Inspection Reports for
Runk & Pratt Residential Adult Care of Lynchburg
20212 Leesville Road, LYNCHBURG, VA, 24502
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
4.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
51% better than Virginia average
Virginia average: 9.1 deficiencies/year
Deficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
39 residents
Based on a April 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy over time
Inspection Report
Monitoring
Census: 39
Deficiencies: 0
Date: Apr 4, 2025
Visit Reason
The inspection was a monitoring visit conducted on April 4, 2025, following a self-reported incident received by VDSS 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 included a tour of the facility, review of one resident record, and one staff interview.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 39
Deficiencies: 6
Date: Apr 4, 2025
Visit Reason
The inspection was a monitoring visit conducted to assess compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found multiple violations related to facility safety, staff screening, resident care, medication administration, and documentation. The facility was cited for non-compliance with several regulatory standards and given opportunities to submit plans of correction.
Deficiencies (6)
Facility failed to ensure harmful materials were inaccessible to residents with serious cognitive impairments; Lysol spray found accessible in unattended room.
Staff failed to submit tuberculosis screening on or within seven days prior to first day of work.
Fall risk rating was not completed after a fall for residents assessed at assisted living level of care.
Resident was permitted to keep medications in an out-of-sight place without physician order and without capability to self-administer.
Medications were not administered in accordance with physician instructions; Furosemide 20mg order was not followed correctly.
Sworn statement or affirmation was not completed for all applicants for employment prior to hire date.
Report Facts
Number of residents present: 39
Number of resident records reviewed: 7
Number of staff records reviewed: 4
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 0
Date: Jan 10, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-12-10 regarding allegations in administration and administrative services, and resident care and related services.
Complaint Details
Complaint received on 2024-12-10 regarding administration and administrative services, resident care and related services; investigation did not substantiate the allegations.
Findings
The evidence gathered during the investigation did not support the allegation 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
Number of residents present: 46
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 46
Deficiencies: 0
Date: Jan 10, 2025
Visit Reason
The inspection was a monitoring visit conducted on January 10, 2025, following a self-reported incident received on November 8, 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
Number of resident records reviewed: 2
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 46
Deficiencies: 3
Date: Jan 10, 2025
Visit Reason
The inspection was a monitoring visit conducted to review compliance with administrative services, personnel, and staffing and supervision standards at the assisted living facility.
Findings
The inspection found non-compliance with applicable standards and laws, specifically related to the facility administrator's failure to oversee day-to-day operations and deficiencies in direct care staff training and supervision.
Deficiencies (3)
Facility administrator failed to be responsible for general administration and management of the facility and oversee day-to-day operations.
Facility failed to ensure employees working as direct care staff completed a department approved 40-hour direct care staff training program provided by a registered nurse or licensed practical nurse within the first two months of employment.
Facility failed to develop and implement a written plan for supervision of direct care staff who have not yet met training/qualification requirements.
Report Facts
Number of residents present: 46
Number of staff records reviewed: 13
Number of interviews conducted: 2
Inspection Report
Monitoring
Census: 46
Deficiencies: 0
Date: Oct 2, 2024
Visit Reason
The inspection was a monitoring visit to review compliance with additional requirements for facilities that care for adults with serious cognitive impairments.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector completed a tour of the physical plant and conducted one staff interview.
Report Facts
Number of residents present: 46
Number of staff interviews: 1
Inspection Report
Monitoring
Census: 46
Deficiencies: 1
Date: Oct 2, 2024
Visit Reason
The inspection was a monitoring visit triggered by a self-reported incident received by VDSS Division of Licensing on 2024-10-01 regarding allegations in administration and administrative services, resident care and related services.
Findings
The investigation supported some but not all of the self-report; non-compliance was found in administration and administrative services. A violation notice was issued related to incomplete 24-hour incident reporting.
Deficiencies (1)
The facility failed to ensure that all required information was included in 24-hour incident reporting, missing date and time of incident, location, and staff person in charge.
Report Facts
Number of residents present: 46
Number of resident records reviewed: 1
Number of interviews conducted: 1
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 0
Date: May 14, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing 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 allegations or self-report of non-compliance with standards or law.
Report Facts
Resident records reviewed: 1
Resident interviews: 3
Staff interviews: 3
Inspection Report
Renewal
Census: 50
Deficiencies: 3
Date: May 14, 2024
Visit Reason
The inspection was conducted as a renewal inspection to evaluate the facility's compliance with applicable standards and laws for license renewal.
Findings
The inspection found non-compliance with applicable standards and laws, including failures in security monitoring for residents with cognitive impairments, insufficient annual training hours for direct care staff, and improper storage of hazardous materials.
