Inspection Reports for Poet’s Walk Leesburg

102 Desmond Plz SE, Leesburg, VA 20175, VA, 20175

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Deficiencies per Year

4 3 2 1 0
2025
Severe High Moderate Low Unclassified

Census Over Time

36 39 42 45 48 Aug '25 Oct '25 Oct '25
Inspection Report Complaint Investigation Census: 43 Deficiencies: 2 Oct 7, 2025
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2025-10-03 regarding allegations in the areas of Resident Care and Related Services and Complaint Investigation.
Findings
The investigation supported the allegations of non-compliance related to medication management and administration. Violations were issued for failure to implement the written medication management plan and failure to administer medication according to physician's orders.
Complaint Details
Complaint related: Yes. The complaint was substantiated as evidence supported non-compliance with standards related to medication management and administration.
Deficiencies (2)
Description
Facility failed to implement their written plan for medication management, including improper use of medication patches without date/time indication.
Facility failed to administer medication in accordance with the physician's or other prescriber's instructions, evidenced by resident arriving at hospital wearing two medication patches.
Report Facts
Residents present: 43 Resident records reviewed: 1 Staff records reviewed: 2 Staff interviews conducted: 2
Employees Mentioned
NameTitleContext
Amanda VelascoLicensing InspectorCurrent inspector conducting the complaint investigation
Jacquelyn KabiriLicensing InspectorContact person for questions regarding the inspection
Staff 2Provided medication management plan and confirmed medication administration procedures during interviews
Inspection Report Monitoring Census: 43 Deficiencies: 4 Oct 7, 2025
Visit Reason
The inspection was a monitoring visit to review compliance with various administrative, staffing, resident care, emergency preparedness, and other regulatory requirements for an assisted living facility.
Findings
The inspection identified multiple violations including failure to conduct sex offender screenings prior to admission, improper medication storage without pharmacy-issued containers, unsecured hazardous materials in resident rooms, and maintenance issues such as broken blinds and damaged walls. Plans of correction were provided for each violation.
Deficiencies (4)
Description
Facility failed to ascertain, prior to admission, whether a potential resident is a registered sex offender.
Facility failed to ensure that medications remain in pharmacy-issued containers with prescription labels until administered.
Facility failed to ensure cleaning supplies and other hazardous materials are stored in a locked area.
Facility failed to maintain the interior of the building in good repair and kept clean and free of rubbish.
Report Facts
Number of residents present: 43 Number of resident records reviewed: 4 Number of staff records reviewed: 3 Number of staff interviews conducted: 2
Employees Mentioned
NameTitleContext
Jacquelyn KabiriLicensing InspectorContact person for questions about the inspection findings
Amanda VelascoCurrent InspectorInspector on-site during the inspection
Staff 1Interviewed staff unable to locate sex offender screenings
Staff 2Interviewed staff unable to locate sex offender screenings
Staff 4Confirmed medication inhaler was not in prescription box
Director of NursingDirector of NursingResponsible for medication correction and audits
Inspection Report Original Licensing Census: 43 Deficiencies: 0 Aug 7, 2025
Visit Reason
Initial licensing inspection conducted to evaluate the facility for licensing purposes.
Findings
The inspection found no violations of applicable standards or laws. Initial measurements of room square footage were taken, and no deficiencies were noted.

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