Inspection Reports for Runk and Pratt Willow Ridge
1213 Long Meadows Drive, VA, 24502
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
15.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% worse than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
95 residents
Based on a June 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 95
Deficiencies: 6
Jun 25, 2025
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2025-05-30 regarding allegations in the area of resident care and related services.
Findings
The investigation found multiple violations related to resident care, including failure to maintain proper written communication among staff, failure to meet health care service needs, incomplete and untimely resident records, and medication administration errors not in accordance with physician orders.
Complaint Details
The complaint was substantiated. The evidence gathered supported allegations of non-compliance with standards and violations were issued related to resident care and medication administration.
Deficiencies (6)
| Description |
|---|
| Facility failed to ensure a method of written communication was utilized to keep direct care staff informed of significant happenings or problems experienced by residents. |
| Facility failed to ensure health care service needs of residents were met. |
| Facility failed to ensure all resident records were kept current and retained at the facility. |
| Facility failed to obtain new orders for medications and treatments prior to or at the time of resident's return from hospitalization and failed to document physician contact. |
| Facility failed to ensure medications were administered in accordance with physician or prescriber instructions. |
| Facility failed to ensure medication administration records included dates medications were discontinued or changed. |
Report Facts
Number of residents present: 95
Number of resident records reviewed: 1
Number of staff interviews conducted: 2
Date of complaint received: May 30, 2025
Date of inspection: Jun 25, 2025
Inspection Report
Monitoring
Deficiencies: 1
Jun 25, 2025
Visit Reason
The inspection was a monitoring visit to review compliance with personnel and background check regulations for the assisted living facility.
Findings
The inspection found non-compliance with the requirement to obtain criminal history record reports on or prior to the 30th day of employment for each employee, as evidenced by a staff record review and interview.
Deficiencies (1)
| Description |
|---|
| The facility failed to ensure the criminal history record report was obtained on or prior to the 30th day of employment for each employee. |
Report Facts
Date of Correction: Jun 26, 2025
Inspection Report
Monitoring
Deficiencies: 0
Apr 22, 2025
Visit Reason
The inspection was a monitoring visit conducted on April 22, 2025, to review resident care and related services at the assisted living facility.
Findings
The inspection found no violations of applicable standards or laws. The evidence gathered determined compliance with regulations.
Report Facts
Number of resident records reviewed: 0
Number of staff records reviewed: 0
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 1
Inspection Report
Complaint Investigation
Deficiencies: 6
Apr 22, 2025
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2025-03-03 regarding allegations in the area of resident care and related services.
Findings
The investigation found multiple violations related to failure to notify next of kin of resident falls, failure to implement nutritional interventions timely, incomplete physician orders, failure to administer medications according to physician instructions, incomplete documentation of medication administration including insulin dosing, and failure to document medication errors or omissions.
Complaint Details
The complaint investigation was substantiated with findings supporting allegations of non-compliance in resident care and related services.
Deficiencies (6)
| Description |
|---|
| Failure to notify next of kin or responsible party of resident falls within 24 hours and document notification. |
| Failure to implement nutritional interventions timely including weighing residents monthly and notifying physician of significant weight loss. |
| Physician orders for medications and supplements lacked required details such as route, dosage, frequency, and indication. |
| Medications were not administered according to physician or prescriber instructions, including failure to follow PRN orders for low blood sugar. |
| Medical procedures and treatments ordered by physician were not provided or documented as required, including blood sugar and blood pressure monitoring. |
| Medication administration records (MAR) did not include documentation of medication errors, omissions, or reasons for not administering medications. |
Report Facts
Resident records reviewed: 1
Staff interviews conducted: 3
Medication administration omissions: 18
Medication administration omissions: 12
Inspection Report
Monitoring
Census: 106
Deficiencies: 1
Feb 28, 2025
Visit Reason
The inspection was a monitoring visit conducted to review compliance with resident care and related services standards at the assisted living facility.
Findings
The inspection found non-compliance with the standard regarding medication storage, specifically that a resident was permitted to keep medication in an out-of-sight place without proper assessment or order allowing self-administration.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure a resident may be permitted to keep his own medication in an out-of-sight place in his room if the uniform assessment instrument indicates capability of self-administration. |
Report Facts
Number of residents present: 33
Number of residents present: 73
Number of resident records reviewed: 2
Number of staff records reviewed: 0
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 17, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-12-03 regarding allegations in the areas of personnel and resident care and related services.
Findings
The evidence gathered during the investigation did not support the allegations 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.
Complaint Details
Complaint related inspection with allegations in personnel and resident care; investigation found no substantiated non-compliance.
Report Facts
Resident records reviewed: 1
Staff records reviewed: 1
Staff interviews conducted: 2
Resident interviews conducted: 0
Inspection Report
Monitoring
Census: 104
Deficiencies: 6
Dec 17, 2024
Visit Reason
The inspection was a monitoring visit to review compliance with personnel standards and other regulatory requirements at the assisted living facility.
Findings
The inspection found multiple violations related to staff orientation and training, failure to follow approved training curricula, lack of supervision plans for direct care staff, missing criminal history record reports, and employment of a staff member with a disqualifying felony barrier crime.
