Inspection Reports for
Premier Residential and Assisted Living
904 George Washington Hwy North, CHESAPEAKE, VA, 23323
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
10.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% worse than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
28 residents
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 0
Date: Aug 12, 2025
Visit Reason
An unannounced complaint inspection was conducted on August 12, 2025, following a complaint received on August 1, 2025, regarding allegations in the areas of Resident Care and Related Services and Buildings and Grounds.
Complaint Details
Complaint received by VDSS Division of Licensing on 2025-08-01 regarding allegations in Resident Care and Related Services and Buildings and Grounds. Evidence did not support the allegations of non-compliance.
Findings
The investigation did not support the allegations of non-compliance with standards or law. However, violations unrelated to the complaint were identified during the investigation and are documented in the violation notice.
Report Facts
Number of residents present: 28
Number of resident interviews: 3
Number of staff interviews: 1
Number of resident records reviewed: 0
Number of staff records reviewed: 0
Inspection Report
Monitoring
Census: 26
Deficiencies: 1
Date: Mar 21, 2025
Visit Reason
An unannounced monitoring inspection was conducted to review compliance with regulations, including a self-report received regarding allegations in Resident Care and Related Services.
Findings
The investigation supported the self-report of non-compliance with standards related to resident safety and well-being, resulting in violations issued. The facility failed to assume general responsibility for residents' health and safety, including an incident involving aggressive behavior by a resident that led to police intervention and removal of the resident.
Deficiencies (1)
Facility failed to assume the general responsibility for the health, safety, and well-being of the residents, including failure to prevent resident-to-resident aggression and staff assault.
Report Facts
Number of residents present: 26
Number of resident records reviewed: 2
Number of staff records reviewed: 0
Number of staff interviews conducted: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Inspector conducting the monitoring inspection |
Inspection Report
Renewal
Census: 27
Deficiencies: 10
Date: Oct 15, 2024
Visit Reason
An unannounced renewal inspection was conducted to evaluate compliance with applicable standards and regulations for the facility's license renewal.
Findings
The inspection identified multiple areas of non-compliance including deficiencies in staff tuberculosis risk assessments, first aid certification, admission physical exams, individualized service plans, medication management, emergency preparedness plan reviews, fire drill documentation, and emergency exercise participation.
Deficiencies (10)
Failed to ensure each staff person submitted a tuberculosis risk assessment within 30 days prior to first day of work.
Failed to ensure direct care staff obtained first aid certification within 60 days of employment.
Failed to ensure pre-admission physical examinations included all required components.
Failed to ensure individualized service plans (ISP) included a date identified for the description of needs.
Failed to ensure ISPs were reviewed and updated at least once every 12 months.
Failed to implement a written medication management plan to prevent use of outdated, damaged, or contaminated medications.
Failed to review the emergency preparedness plan annually.
Failed to ensure fire and emergency drills were conducted with required frequency and documentation.
Failed to maintain complete records of fire and emergency evacuation drills including time, participant numbers, and weather conditions.
Failed to ensure all staff participated in emergency procedure exercises every six months with proper documentation.
Report Facts
Residents present: 27
Resident records reviewed: 4
Staff records reviewed: 3
Resident interviews: 2
Staff interviews: 2
Expired medication date: 2024.07
Fire drill dates documented: 3
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 0
Date: Sep 16, 2024
Visit Reason
An unannounced complaint inspection was conducted on 2024-09-16 following a complaint received on 2024-09-13 regarding allegations in the area of Resident Care and Related Services.
Complaint Details
Complaint received by VDSS Division of Licensing on 2024-09-13 regarding Resident Care and Related Services. The evidence gathered did not substantiate the allegations.
Findings
The investigation did not support the allegations of non-compliance with standards or law. However, violations unrelated to the complaint were identified during the investigation and are documented in the violation notice.
Report Facts
Residents present: 26
Resident records reviewed: 1
Staff records reviewed: 0
Resident interviews conducted: 2
Staff interviews conducted: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Named as the current inspector conducting the complaint investigation |
Inspection Report
Complaint Investigation
Census: 22
Deficiencies: 3
Date: Jun 20, 2024
Visit Reason
An unannounced complaint inspection was conducted on June 20, 2024, following a complaint received on May 22, 2024, regarding allegations in the areas of Personnel and Resident Care and Related Services.
Complaint Details
Complaint was received by VDSS Division of Licensing on 05/22/2024 regarding allegations in Personnel and Resident Care and Related Services. The evidence gathered did not support the allegations of non-compliance with standards or law.
Findings
The investigation did not substantiate the complaint allegations of non-compliance; however, violations unrelated to the complaint were identified, including failures in staff training hours, maintenance of health information, and current certification in first aid for direct care staff.
Deficiencies (3)
Facility failed to ensure all direct care staff attended at least 18 hours of training annually.
Facility failed to maintain required health information in staff records, including annual tuberculosis risk assessments.
Facility failed to ensure each direct care staff member maintained current certification in first aid.
Report Facts
Number of residents present: 22
Number of resident records reviewed: 4
Number of staff records reviewed: 6
Number of resident interviews conducted: 4
Number of staff interviews conducted: 3
Training hours documented for staff #1: 3.35
First aid certification expiration date: 2024.0412
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 0
Date: Feb 29, 2024
Visit Reason
An unannounced complaint inspection was conducted on February 29, 2024, following complaints received on February 19 and 28, 2024 regarding allegations in the area of Resident Care and Related Services.
Complaint Details
Complaint related to allegations in Resident Care and Related Services; investigation did not substantiate non-compliance.
