Inspection Reports for The Mather Tysons
7929 Westpark Dr, Tysons, VA 22102, United States, VA, 22102
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Inspection Report
Monitoring
Census: 4
Deficiencies: 7
Oct 3, 2025
Visit Reason
The inspection was a 60-day monitoring visit to assess compliance with applicable standards and regulations at the assisted living facility.
Findings
The inspection identified multiple violations related to resident assessments, documentation, medication administration, volunteer records, Do Not Resuscitate orders, and fire and emergency evacuation drills. Corrective actions and monitoring plans were established for each deficiency.
Deficiencies (7)
| Description |
|---|
| Facility failed to ensure residents with serious cognitive impairment were assessed by a board certified or board eligible physician prior to admission. |
| Facility failed to document determination and justification for placement in the special care unit for residents with serious cognitive impairment. |
| Facility failed to maintain emergency contact information and qualifications documentation for volunteers. |
| Facility failed to ensure volunteers completed orientation including duties, responsibilities, and reporting requirements. |
| Facility failed to ensure medications were administered and documented according to physician instructions and standards. |
| Facility failed to include Do Not Resuscitate (DNR) orders in individualized service plans for residents. |
| Facility failed to ensure fire and emergency evacuation drill forms included required details such as number of staff and residents participating, time to complete drill, weather conditions, and problems encountered. |
Report Facts
Number of residents present: 4
Number of resident records reviewed: 2
Number of staff records reviewed: 2
Number of interviews conducted with staff: 1
Medication administration audit frequency: 2
Medication administration audit duration (weeks): 8
Volunteer registration audit sample size: 10
Individualized service plan audit sample size: 20
Fire drill audit duration (days): 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nina Wilson | Licensing Inspector | Conducted the inspection and is the contact for questions |
| Staff 3 | Provided confirmation and evidence during inspection interviews |
Inspection Report
Original Licensing
Deficiencies: 0
Jul 21, 2025
Visit Reason
The inspection was an initial licensing inspection to evaluate the facility for issuance of a license to operate.
Findings
The inspection found no violations of applicable standards or laws. Measurements of apartments, first aid kits, and required postings were observed and reviewed.
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