Inspection Reports for Sunrise at Reston Town Center

1778 Fountain Dr, Reston, VA 20190, United States, VA, 20190

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Inspection Report Monitoring Census: 67 Deficiencies: 2 Sep 26, 2025
Visit Reason
The inspection was conducted as a monitoring visit following a self-reported incident received by VDSS Division of Licensing on 09/17/2025 regarding allegations in the areas of Direct Care and Related Services and Staffing and Supervision.
Findings
The investigation supported the self-report of non-compliance with standards and violations were issued related to failure to follow facility policies and procedures during a resident fall incident and failure to ensure staff were considerate and respectful of resident rights and dignity. The facility implemented a plan of correction including staff re-education and ongoing monitoring.
Deficiencies (2)
Description
Facility failed to follow their own policies and procedures related to responding to a resident fall and medical emergency.
Facility failed to ensure staff were considerate and respectful of the rights, dignity, and sensitivities of residents.
Report Facts
Number of residents present: 67 Number of resident records reviewed: 1 Number of staff records reviewed: 4 Number of staff interviews conducted: 3 Length of video reviewed: 7.48
Employees Mentioned
NameTitleContext
Jacquelyn Kabiri Licensing Inspector Conducted the inspection and reviewed evidence
Staff 1 Submitted incident report and acknowledged policy non-compliance
Executive Director Executive Director Responsible for re-education and implementation of plan of correction
Resident Care Director Resident Care Director Responsible for follow-up and monitoring of staff compliance with policies
Assisted Living Coordinator Assisted Living Coordinator Responsible for observing staff for respectful care practices
Inspection Report Monitoring Census: 67 Deficiencies: 0 Sep 15, 2025
Visit Reason
The inspection was a monitoring visit conducted to review compliance following a self-reported incident received by VDSS regarding allegations in Direct Care and Related Services.
Findings
The investigation did not support the self-report of non-compliance with standards or law. The licensing inspector completed a tour of the physical plant and reviewed resident and staff records with no substantiated deficiencies found.
Report Facts
Number of resident records reviewed: 1 Number of staff records reviewed: 1 Number of interviews conducted with staff: 1 Number of interviews conducted with residents: 0
Employees Mentioned
NameTitleContext
Jacquelyn Kabiri Licensing Inspector Inspector conducting the monitoring visit
Inspection Report Monitoring Census: 67 Deficiencies: 3 Sep 15, 2025
Visit Reason
The inspection was a monitoring visit to review compliance with applicable standards and laws for an assisted living facility.
Findings
The inspection found non-compliance with standards related to annual review of resident rights and responsibilities and medication management, including improper labeling of medications on the medication cart.
Deficiencies (3)
Description
Failed to ensure that the Rights and Responsibilities of residents are reviewed annually with each resident or their legal representative.
Failed to implement the medication management plan, including storing medications in original, properly labeled containers.
Over-the-counter medication on the medication cart was not labeled with resident name or other identifiable information.
Report Facts
Number of residents present: 67 Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of interviews with residents: 1 Number of interviews with staff: 1
Employees Mentioned
NameTitleContext
Jacquelyn Kabiri Licensing Inspector Conducted the inspection
Executive Director Named in plan of correction for resident rights and responsibilities and medication management
Reminiscence Coordinator Re-educated on annual Resident Rights and Responsibilities requirements and responsible for auditing medical charts
Sr. Resident Care Director Re-educated Med Care Managers on medication labeling and responsible for auditing medication carts
Resident Care Director Audited medication carts and responsible for verifying medication labeling and training
Inspection Report Renewal Deficiencies: 7 Sep 19, 2024
Visit Reason
The inspection was a renewal visit conducted on September 19, 20, and 23, 2024, to assess compliance with assisted living facility regulations and licensing requirements.
Findings
The inspection identified multiple violations including unsecured hazardous items accessible to residents, failure to post the current person in charge conspicuously, incomplete resident orientation documentation, delayed staff response to call bells, foul odors in resident rooms, incomplete fire drill documentation, and missing sworn statements for employment applicants. Plans of correction were provided for each deficiency.
Deficiencies (7)
Description
Facility failed to ensure hazardous materials or objects were inaccessible to residents except under staff supervision, evidenced by unsecured razors in a resident's bathroom.
Facility failed to post the name of the current on-site person in charge in a conspicuous place for residents and the public.
Facility failed to provide and document orientation for new residents and their legal representatives upon admission.
Facility failed to ensure prompt staff response to resident call bells as reasonable to the circumstances.
Facility failed to ensure all buildings were well-ventilated and free from foul, stale, and musty odors, with strong urine odors detected in resident rooms.
Facility failed to maintain complete records of required fire and emergency evacuation drills, lacking documentation of resident participation and drill details.
Facility failed to ensure sworn statements or affirmations were completed for all applicants for employment, with missing or incomplete forms.
Report Facts
Inspection dates: 3 Call bell response times: 33 Call bell response times: 63 Call bell response times: 63 Staff members in fire drill: 4 Staff members in fire drill: 13 Date of hire: Feb 28, 2005
Inspection Report Complaint Investigation Census: 66 Deficiencies: 0 Aug 5, 2024
Visit Reason
The inspection was conducted in response to a complaint received on 2024-07-24 regarding allegations of extreme weight loss and medication effects at the facility.