Deficiencies (3)
The facility failed to ensure that a system of security monitoring was in place on all doors leading to the outside for residents with serious cognitive impairments.
The facility failed to ensure that direct care staff received at least 18 hours of training annually.
The facility failed to ensure that hazardous materials were stored in a locked area.
Report Facts
Number of residents present: 50
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with residents: 3
Number of interviews conducted with staff: 3
Annual training hours required: 18
Annual training hours received: 13
Plan of correction due date: Jun 14, 2024
Plan of correction due date: Jun 1, 2024
Plan of correction due date: May 14, 2024
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 0
Date: Feb 23, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing regarding allegations in the areas of staffing, resident accommodations, and building and grounds.
Complaint Details
Complaint related inspection with allegations concerning staffing, resident accommodations, and building and grounds. The allegations were not substantiated.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. An exit meeting will be conducted to review the inspection findings.
Inspection Report
Monitoring
Census: 50
Deficiencies: 0
Date: Feb 23, 2024
Visit Reason
The inspection was a monitoring visit conducted on February 23, 2024, to review resident care and related services following a self-reported incident received by VDSS Division of Licensing.
Findings
The investigation did not support the self-report of non-compliance with standards or law. The licensing inspector completed a tour of the facility, reviewed one resident record, and conducted three staff interviews.
Report Facts
Number of resident records reviewed: 1
Number of staff interviews conducted: 3
Inspection Report
Monitoring
Census: 50
Deficiencies: 0
Date: Feb 23, 2024
Visit Reason
The inspection was a monitoring visit triggered by a self-reported incident received by VDSS Division of Licensing regarding allegations in the areas of resident care and related services and additional requirements for facilities that care for adults with serious cognitive impairments.
Findings
The evidence gathered during the investigation did not support the self-report of non-compliance with standards or law. An exit meeting will be conducted to review the inspection findings.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Jo Ball | Licensing Inspector | Current inspector conducting the inspection |
Inspection Report
Complaint Investigation
Census: 59
Deficiencies: 0
Date: Sep 18, 2023
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing regarding allegations in the areas of Personnel, Staffing, and resident care and related services.
Complaint Details
Complaint related to allegations in Personnel, Staffing, and 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. An exit meeting will be conducted to review the inspection findings.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 0
Date: Jun 8, 2023
Visit Reason
The inspection was conducted due to a complaint received by VDSS Division of Licensing on 2023-01-11 regarding allegations in the area of resident care and related services.
Complaint Details
Complaint received on 2023-01-11 regarding allegations in resident care and related services. The investigation did not substantiate the complaint.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. The inspection summary will be posted to the VDSS website within 5 business days of receipt.
Report Facts
Resident records reviewed: 8
Staff records reviewed: 4
Resident interviews conducted: 2
Staff interviews conducted: 3
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 0
Date: Jun 8, 2023
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2023-03-19 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 based on the investigation findings.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. The inspection findings will be posted publicly within 5 business days of receipt.
Report Facts
Number of residents present: 56
Number of resident records reviewed: 1
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 2
Inspection Report
Renewal
Census: 56
Deficiencies: 4
Date: Jun 8, 2023
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for continued licensing of the assisted living facility.
Findings
The inspection found non-compliance with several standards including failure to update individualized service plans to reflect resident needs, failure to administer medications according to physician orders, incomplete medication administration records, and failure to maintain the interior of the building in good repair.
Deficiencies (4)
Facility failed to ensure that identified needs were addressed on individualized service plans (ISPs).
Facility failed to ensure that medications were administered in accordance with physician instructions.
Facility failed to ensure that all required information was included on resident medication administration records (MARs).
Facility failed to maintain the interior of the building in good repair, including ceiling stains in activity/dining rooms.
Report Facts
Number of residents present: 56
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of resident interviews: 2
Number of staff interviews: 3
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 0
Date: Sep 16, 2022
Visit Reason
The inspection was conducted in response to a complaint received on 2022-07-21 regarding allegations in the area of resident care and related services.
Complaint Details
Complaint received on 2022-07-21 regarding resident care and related services; investigation did not substantiate the complaint.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. The inspection findings will be posted publicly within 5 business days.
Report Facts
Number of residents present: 52
Number of resident records reviewed: 1
Number of resident interviews: 2
Number of staff interviews: 4
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 0
Date: Sep 16, 2022
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2022-07-21 regarding allegations in the area of resident care and related services.
Complaint Details
Complaint received on 2022-07-21 regarding resident care and related services; investigation did not substantiate the complaint.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. The inspection findings will be posted publicly and an exit meeting will be conducted to review the findings.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 4
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 0
Date: Sep 16, 2022
Visit Reason
The inspection was conducted in response to a complaint received on 2022-07-21 regarding allegations related to resident care and related services.
