Deficiencies (last 6 years)
Deficiencies (over 6 years)
0.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
92% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
128 residents
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 9, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-11-18 regarding allegations in the area of resident care and related services.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. No deficiencies were cited.
Complaint Details
Complaint investigation related to allegations in resident care and related services; the complaint was not substantiated.
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
Inspection Report
Monitoring
Census: 128
Deficiencies: 1
May 14, 2025
Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found non-compliance with applicable standards or laws, specifically a violation related to the failure to ensure annual review of residents' rights and responsibilities. A violation notice was issued and the licensee was given the opportunity to submit a plan of correction.
Deficiencies (1)
| Description |
|---|
| The facility failed to ensure the rights and responsibilities of residents in assisted living facilities were reviewed annually with each resident or his legal representative. |
Report Facts
Number of residents present: 128
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of interviews conducted with residents: 3
Number of interviews conducted with staff: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Confirmed the documentation was not available regarding annual review of resident rights |
Inspection Report
Renewal
Census: 128
Deficiencies: 3
Jun 7, 2024
Visit Reason
The inspection was a renewal inspection conducted on June 4 and June 7, 2024, to assess compliance with licensing standards for the assisted living facility.
Findings
The inspection determined non-compliance with applicable standards or laws, resulting in documented violations. The facility was issued a violation notice and given the opportunity to submit a plan of correction to address the cited violations.
Deficiencies (3)
| Description |
|---|
| The facility failed to ensure that within 30 days preceding admission, the physical examination report contained all required elements, specifically the absence of tuberculosis documentation for resident #4. |
| The facility failed to ensure that a preliminary plan of care was developed on or within seven days prior to admission to address the basic needs of residents #6 and #8. |
| The facility failed to ensure that residents' Individualized Service Plans (ISP) were updated at least once every 12 months and as needed for significant changes, specifically for resident #5. |
Report Facts
Number of residents present: 128
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of resident interviews conducted: 5
Number of staff interviews conducted: 5
Audit percentage: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Rodgers-Reaves | Licensing Inspector | Contact person for questions regarding the inspection |
| Tyia Venable | Licensing Inspector | Current inspector conducting the inspection |
Inspection Report
Complaint Investigation
Census: 130
Deficiencies: 0
Oct 10, 2023
Visit Reason
The inspection was conducted in response to a complaint received on 2023-08-14 regarding allegations in the area of Resident Care and Related Services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No violation notice was issued.
Complaint Details
Complaint received on 2023-08-14 regarding Resident Care and Related Services; investigation found no substantiated non-compliance.
Inspection Report
Monitoring
Census: 120
Deficiencies: 0
Apr 20, 2023
Visit Reason
The inspection was a monitoring visit conducted on April 20 and April 21, 2023, to review various regulatory areas including administration, personnel, resident care, and emergency preparedness at the assisted living facility.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector completed a tour of the physical plant and reviewed resident and staff records, as well as conducted interviews and observations.
Report Facts
Number of resident records reviewed: 5
Number of staff records reviewed: 5
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
Inspection Report
Routine
Census: 126
Deficiencies: 0
May 16, 2022
Visit Reason
The inspection was a routine licensing inspection of the assisted living facility, including a tour of the physical plant, review of resident and staff records, and observations of medication pass, meal, and activities.
Findings
The inspection found no violations of applicable standards or laws. The inspection summary will be posted publicly and a copy of the findings is required to be posted on the premises.
Report Facts
Number of resident records reviewed: 5
Number of staff records reviewed: 5
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 2
Inspection Report
Renewal
Census: 113
Deficiencies: 0
Jun 24, 2021
Visit Reason
A renewal inspection was initiated on 06/24/2021 and concluded on 06/25/2021 to review compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection determined no violations with applicable standards or law. No violations were issued.
Report Facts
Resident records reviewed: 4
Staff records reviewed: 4
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 15, 2020
Visit Reason
A complaint inspection was initiated due to a complaint received by the department regarding allegations in the areas of resident care and related services.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law.
Complaint Details
Complaint related inspection; the complaint was not substantiated as evidence did not support non-compliance.
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