Inspection Reports for The Pearl at Watkins Centre

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-10-24 regarding allegations in the areas of Personnel, Staffing and Supervision, Administration and Administrative Services, and Resident Care and Related Services.

The investigation did not find evidence to support the allegations of non-compliance with standards or law. The inspection included a tour of the facility, staff interviews, and observations, and concluded with an exit meeting to review findings.

Complaint received on 2025-10-24 regarding Personnel, Staffing and Supervision, Administration and Administrative Services, and Resident Care and Related Services. The evidence gathered did not substantiate the allegations.

The inspection was conducted in response to a complaint received on 2025-10-10 regarding allegations in the areas of Personnel, Staffing and Supervision, Administration and Administrative Services, and Resident Care and Related Services. The facility also self-reported allegations related to Resident Care and Related Services on 2025-10-08.

The investigation did not find evidence to support the allegations of non-compliance with standards or law. The licensing inspector conducted a tour of the physical plant, interviews with staff and a resident/responsible party, and reviewed documentation and resident movement.

Complaint investigation related to allegations in Personnel, Staffing and Supervision, Administration and Administrative Services, and Resident Care and Related Services. The evidence gathered did not support the allegations of non-compliance.

The inspection was conducted in response to a complaint received on 2025-08-07 regarding allegations related to admission, retention, and discharge of residents, as well as additional requirements for facilities caring for adults with serious cognitive impairments.

The investigation did not substantiate the complaint allegations of non-compliance; however, a non-complaint related violation was identified concerning the facility's disclosure statement not including required information about admission criteria for residents with legally appointed representatives.

Complaint was received by VDSS Division of Licensing on 2025-08-07 regarding allegations in admission, retention, and discharge of residents and additional requirements for facilities that care for adults with serious cognitive impairments. The evidence gathered did not support the allegation of non-compliance with standards or law.

The inspection was a monitoring visit conducted following a self-reported incident and two complaints regarding allegations in the area of Resident Care and Related Services.

The investigation did not support the allegations of non-compliance with standards or law. However, a violation unrelated to the complaints was identified regarding tuberculosis risk assessments for private duty personnel.

The visit was not complaint-related as the evidence did not support the allegations of non-compliance.

The inspection was conducted in response to complaints received by the VDSS Division of Licensing on 3/12/25 and 3/27/24 regarding allegations in multiple areas including Administration, Personnel, Resident Care, Building and Grounds, Staffing, Emergency Preparedness, and care for adults with serious cognitive impairments.

The investigation supported one of the allegations related to Administration and Administrative Services and Building and Grounds, resulting in a violation notice. Additional violations not related to the complaint were also identified. The facility failed to report major incidents within 24 hours and did not ensure hazardous materials were stored in a locked area, including repeat violations.

Complaints were received regarding Administration and Administrative Services, Personnel, Resident Care and Related Services, Building and Grounds, Staffing and Supervision, Emergency Preparedness, and Additional Requirements for Facilities that Care for Adults With Serious Cognitive Impairments. The evidence supported one allegation related to Administration and Building and Grounds. A violation notice was issued.

The inspection was a monitoring visit to review compliance with building and grounds standards following a self-reported incident involving a resident accessing hazardous cleaning supplies.

The inspection found non-compliance with the standard requiring secure storage of cleaning supplies and hazardous materials. A violation was issued due to an unsecured cabinet that allowed resident access to bleach, which resulted in a resident emergency room visit.

The inspection was a non-mandated monitoring visit triggered by a self-reported incident received on 2024-08-26 regarding allegations in personnel, staffing and supervision, and care for adults with serious cognitive impairments.

The investigation found no evidence to support non-compliance with standards or law. The inspection included a tour of the facility, interviews with residents and staff, and review of staff records.

The inspection was conducted in response to four complaints received by VDSS Division of Licensing on 2024-07-31 regarding the same incident and allegations in the areas of Personnel and Resident Care and Related Services.

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

Four complaints were received regarding the same incident and allegations in the areas of Personnel and Resident Care and Related Services. The investigation did not substantiate non-compliance.

The inspection was a mandated monitoring visit to review compliance with applicable standards and regulations at the assisted living facility.

The inspection found non-compliance with applicable standards, including deficiencies in documentation of order of priority in resident files and medication administration records. Violations were documented and a plan of correction was requested.

The inspection was a renewal visit conducted to assess compliance with applicable regulations and licensing requirements for the assisted living facility.

The inspection identified non-compliance with regulations including missing background checks for nine staff members and lack of an annual fire inspection report. The facility was given a violation notice and an opportunity to submit a plan of correction.

The inspection was a monitoring visit triggered by a self-reported incident and an online complaint regarding Resident Care and Additional Requirements for Facilities that Care for Adults with Serious Cognitive Impairments.

The investigation found no evidence of non-compliance with standards or law. The inspection summary will be posted publicly and a copy of the findings is required to be posted on the facility premises.

