Inspection Reports for The Estates at West End

The inspection was a non-mandated monitoring visit conducted on June 27, 2025, following a self-reported incident received on May 22, 2025, regarding allegations in the area of Resident Care and Related Services.

The investigation found non-compliance with one standard related to medication administration, specifically that medications were not administered according to the prescriber's instructions. A violation was issued based on this finding.

The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with applicable standards and regulations.

The inspection found no violations with applicable standards or laws. Observations included medication storage and administration, facility maintenance and cleanliness, required postings, documentation, resident activities, secured environment, and snack availability.

The inspection was a mandated monitoring visit to review compliance with various regulatory provisions for the assisted living facility.

The inspection found no violations of applicable standards or laws. The inspector conducted a tour, reviewed records, and interviewed residents and staff, concluding the facility met requirements.

Inspection completed to follow-up on self-reported resident elopements.

The evidence gathered during the investigation did not support non-compliance with standards or law. The inspection findings will be posted publicly.

The inspection was conducted as a complaint investigation related to allegations concerning Additional Requirements for Facilities That Care For Adults With Serious Cognitive Impairments.

The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. An exit meeting was conducted to review the inspection findings.

A complaint was received by VDSS Division of Licensing regarding allegations in the area of Additional Requirements for Facilities That Care For Adults With Serious Cognitive Impairments. The allegations were not substantiated.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2023-08-17 regarding allegations in the areas of Resident Care and Accommodations.

The evidence gathered during the inspection determined no violations with applicable standards or law. An exit meeting was conducted to review the inspection findings.

Complaint related inspection triggered by an allegation in Resident Care and Accommodations; no violations were found.

The inspection was conducted due to a complaint received by VDSS Division of Licensing on 2023-07-19 regarding allegations in the areas of Personnel, Admissions, Retention, and Discharge.

The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. An exit meeting was conducted to review the inspection findings.

Complaint related inspection with allegations in Personnel, Admissions, Retention, and Discharge; the allegations were not substantiated.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2023-07-11 regarding allegations in multiple areas including Staffing and Supervision, Resident Care, Administration, Personnel, Resident Accommodation, Building and Grounds, and care for adults with serious cognitive impairments.

The investigation included a tour of the facility, review of staff schedules, and interviews with staff. The evidence gathered did not support the allegations of non-compliance with standards or law, and the staffing schedules reflected compliance with standards.

Complaint received on 2023-07-11 regarding multiple areas; the evidence did not support the allegations of non-compliance.

The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with applicable standards and regulations.

The inspection found no violations of applicable standards or laws. The licensing inspector conducted a tour, reviewed resident and staff records, and observed facility operations without identifying any deficiencies.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2022-12-16 regarding allegations in the areas of Resident Care and Related Services and Additional Requirements for Facilities That Care For Adults With Serious Cognitive Impairments.

The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. Licensing staff reviewed activity logs and the implementation of morning activities, and an exit meeting was conducted to review the inspection findings.

Complaint investigation related to allegations in Resident Care and Related Services and Additional Requirements for Facilities That Care For Adults With Serious Cognitive Impairments; the complaint was not substantiated.

A monitoring inspection was conducted following a self-reported incident regarding allegations related to Additional Requirements For Facilities That Care For Adults With Serious Cognitive Impairments.

The investigation supported the self-report of non-compliance with standards, specifically that a harmful object (dishwashing pod) was accessible to a resident with cognitive impairment, posing a safety risk.

An unannounced monitoring inspection was conducted to review compliance with applicable standards and regulations, including staff and resident records, medication administration, and building compliance.

The inspection identified multiple non-compliances including lack of written approval for placement in a safe, secure environment, incomplete staff orientation and training, missing current adult first aid certification for one staff member, and failure to update a resident's individualized service plan after a significant change in condition.

An unannounced complaint inspection was conducted following a complaint received by the department regarding allegations in the areas of Resident Accommodations and Related Provisions and Building and Grounds.

The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law.

Complaint related visit; allegations were investigated but found not substantiated.

A complaint inspection was conducted due to allegations received by the Department regarding Building and Grounds and Resident Care and Related Services.

The investigation found no evidence to support the allegations of non-compliance with the standards or laws.

A complaint was received and investigated related to Building and Grounds and Resident Care and Related Services; the allegations were not substantiated.

A non-mandated complaint inspection was initiated due to allegations regarding resident care and building and grounds. The investigation was conducted to determine compliance with standards and laws based on the complaint received.

The investigation supported one allegation of non-compliance related to the failure to provide three well-balanced meals to one resident. Additionally, a non-complaint related violation was identified regarding failure to document prescriber orders for the same resident.

The complaint investigation was substantiated with one violation related to failure to provide three meals a day to resident #1. Another violation found was not related to the complaint but identified during the investigation.

A non-mandated complaint inspection was initiated due to a complaint received regarding allegations in the areas of maintenance of building and grounds.

The evidence gathered during the investigation did not determine non-compliance with standards or law.

Complaint related to maintenance of building and grounds; investigation found no non-compliance.

A renewal inspection was initiated to evaluate compliance with licensing standards using an alternate remote protocol due to a state of emergency health pandemic.

The inspection found no violations with applicable standards or law. Documentation including resident records, staff records, medication administration, and criminal history records were reviewed and found complete.