Inspection Reports for
Saint Francis Home
65 West Clopton Street, RICHMOND, VA, 23225
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Virginia average
Virginia average: 9.1 deficiencies/year
Deficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
93 residents
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 13, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to resident care and related services at the facility.
Complaint Details
The inspection was complaint-related as indicated. No violations were substantiated during the investigation.
Findings
The inspection found no violations with applicable standards or law based on the evidence gathered during the visit.
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: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Randolph | Licensing Inspector | Conducted the inspection and named in relation to findings |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
The inspection was conducted in response to an anonymous complaint received on 2025-06-24 regarding allegations related to Building and Grounds and Resident Accommodations and Related Provisions.
Complaint Details
Complaint was anonymous and related to Building and Grounds and Resident Accommodations. The investigation did not substantiate the allegations.
Findings
The licensing inspector completed a tour of the physical plant and conducted staff interviews. The evidence gathered did not support the allegation of non-compliance with standards or law.
Report Facts
Number of resident records reviewed: 0
Number of staff records reviewed: 0
Number of interviews conducted with staff: 5
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 16, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on April 25, 2025, regarding allegations in the area of Resident Care and Related Services.
Complaint Details
Complaint investigation related to Resident Care and Related Services; the allegations were not substantiated.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings were reviewed in an exit meeting and will be posted publicly.
Report Facts
Resident records reviewed: 1
Staff records reviewed: 0
Resident interviews conducted: 0
Staff interviews conducted: 2
Inspection Report
Monitoring
Census: 93
Deficiencies: 3
Date: Mar 25, 2025
Visit Reason
The inspection was a mandated monitoring visit conducted to assess compliance with applicable standards and regulations at the assisted living facility.
Findings
The inspection identified non-compliance with several standards related to tuberculosis risk assessments, individualized service plans, and medication administration by staff. Violations were documented and a plan of correction was requested.
Deficiencies (3)
The facility did not ensure that a risk assessment for tuberculosis was completed annually for each resident.
The comprehensive individualized service plan did not include a description of identified needs and date identified based upon the UAI and physical examination.
Staff who are licensed, registered, or acting as medication aides on a provisional basis did not administer drugs to residents dependent on medication administration as documented on the UAI.
Report Facts
Number of residents present: 93
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews with residents: 3
Number of interviews with staff: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Randolph | Licensing Inspector | Named as the inspector conducting the inspection and contact for questions |
| Director of Nursing | Mentioned in relation to auditing resident charts and medication administration | |
| Assistant Director of Nursing | Mentioned in relation to auditing resident charts and medication administration | |
| Administrator | Mentioned in interviews regarding medication administration |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 17, 2025
Visit Reason
The inspection was conducted as a complaint investigation following complaints received by VDSS Division of Licensing on 1/28/25, 3/3/25, and 3/12/25 regarding allegations in the area of Resident Care and Related Services.
Complaint Details
Complaints were related to Resident Care and Related Services. The investigation did not substantiate the allegations of non-compliance.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings were reviewed in an exit meeting and will be posted publicly.
Report Facts
Resident records reviewed: 3
Staff records reviewed: 0
Staff interviews conducted: 3
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 13, 2025
Visit Reason
The inspection was conducted in response to multiple complaints received by VDSS Division of Licensing regarding allegations in the area of Resident Care And Related Services.
Complaint Details
Complaints were received on 1/29/25, 2/4/25, 2/28/25, and 3/12/25 regarding Resident Care And Related Services. The evidence gathered did not substantiate the allegations.
Findings
The investigation did not find evidence to support the allegations of non-compliance with standards or law. The inspection findings were reviewed in an exit meeting and will be posted publicly.
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: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Randolph | Licensing Inspector | Inspector conducting the complaint investigation and named in contact information |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 13, 2025
Visit Reason
The inspection was conducted in response to complaints received by VDSS Division of Licensing on 2/21/25, 2/26/25, and 3/11/25 regarding allegations in the area of Resident Care and Related Services.
Complaint Details
Complaints were received regarding Resident Care and Related Services. The investigation did not substantiate the allegations of non-compliance.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings were reviewed in an exit meeting and will be posted publicly.