Deficiencies (6)
| Description |
|---|
| Facility failed to ensure orientation and training occurred within the first seven working days of employment. |
| Facility administrator failed to oversee day-to-day operations regarding training and supervision of staff. |
| Employees working as direct care staff did not complete department approved 40-hour direct care staff training within first two months of employment. |
| Facility failed to develop and implement a written plan for supervision of direct care staff pending training completion. |
| Facility failed to ensure criminal history record report was obtained on or prior to the 30th day of employment for each employee. |
| Facility failed to ensure that an employee had not been convicted of any barrier crimes when a criminal history record was requested. |
Report Facts
Number of residents present: 104
Number of staff records reviewed: 12
Number of staff interviews conducted: 4
Number of residents interviewed: 0
Number of staff working independently without required training: 6
Date of hire for staff person 8: Nov 12, 2024
Date of hire for staff person 5: Jul 3, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Stokes | Licensing Inspector | Current inspector conducting the inspection |
| Staff person 1 | Facility administrator during inspection; confirmed training and supervision issues | |
| Staff person 2 | Staff involved in training and interviews regarding direct care staff training | |
| Staff person 3 | Direct care staff with incomplete training; completed 40-hour course on 12/20/2024 | |
| Staff person 4 | Direct care staff with certificate from another entity dated 06/26/2023 | |
| Staff person 5 | Terminated due to violation of barrier crime code | |
| Staff person 6 | Worked more than seven days without required orientation and training | |
| Staff person 7 | Staff interviewed who acknowledged lack of orientation documentation for staff persons 6 and 9 | |
| Staff person 8 | Missing criminal history record report as of 02/12/2025 | |
| Staff person 9 | Completed 40-hour Direct Care Course on 01/17/2025 | |
| Staff person 10 | Terminated |
Inspection Report
Complaint Investigation
Census: 103
Deficiencies: 0
Nov 7, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-10-28 regarding allegations in the areas of personnel and resident care and related services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection summary will be posted to the VDSS website within 5 business days of receipt.
Complaint Details
Complaint investigation related to allegations in personnel and resident care and related services; the allegations were not substantiated.
Report Facts
Number of residents present: 103
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 5
Number of interviews conducted with staff: 4
Inspection Report
Renewal
Census: 103
Deficiencies: 7
Nov 7, 2024
Visit Reason
The inspection was conducted as a renewal inspection to evaluate compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection identified multiple violations related to individualized service plans, medication management, medication storage security, resident self-administration of medication, and medication labeling and administration practices. The facility was found non-compliant with several regulatory standards and was required to submit plans of correction.
Deficiencies (7)
| Description |
|---|
| Facility failed to ensure the comprehensive individualized service plan (ISP) includes a description of identified needs. |
| Facility failed to implement medication management plan to prevent use of outdated medications and ensure accurate counts of controlled substances. |
| Facility failed to ensure medication storage areas are locked and keys kept on person during medication administration. |
| Facility failed to ensure residents permitted to keep own medication in an out-of-sight place if capable of self-administration. |
| Facility failed to ensure medications remain in pharmacy issued container with prescription label until administered. |
| Facility failed to ensure medications are administered according to physician or prescriber instructions. |
| Facility failed to ensure PRN medications are available, properly labeled, and properly stored. |
Report Facts
Number of residents present: 103
Number of resident records reviewed: 8
Number of staff records reviewed: 3
Number of resident interviews conducted: 5
Number of staff interviews conducted: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Stokes | Licensing Inspector | Current inspector conducting the inspection |
| Staff Person 1 | Named in multiple medication-related findings including medication cart audit, medication administration, and narcotic log issues | |
| Staff Person 4 | Interviewed regarding individualized service plan monitoring | |
| Staff Person 5 | Interviewed regarding individualized service plan and medication administration | |
| Staff Person 6 | Interviewed regarding medication management plan |
Inspection Report
Monitoring
Census: 96
Deficiencies: 0
Aug 29, 2024
Visit Reason
The inspection was a monitoring visit conducted on August 29, 2024, following a self-reported incident received on August 12, 2024, regarding allegations in the area of resident care and related services.
Findings
The investigation found no evidence to support the self-report of non-compliance with standards or law. The inspection findings will be posted publicly within five business days.
Report Facts
Resident records reviewed: 1
Staff records reviewed: 0
Resident interviews conducted: 0
Staff interviews conducted: 2
Inspection Report
Monitoring
Census: 96
Deficiencies: 4
Aug 29, 2024
Visit Reason
The inspection was a monitoring visit to ensure the facility's compliance with applicable standards and regulations, including a review of various operational areas and resident care.
Findings
The inspection identified non-compliance with several standards including individualized service plans, medication administration, medication record accuracy, and timely background checks for employees. Violations were documented and the facility was given the opportunity to submit a plan of correction.
Deficiencies (4)
| Description |
|---|
| Facility failed to ensure the comprehensive individualized service plan (ISP) included a description of identified needs. |
| Facility failed to ensure medications were administered in accordance with physician or prescriber instructions. |
| Facility failed to ensure the medication administration record (MAR) included the date, time given, and initials of staff administering medication. |
| Facility failed to ensure criminal history record reports were obtained on or prior to the 30th date of employment for each employee. |
Report Facts
Residents present: 96
Resident records reviewed: 4
Staff records reviewed: 3
Resident interviews conducted: 4
Staff interviews conducted: 3
Inspection Report
Original Licensing
Census: 96
Deficiencies: 0
May 13, 2024
Visit Reason
The inspection was an initial/new licensing inspection conducted to evaluate the facility's 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 including the building and grounds, and an exit meeting was planned to review findings.
Report
File
Inspection_36816_ID_50712.pdf
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