Complaint Details
Complaint received by VDSS Division of Licensing on 07/21/2022 regarding allegations in the area(s) of resident care and related services. The evidence gathered did not support the allegation of non-compliance.
Findings
The investigation found no evidence to support the allegation of non-compliance with standards or law. The inspection summary will be posted publicly within 5 business days.
Report Facts
Number of residents present: 52
Number of staff interviews: 4
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 25, 2022
Visit Reason
The inspection was conducted as a complaint investigation based on a complaint received regarding the Runk and Pratt Residential Adult Care of Lynchburg.
Complaint Details
The inspection was complaint-related, but based on the review of all evidence, no violations were found.
Findings
A phone interview was conducted with the facility Administrator and a review of facility records, documentation, menus, and the most recent Dietician oversight for special diets was completed. No violations were cited during this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 9, 2021
Visit Reason
A non-mandated complaint inspection was initiated due to allegations regarding staffing and resident care and related services at the facility.
Complaint Details
A complaint was received regarding staffing and resident care; the investigation found no evidence supporting the allegations.
Findings
The investigation, including an on-site observation, did not support the allegations of non-compliance with standards or law.
Inspection Report
Monitoring
Deficiencies: 2
Date: Sep 27, 2021
Visit Reason
A non-mandated monitoring inspection was initiated to investigate compliance with resident care and related services standards.
Findings
The investigation found non-compliance with medication administration documentation requirements, including failure to document medical procedures and incomplete information on medication administration records (MARs).
Deficiencies (2)
Facility failed to document medical procedures on medication administration records (MARs), including missing resident weight recordings without physician orders to hold weights.
Facility failed to ensure all required information was documented on resident medication administration records (MARs), including inconsistent documentation of insulin administration.
Report Facts
Inspection duration days: 5
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 23, 2021
Visit Reason
A non-mandated complaint inspection was initiated due to a complaint received regarding allegations in the areas of staffing and resident care and related services.
Complaint Details
A complaint was received by the department regarding allegations in staffing and resident care. The investigation did not substantiate the allegations.
Findings
The investigation concluded that the evidence did not support the allegations or self-report of non-compliance with standards or law.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 13, 2021
Visit Reason
A non-mandated complaint inspection was initiated due to a complaint received regarding allegations in the area of Infection Control.
Complaint Details
Complaint related: Yes. The evidence gathered supported the allegation of non-compliance with standards or law in infection control.
Findings
The investigation found that the facility failed to follow recommendations made by the Virginia Department of Health related to COVID-19 outbreak tracking and testing.
Deficiencies (1)
Facility failed to follow recommendations made by the Virginia Department of Health regarding COVID-19 outbreak tracking and testing.
Report Facts
Date of positive COVID-19 cases: Aug 26, 2021
Date recommendations made: Sep 3, 2021
Date plan of correction submitted: Sep 13, 2021
Inspection Report
Renewal
Census: 45
Deficiencies: 5
Date: Jun 25, 2021
Visit Reason
A renewal inspection was initiated on 2021-06-21 and concluded on 2021-06-25 to review compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection identified multiple violations including failure to post a current list of staff trained in first aid/CPR, incomplete individualized service plans, medication administration errors, unavailable PRN medications, and exterior building maintenance issues.
Deficiencies (5)
Facility failed to ensure that a listing of all staff current in first aid and/or CPR was posted in the facility.
Facility failed to ensure that all identified needs were addressed on individualized service plans (ISPs).
Facility failed to ensure medications were administered in accordance with physician's or prescriber's instructions.
Facility failed to ensure that all PRN medications ordered for a resident were available, properly labeled, and properly stored.
Facility failed to maintain the exterior of the building in good repair; a white column was broken completely from the bottom pedestal.
Report Facts
Census: 45
Inspection duration days: 5
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Dec 10, 2020
Visit Reason
A complaint inspection was initiated due to allegations regarding resident care and related services at the facility. The investigation was conducted remotely due to a state of emergency health pandemic.
Complaint Details
The complaint was substantiated based on evidence gathered during the investigation, confirming violations related to resident care and rate adjustments.
Findings
The investigation supported allegations of non-compliance with standards, including failure to follow resident agreement regarding rate adjustments and failure to ensure medical procedures ordered by a physician were provided as instructed.
Deficiencies (2)
Facility failed to follow resident agreement regarding adjustment to rates, specifically not providing 30 days prior written notice before additional charges.
Facility failed to ensure medical procedures ordered by a physician were provided according to instructions, evidenced by resident not wearing prescribed TED Hose despite documentation.
Report Facts
Additional daily charge: 300
Physician order date: Nov 2, 2020
Resident agreement date: Feb 6, 2020
Facility letter date: Nov 17, 2020
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