Report Facts
Resident records reviewed: 2
Staff records reviewed: 0
Resident interviews conducted: 0
Staff interviews conducted: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Randolph | Licensing Inspector | Inspector conducting the complaint investigation |
Inspection Report
Complaint Investigation
Census: 91
Deficiencies: 3
Date: Oct 25, 2024
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2024-09-20 regarding allegations in the area of Resident Care and Related Services.
Complaint Details
The complaint was substantiated in part. Evidence supported non-compliance in Resident Care and Related Services. A violation notice was issued. The complaint involved medication administration and notification failures.
Findings
The investigation supported some, but not all, of the allegations related to Resident Care and Related Services. Violations were found including admission of a resident requiring skilled nursing care not licensed by the facility, medication administration without valid physician orders, and failure to notify responsible persons of medication errors.
Deficiencies (3)
Facility admitted a resident requiring skilled nursing services which it is not licensed to provide.
Medication, dietary supplement, medical procedure or treatment was started, changed or discontinued without a valid physician or prescriber order.
Failure to notify family or responsible person of medication errors (missed dosages).
Report Facts
Residents present: 91
Resident records reviewed: 1
Staff records reviewed: 0
Interviews with community partners: 1
Interviews with staff: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Randolph | Licensing Inspector | Inspector conducting the complaint investigation |
Inspection Report
Renewal
Census: 91
Deficiencies: 1
Date: Feb 5, 2024
Visit Reason
The inspection was a renewal visit conducted to assess compliance with applicable standards and laws for the facility's license renewal.
Findings
The inspection determined non-compliance with applicable standards or laws, specifically that three residents did not have an annual assessment using the uniform assessment instrument. Violations were documented and a plan of correction was requested.
Deficiencies (1)
Based on a review of 10 resident files, three residents did not have an annual assessment using the uniform assessment instrument.
Report Facts
Residents without annual assessment: 3
Resident files reviewed: 10
Residents present: 91
Resident records reviewed: 9
Staff records reviewed: 5
Resident interviews conducted: 5
Staff interviews conducted: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Randolph | Licensing Inspector | Named as the inspector conducting the licensing inspection. |
Inspection Report
Monitoring
Census: 84
Deficiencies: 2
Date: Jun 5, 2023
Visit Reason
The inspection was a monitoring visit conducted to assess compliance with applicable standards and regulations at the assisted living facility.
Findings
The inspection found non-compliance with standards related to the physical condition of the building, including scuff marks on walls and scarred doors, and deficiencies in individualized service plans where fall risk interventions were not addressed for four residents.
Deficiencies (2)
The interior of the building is not maintained in good repair, with scuff marks on walls and scarred doors throughout the facility.
Four individualized service plans did not address identified fall risk interventions despite completed fall risk assessments.
Report Facts
Number of residents present: 84
Number of staff records reviewed: 5
Number of resident records reviewed: 10
Number of interviews conducted with residents: 3
Number of interviews conducted with staff: 3
Inspection Report
Renewal
Census: 78
Deficiencies: 1
Date: Mar 2, 2022
Visit Reason
An unannounced renewal inspection was conducted for Saint Francis Home to assess compliance with regulatory standards and licensing requirements.
Findings
The facility was found to have areas of non-compliance related to maintenance, specifically water-stained and discolored tile flooring in rooms F-3 and L-6, and chipped flooring in the Liguori hallway with exposed subfloor.
Deficiencies (1)
Facility failed to maintain small areas of the interior building including water-stained and discolored tile flooring in rooms F-3 and L-6, and chipped flooring in the Liguori hallway with exposed subfloor.
Report Facts
Resident records sampled: 6
New staff records sampled: 6
Damaged floor tiles to replace: 8
Inspection Report
Monitoring
Census: 78
Deficiencies: 0
Date: Jun 10, 2021
Visit Reason
A monitoring inspection was initiated due to a state of emergency health pandemic declared by the Governor of Virginia, conducted remotely to ensure compliance with applicable standards.
Findings
The inspection reviewed resident and staff records, various facility documents, and inspections submitted by the facility, determining no violations with applicable standards or law; no violations were issued.
Report Facts
Resident records reviewed: 4
Staff records reviewed: 4
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