Inspection Reports for The Pearl at Watkins Centre
650 Watkins Ctr Pkwy, Midlothian, VA 23114, United States, VA, 23114
Back to Facility ProfileInspection Report Summary
The most recent inspections on November 6, 2025, did not identify any deficiencies following complaint investigations related to personnel, staffing, administration, and resident care. Earlier inspections showed a pattern of various deficiencies primarily involving medication administration, documentation, staff qualifications, and secure storage of hazardous materials. Complaint investigations were mostly unsubstantiated, with one substantiated case in January 2024 related to staff qualifications and medication administration licensing. Enforcement actions included violation notices and plans of correction, but no fines, immediate jeopardy findings, or license suspensions were listed in the available reports. The facility’s inspection history shows some recurring issues but also periods of compliance, with the most recent findings indicating improvement.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
59% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
41 residents
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 6, 2025
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Number of staff interviews conducted: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Randolph | Licensing Inspector | Conducted the inspection and is the contact person for the report |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 6, 2025
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Number of interviews with staff: 1
Number of interviews with resident/responsible party: 1
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 12, 2025
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (1)
The facility did not ensure that the disclosure statement included required information about the admission criteria related to legally appointed representatives or court recognized documents.
Report Facts
Number of interviews conducted: 2
Inspection Report
Monitoring
Deficiencies: 1
Date: Jun 24, 2025
Visit Reason
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.
Complaint Details
The visit was not complaint-related as the evidence did not support the allegations of non-compliance.
Findings
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.
Deficiencies (1)
The facility did not ensure that tuberculosis risk assessments for private duty personnel were completed within 30 days prior to contact with residents.
Report Facts
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 1
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 2
Date: Apr 2, 2025
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (2)
Facility did not report major incidents to the regional licensing office within 24 hours as required.
Facility did not ensure cleaning supplies and hazardous materials were stored in a locked area, including a repeat violation.
Report Facts
Number of residents present: 41
Number of staff records reviewed: 12
Number of staff interviews conducted: 2
Incident dates: Incidents occurred on 2/13/25 and 3/20/25
Inspection Report
Monitoring
Deficiencies: 1
Date: Feb 7, 2025
Visit Reason
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.
Findings
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.
Deficiencies (1)
Facility did not ensure that cleaning supplies and other hazardous materials were stored in a locked area, allowing resident access to bleach.
Report Facts
Number of resident records reviewed: 2
Number of staff records reviewed: 1
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Deficiencies: 0
Date: Sep 9, 2024
Visit Reason
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.
Findings
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.
Report Facts
Number of resident records reviewed: 0
Number of staff records reviewed: 1
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 0
Date: Aug 5, 2024
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Number of resident records reviewed: 2
Number of staff records reviewed: 1
Number of interviews conducted with staff: 1
Number of collateral interviews: 1
Inspection Report
Monitoring
Census: 43
Deficiencies: 2
Date: Aug 5, 2024
Visit Reason
The inspection was a mandated monitoring visit to review compliance with applicable standards and regulations at the assisted living facility.
Findings
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.
Deficiencies (2)
Facility did not ensure documentation that the order of priority was followed and retained in resident files for residents #1, #2, #3, #4, and #6.
Facility did not ensure medication administration was documented on the medication administration record (MAR) at the time medications were administered, including missed documentation for Retaine eyedrops and Aren mouthwash on specified dates.
Report Facts
Number of residents present: 43
Number of resident records reviewed: 6
Number of staff records reviewed: 4
Number of interviews conducted with staff: 1
Inspection Report
Renewal
Census: 32
Deficiencies: 2
Date: Mar 19, 2024
Visit Reason
The inspection was a renewal visit conducted to assess compliance with applicable regulations and licensing requirements for the assisted living facility.
Findings
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.
Deficiencies (2)
Background checks for all staff hired since 11/1/23 did not meet regulatory requirements; nine staff lacked background checks from the Department of State Police.
Facility did not comply with the Virginia Statewide Fire Prevention Code as it lacked an annual fire inspection report.
Report Facts
Number of residents present: 32
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
Number of staff without background checks: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Randolph | Licensing Inspector | Inspector conducting the renewal inspection |
Inspection Report
Monitoring
Census: 32
Deficiencies: 0
Date: Mar 19, 2024
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Number of residents present: 32
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 1
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 0
Date: Jan 9, 2024
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Number of residents present: 34
Number of interviews conducted with staff: 2
Number of resident records reviewed: 0
Number of staff records reviewed: 0
Inspection date: Jan 9, 2024
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jan 9, 2024
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (2)
One staff did not meet the direct care staff requirements within two months of employment.
