientation and training, tuberculosis screening, emergency placement documentation, medication management, physical plant cleanliness, and background checks. Plans of correction were proposed for each deficiency.
Deficiencies (11)
Failed to ensure orientation and initial training for employees occurred within the first seven working days.
Failed to ensure tuberculosis screening was completed on or within seven days prior to the first day of work for all employees.
Failed to ensure direct care staff received training in methods of dealing with residents with aggressive behavior prior to care involvement.
Failed to ensure emergency placement was documented and approved by appropriate adult protective services or physician.
Failed to obtain all required information within 7 days of admission for an emergency placement.
Failed to ensure uniform assessment instruments for public pay individuals were completed as required.
Failed to ensure comprehensive individualized service plan included all requirements.
Failed to implement medication management plan regarding prevention of outdated medications and accurate counts of controlled substances.
Failed to ensure sheets on resident beds were clean.
Failed to store cleaning supplies in a locked area.
Failed to ensure criminal history record review was completed prior to the 30th day of employment for new employees.
Report Facts
Number of residents present: 37
Number of resident records reviewed: 7
Number of staff records reviewed: 3
Number of resident interviews: 2
Number of staff interviews: 3
Medication count discrepancy: 1
Medication count discrepancy: 12
Dates missing signatures on Control Sign Sheet: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Marie Swink | Licensing Inspector | Current inspector conducting the monitoring visit |
| Cynthia Ball-Beckner | Licensing Inspector | Contact person for questions regarding the inspection |
| Staff 1 | Named in multiple findings related to orientation, tuberculosis screening, aggressive behavior training, medication management, and insulin pen handling | |
| Staff 2 | Named in findings related to orientation, tuberculosis screening, and aggressive behavior training | |
| Staff 3 | Named in findings related to orientation and tuberculosis screening | |
| Staff 4 | Responsible for developing plans of correction, conducting training, reviewing medication management, and implementing procedures | |
| Staff 5 | Involved in medication count reconciliation | |
| Staff 6 | Involved in updating individualized service plans and medication count reconciliation | |
| Staff 7 | Involved in medication management and count reconciliation |
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 0
Date: May 3, 2023
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2023-03-20 regarding allegations in the areas of resident care and related services and personnel.
Complaint Details
Complaint related to allegations in resident care and related services and personnel; investigation did not substantiate non-compliance.
Findings
The evidence gathered during the investigation did not support the allegations or self-report of non-compliance with standards or law. The inspection findings will be posted publicly and a copy is required to be posted on the facility premises.
Report Facts
Residents present: 37
Resident records reviewed: 8
Staff records reviewed: 3
Resident interviews conducted: 2
Staff interviews conducted: 3
Inspection Report
Original Licensing
Census: 40
Deficiencies: 1
Date: Sep 19, 2022
Visit Reason
Initial inspection conducted as part of the licensing process for an existing assisted living facility being purchased by the applicant licensee.
Findings
The inspection found non-compliance with applicable standards or laws related to facility maintenance, specifically the facility was not maintained in clean and good repair with issues such as an inoperable shower with exposed insulation, floor build-up of dark substance, and scuffed paint throughout the facility.
Deficiencies (1)
Facility failed to be maintained in clean and good repair, including an inoperable shower with exposed insulation, floor build-up of dark substance, and scuffed paint throughout the facility.
Report Facts
Number of residents present: 40
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Camilla McCoy | Named in plan of correction to contract out and complete painting work |
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