Findings
The inspection found no violations of applicable standards or laws based on the evidence gathered during the visit.
Complaint Details
Complaint received on 2024-07-24 regarding allegations of extreme weight loss and medication effects; the complaint was not substantiated as no violations were found.
Report Facts
Number of residents present: 66 Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Number of collateral contacts interviewed: 1
Inspection Report Monitoring Census: 71 Deficiencies: 1 Jun 20, 2024
Visit Reason
The inspection was a monitoring visit 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 failure to complete an assessment of serious cognitive impairment prior to admission to a safe, secure environment. A violation notice was issued and the facility was given the opportunity to submit a plan of correction.
Deficiencies (1)
Description
Facility failed to have an assessment of serious cognitive impairment completed prior to admission to a safe, secure environment.
Report Facts
Number of residents present: 71 Number of resident records reviewed: 6 Number of staff records reviewed: 4 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3
Inspection Report Monitoring Deficiencies: 0 Jan 22, 2024
Visit Reason
The inspection was a monitoring visit conducted following receipt of an incident report regarding allegations in the areas of Admission, Retention and Discharge of Residents; Staffing and Supervision; Resident Care and Related Services.
Findings
The inspection found no violations of applicable standards or laws based on the evidence gathered during the inspection.
Report Facts
Number of resident records reviewed: 3 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2
Inspection Report Renewal Census: 62 Deficiencies: 2 Jun 9, 2023
Visit Reason
An unannounced renewal inspection was conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance with standards including failure to complete annual reviews of continued appropriateness for residents in the special care unit and failure to ensure direct care staff maintain current first aid certification.
Deficiencies (2)
Description
Facility failed to ensure that a review of continued appropriateness is completed annually for each resident in the special care unit.
Facility failed to ensure that each direct care staff member maintains current certification in first aid.
Report Facts
Residents in care at time of inspection: 62 Sample size of resident records reviewed: 8 Sample size of staff records reviewed: 4 Staff #4 hire date: Dec 2, 2022 Staff #4 First Aid training date: Jun 27, 2023
Employees Mentioned
NameTitleContext
Marshall Massenberg Licensing Inspector Contact person for questions about the VDSS Licensing Programs
Inspection Report Monitoring Census: 60 Deficiencies: 3 Jun 3, 2022
Visit Reason
An unannounced monitoring inspection was conducted to observe meals, medication administration, activities, building and grounds, and review records.
Findings
The facility was found non-compliant in medication storage practices, availability of PRN medications, and pet immunizations. Specific violations included improper medication storage in resident rooms, missing PRN Glucagon emergency kit, and expired rabies vaccination for a pet.
Deficiencies (3)
Description
Failed to limit medication storage to an out-of-sight place in rooms of residents who require medication administration by professional nursing staff.
Failed to ensure that medications ordered for PRN administration are available and properly stored at the facility.
Failed to ensure that pets living at the facility have regular immunizations; pet rabies vaccination expired.
Report Facts
Residents in care during inspection: 60 Medication cart audits: 100 Medication cart audits: 100
Employees Mentioned
NameTitleContext
Jacquelyn Kabiri Inspector Named as the current inspector conducting the inspection.
Resident Care Director Resident Care Director (RCD) Responsible for re-education, audits, and implementation of the plan of correction related to medication storage and availability.
Executive Director Executive Director Responsible for implementation and ongoing compliance with the plan of correction.
Inspection Report Complaint Investigation Deficiencies: 1 Jul 30, 2021
Visit Reason
A non-mandated self-report inspection was initiated due to a self-reported incident regarding allegations in Resident Care and Related Services. The inspection was conducted on-site to investigate these allegations.
Findings
The investigation supported the self-report of non-compliance with standards or law, resulting in violations issued. Specifically, the facility failed to provide adequate supervision of resident schedules, care, and activities, including attention to specialized needs, as evidenced by a resident being found outside the secured area.
Complaint Details
The visit was complaint-related due to a self-reported incident involving Resident #1, who was found outside the secured outdoor area despite having a history of wandering and refusing care. The investigation substantiated non-compliance with regulations.
Deficiencies (1)
Description
Facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs.
Inspection Report Monitoring Deficiencies: 0 Jun 11, 2021
Visit Reason
A monitoring inspection was initiated due to a self-reported incident regarding allegations in the area of Resident Care and Related Services during a state of emergency health pandemic.
Findings
The evidence gathered during the investigation did not support the self-report of non-compliance with standards or law.
Inspection Report Renewal Census: 57 Deficiencies: 1 Apr 28, 2021
Visit Reason
A renewal inspection was initiated and completed to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance related to medication administration where a resident did not receive prescribed medication due to unavailability at the facility. A plan of correction was required to address the deficiencies.
Deficiencies (1)
Description
Facility failed to ensure medications were administered according to physician's instructions and standards; Resident #4 did not receive Gabapentin as ordered on multiple dates due to medication unavailability.
Report Facts
Census: 57

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