Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Monitoring
Census: 84
Deficiencies: 1
Mar 4, 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 related to failure to report major incidents to the regional licensing office within 24 hours. Violations were documented and a plan of correction was submitted by the facility.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure reports are made to the regional licensing office within 24 hours of any major incident that negatively affected or threatened the life, health, safety, or welfare of any resident. |
Report Facts
Number of residents present: 84
Number of resident records reviewed: 3
Number of staff records reviewed: 2
Number of interviews conducted with staff: 2
Timeframe for plan of correction submission: 5
Timeframe for supervisory review request: 15
Timeframe for initial incident report: 1
Timeframe for full incident report: 7
Plan of correction monitoring period: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alexandra Roberts | Licensing Inspector | Current inspector conducting the monitoring visit |
| Executive Director | Responsible for sending initial and full incident reports as part of plan of correction | |
| Resident Care Director | Responsible for receiving reports from manager on duty as part of plan of correction |
Inspection Report
Renewal
Census: 86
Deficiencies: 0
Apr 10, 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 no violations of applicable standards or laws. The licensing inspector conducted a tour, reviewed resident and staff records, and observed medication administration and resident activities.
Report Facts
Number of resident records reviewed: 5
Number of staff records reviewed: 4
Number of interviews conducted with residents: 3
Number of interviews conducted with staff: 2
Inspection Report
Monitoring
Deficiencies: 0
Sep 15, 2023
Visit Reason
An unannounced monitoring inspection was conducted to follow-up on facility reported incidents, including interviews, documentation review, and resident record review.
Findings
The investigation did not support the self-report of non-compliance with standards or law; no deficiencies were found.
Inspection Report
Monitoring
Census: 78
Deficiencies: 0
Jun 6, 2023
Visit Reason
An unannounced monitoring inspection was conducted to review resident and staff records, observe resident activities and medication administration, and verify compliance with applicable standards and laws.
Findings
The inspection found no violations of applicable standards or laws. Resident care, staff records, background checks, and infection control training documentation were reviewed and found compliant.
Report Facts
Resident records reviewed: 10
Staff records reviewed: 5
Individual interviews conducted: 4
Previous inspection date: Jun 21, 2022
Inspection Report
Monitoring
Census: 69
Deficiencies: 0
Jun 21, 2022
Visit Reason
An unannounced monitoring inspection was conducted to review resident and staff records, background checks, medication administration, and compliance with applicable standards and laws.
Findings
The inspection found no violations with applicable standards or laws. The inspection summary will be posted publicly on the VDSS website.
Report Facts
Resident records reviewed: 4
Staff records reviewed: 4
Individual interviews: 1
Previous inspection date: Mar 15, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alexandra Roberts | Inspector | Current inspector conducting the inspection |
| Lynette Storr | Licensing Inspector | Contact person for questions about the inspection |
Inspection Report
Monitoring
Census: 61
Deficiencies: 0
Mar 19, 2021
Visit Reason
A mandated monitoring inspection was initiated due to a state of emergency health pandemic declared by the Governor of Virginia, conducted remotely from 3/15/2021 to 3/19/2021.
Findings
The inspection reviewed resident and staff records, medication administration, local fire and health inspections, and background checks. No violations with applicable standards or law were found, and no deficiencies were issued.
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