Findings
The evidence gathered during the investigation did not support the complaint of non-compliance with standards or law. The inspection included a tour of the facility, observations of the kitchen and food supply, and interviews with residents and staff.
Report Facts
Residents present: 24
Staff records reviewed: 3
Resident interviews: 6
Staff interviews: 2
Inspection Report
Complaint Investigation
Census: 21
Deficiencies: 2
Date: Nov 30, 2023
Visit Reason
An unannounced complaint inspection was conducted due to complaints received on 11/20/23, 11/27/23, and 11/28/23 regarding personnel and resident care and related services.
Complaint Details
The complaint investigation was substantiated with violations issued. Complaints involved personnel and resident care and related services. The facility failed to document controlled medication counts and had unlicensed staff administering medications using another staff's login credentials.
Findings
The investigation supported allegations of non-compliance with standards and laws, resulting in violations issued. Key findings included failure to implement a written medication management plan ensuring accurate counts of controlled substances and failure to ensure staff administering medications were properly authorized and licensed.
Deficiencies (2)
Facility failed to implement a written plan for medication management to ensure accurate counts of all controlled substances whenever assigned medication administration staff changes.
Facility failed to ensure each staff person who administers medication was authorized and licensed or registered as required by Virginia law.
Report Facts
Number of residents present: 21
Number of resident records reviewed: 7
Number of staff records reviewed: 3
Number of resident interviews: 4
Number of staff interviews: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Confirmed lack of documentation for controlled medication counts and licensing of staff #2; confirmed staff #2 used staff #1 login credentials to administer medications. | |
| Staff #2 | Personal Care Aide | Administered medications without proper authorization or license; used another staff's login credentials for medication administration. |
Inspection Report
Renewal
Census: 19
Deficiencies: 7
Date: Oct 5, 2023
Visit Reason
An unannounced renewal inspection was conducted to evaluate compliance with applicable standards and regulations for facility licensing renewal.
Findings
The inspection identified multiple violations related to staff background checks, orientation and training timelines, tuberculosis screening, resident admission criteria, physical examinations, uniform assessment instrument (UAI) completion, and individual service plan (ISP) documentation. The licensee was given the opportunity to submit plans of correction to address these deficiencies.
Deficiencies (7)
Facility failed to ensure the criminal history record report was obtained on or prior to the 30th day of employment for each staff person.
Facility failed to ensure orientation and training occurred within the first seven working days of employment.
Facility failed to ensure tuberculosis risk assessments were submitted on or within 7 days prior to the first day of work and were no older than 30 days.
Facility failed to ensure no resident was admitted or retained who requires a level of care or service for which the facility is not licensed.
Facility failed to ensure physical examinations were completed within 30 days preceding admission and included required signatures.
Facility failed to ensure all residents and applicants were assessed face to face using the uniform assessment instrument (UAI) prior to admission, annually, and with significant changes.
Facility failed to ensure a comprehensive individual service plan (ISP) was completed within 30 days after admission including all required assessments and documentation.
Report Facts
Number of residents present: 19
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
Inspection Report
Monitoring
Census: 9
Deficiencies: 5
Date: Jun 29, 2023
Visit Reason
An unannounced monitoring inspection was conducted to assess compliance with applicable standards and laws at Premier Residential and Assisted Living.
Findings
The inspection identified multiple violations related to resident admission procedures, documentation, orientation, individualized service plans, and emergency evacuation drawings. The facility was found non-compliant with several regulatory standards and issued a violation notice.
Deficiencies (5)
Failed to ensure a physical examination including TB risk assessment was completed within 30 days preceding admission.
Failed to ascertain and document sex offender status prior to admission for residents staying longer than three days.
Failed to provide and document orientation for new residents and their legal guardians upon admission.
Failed to complete a comprehensive Individualized Service Plan within 30 days after admission.
Failed to ensure fire and emergency evacuation drawing showed primary and secondary escape routes, areas of refuge, assembly areas, telephones, and fire alarm boxes.
Report Facts
Number of residents present: 9
Number of resident records reviewed: 4
Number of staff records reviewed: 3
Number of resident interviews: 1
Number of staff interviews: 2
Inspection Report
Original Licensing
Deficiencies: 3
Date: May 1, 2023
Visit Reason
An announced initial inspection was conducted to evaluate the facility for licensing compliance and to determine if it meets applicable standards and laws for operation.
Findings
The inspection found multiple violations including inadequate hot water temperature, incomplete fire and emergency evacuation drawings, and an incomplete first aid kit. The facility was non-compliant with applicable standards and was issued a violation notice with an opportunity to submit a plan of correction.
Deficiencies (3)
Facility failed to ensure hot water at taps available to residents was maintained within the range of 105°F to 120°F; measured temperatures were 67.6°F and 67.8°F in two shared bathrooms.
Facility failed to ensure the fire and emergency evacuation drawing showed primary and secondary escape routes, areas of refuge, assembly areas, telephones, fire alarm boxes, and fire extinguishers.
Facility failed to ensure the first aid kit included blankets, disposable single-use breathing barriers or shield, cold pack, plastic bags, small flashlight and extra batteries, and a thermometer.
Report Facts
Number of residents present: 0
Number of resident records reviewed: 0
Number of staff records reviewed: 1
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 1
Water temperature measured: 67.6
Water temperature measured: 67.8
Water heater recommended temperature: 120
Pending delivery date: 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Conducted the inspection and is contact for questions |
| Staff #1 | Participated in facility tour and first aid kit review related to findings |
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