A self-reported incident was received on 2024-02-08 followed by an online complaint on 2024-02-26. The evidence gathered did not support non-compliance with standards or law.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-01-08 regarding allegations in the areas of Administration and Administrative Services, 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 allegations of non-compliance with standards or law. An exit meeting was conducted to review the inspection findings.

Complaint related to allegations in Administration and Administrative Services, Resident Care and Related Services, and Additional Requirements for Facilities that Care for Adults with Serious Cognitive Impairments. The complaint was not substantiated.

The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on January 8, 2024, regarding allegations in the areas of Personnel and Resident Care and Related Services.

The investigation supported some, but not all, of the allegations, identifying areas of non-compliance with standards or law in Resident Care and Related Services and Personnel. A violation notice was issued with an opportunity for the licensee to submit a plan of correction.

The complaint was substantiated in part, with violations found related to staff qualifications and licensing. Evidence included staff information sheets, emails, and license verification website checks.

The inspection was a monitoring, non-mandated visit conducted by the licensing inspector to review resident care and related services following a self-reported incident.

The evidence gathered during the investigation did not support non-compliance with standards or law. No deficiencies were cited.

The inspection was a monitoring visit conducted to review compliance with various regulatory provisions including administration, personnel, resident care, and emergency preparedness.

The inspection found no violations of applicable standards or laws. Observations included meal service, medication storage and administration, postings, and facility maintenance.

A complaint was received by VDSS Division of Licensing regarding allegations in the area of Resident Care and Related Services, prompting the inspection.

The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No violation notice was issued.

Complaint related to Resident Care and Related Services; allegations were not substantiated.

A renewal inspection was conducted to assess compliance with applicable standards and laws for the assisted living facility.

One non-compliance was identified related to medication administration where dietary supplements were not administered according to physician orders for one resident.

An inspection was completed to investigate a complaint received by the Department 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 allegations of non-compliance with standards or law. The self-reported incident was closed as not valid.

The complaint was investigated but found to be not valid and the allegations were not substantiated.

A complaint inspection was initiated due to a complaint received by the department regarding staffing and supervision at the facility.

The investigation found that the allegation was supported by evidence but did not result in non-compliance as the required staffing ratio was met. The allegations were shared with the administrator for appropriate action.

The complaint was related to staffing and supervision. The evidence supported the allegation but did not support non-compliance with standards.

A non-mandated focus monitoring inspection was completed to follow-up on compliance with an Intensive Plan of Correction issued in May 2021.

The licensing inspector conducted an on-site medication cart/storage audit that was not completed during the prior inspection. No violations of the standards were noted.

A complaint was received regarding visitation to the residents and access to the building, prompting a non-mandated complaint inspection.

The licensing inspector was unable to complete the on-site portion due to COVID protocols but observed posted procedures and visitation during the day and after hours with no problems noted. No violations were cited.

Complaint related to visitation and access to the building; investigation found no problems and no violations cited.

A non-mandated focus monitoring inspection was attempted to monitor compliance with the Intensive Plan of Correction (IPOC) issued in June 2021.

The licensing inspector reviewed staff training, medication observation checklists, audit forms, and medication administration records remotely due to COVID protocols. No violations were cited.

The inspection was conducted in response to a complaint regarding medication administration, resident rooms, staff qualifications, and communication with families, as well as to review previous risk violations cited in November 2020 and January 2021.

The investigation supported one of the complaint allegations related to medication administration errors, and an additional violation unrelated to the complaint was also cited. Other previously cited risk violations were found to be in compliance.

The complaint investigation was substantiated for one allegation related to medication administration. Other allegations regarding resident rooms, staff qualifications, and communication with families were not substantiated.

A renewal inspection was initiated to assess compliance with applicable standards and laws for the assisted living facility.

The inspection identified non-compliance with standards related to resident assessment documentation and individualized service plans, resulting in documented violations.

The inspection was conducted due to a self-reported incident regarding a resident elopement, triggering a complaint investigation and a follow-up on the on-site administrator.

The investigation found violations including failure to notify the Department of a change in the facility's administrator, failure to assume general responsibility for resident safety placing a resident at risk of harm, and failure to provide adequate supervision to prevent wandering and falls.

Complaint investigation was initiated on 2/9/2021 following a self-reported incident of resident elopement. Evidence supported allegations of non-compliance. The complaint was substantiated based on the documented violations.

The inspection was initiated due to a complaint received regarding a medication error at the facility. A self-report was also received by the Department about the medication error.

The investigation confirmed the medication error and non-compliance with applicable standards. Specifically, medications were not administered according to physician orders, and the facility staff failed to document the reason for a medication omission.

The complaint was related to a medication error. Evidence gathered supported the report of the medication error and non-compliance with applicable standards or laws.

The inspection was initiated to investigate allegations regarding on-site facility management, holiday visitation, and infection control at The Pearl at Watkins Centre.

One allegation was determined to be valid related to the facility's failure to maintain a full-time on-site administrator responsible for day-to-day management. A violation was cited based on review of management schedules and communications.

The complaint investigation found one allegation valid regarding inadequate on-site administrator presence. The provider's plan of correction was not received as of 1/5/2021.