One staff responsible for medication administration is not licensed by the Commonwealth of Virginia to administer medications or registered with the Virginia Board of Nursing as a medication aide.
Report Facts
Number of staff records reviewed: 2
Number of staff interviews conducted: 5
Inspection Report
Monitoring
Deficiencies: 0
Date: Oct 3, 2023
Visit Reason
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.
Findings
The evidence gathered during the investigation did not support non-compliance with standards or law. No deficiencies were cited.
Inspection Report
Monitoring
Census: 44
Deficiencies: 0
Date: Nov 21, 2022
Visit Reason
The inspection was a monitoring visit conducted to review compliance with various regulatory provisions including administration, personnel, resident care, and emergency preparedness.
Findings
The inspection found no violations of applicable standards or laws. Observations included meal service, medication storage and administration, postings, and facility maintenance.
Report Facts
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 0
Date: Jul 26, 2022
Visit Reason
A complaint was received by VDSS Division of Licensing regarding allegations in the area of Resident Care and Related Services, prompting the inspection.
Complaint Details
Complaint related to Resident Care and Related Services; allegations were not substantiated.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No violation notice was issued.
Report Facts
Resident records reviewed: 1
Staff records reviewed: 1
Staff interviews conducted: 2
Resident interviews conducted: 0
Inspection Report
Renewal
Census: 31
Deficiencies: 1
Date: Mar 17, 2022
Visit Reason
A renewal inspection was conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
One non-compliance was identified related to medication administration where dietary supplements were not administered according to physician orders for one resident.
Deficiencies (1)
Dietary supplements were not administered in accordance with the physician's or other prescriber's orders for one resident.
Report Facts
Residents present: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Randolph | Inspector | Current Inspector conducting the inspection |
| Wellness Director | Named in plan of correction related to medication administration deficiency | |
| Executive Director | Responsible for oversight of medication cart audits as part of plan of correction |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 17, 2021
Visit Reason
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.
Complaint Details
The complaint was investigated but found to be not valid and the allegations were not substantiated.
Findings
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.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 21, 2021
Visit Reason
A complaint inspection was initiated due to a complaint received by the department regarding staffing and supervision at the facility.
Complaint Details
The complaint was related to staffing and supervision. The evidence supported the allegation but did not support non-compliance with standards.
Findings
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.
Inspection Report
Monitoring
Deficiencies: 0
Date: Sep 28, 2021
Visit Reason
A non-mandated focus monitoring inspection was completed to follow-up on compliance with an Intensive Plan of Correction issued in May 2021.
Findings
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.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 31, 2021
Visit Reason
A complaint was received regarding visitation to the residents and access to the building, prompting a non-mandated complaint inspection.
Complaint Details
Complaint related to visitation and access to the building; investigation found no problems and no violations cited.
Findings
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.
Inspection Report
Monitoring
Deficiencies: 0
Date: Aug 31, 2021
Visit Reason
A non-mandated focus monitoring inspection was attempted to monitor compliance with the Intensive Plan of Correction (IPOC) issued in June 2021.
Findings
The licensing inspector reviewed staff training, medication observation checklists, audit forms, and medication administration records remotely due to COVID protocols. No violations were cited.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Apr 12, 2021
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (2)
Two medications for one resident were not administered according to physician orders and standards of practice.
Staff failed to document the effectiveness of a medication administered to one resident.
Report Facts
Residents reviewed for medication administration: 4
Medications not administered as ordered: 2
Inspection Report
Renewal
Census: 28
Deficiencies: 2
Date: Mar 30, 2021
Visit Reason
A renewal inspection was initiated to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection identified non-compliance with standards related to resident assessment documentation and individualized service plans, resulting in documented violations.
Deficiencies (2)
One resident's assessment prior to admission to the safe, secure environment was incomplete, lacking full name, date of birth, and contact information of the assessor.
The individualized service plan for one resident did not address identified needs, showing discrepancies between diet orders and medication administration instructions.
Report Facts
Resident records reviewed: 3
Staff records reviewed: 3
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Feb 9, 2021
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (3)
Facility failed to notify the Department in writing within 14 days of a change in the facility's administrator.
Facility failed to assume general responsibility for the health, safety and well-being of residents placing a resident at risk of harm.
Facility failed to provide supervision of resident schedules, care and activities including prevention of falls and wandering from the facility.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jan 22, 2021
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (2)
Medications were not administered in accordance with the physician's or other prescriber's instructions and consistent with the standards of practice.
Facility staff failed to document the reason for a medication omission.
Report Facts
Medication omission timeframe: 29
Audit date: Feb 2, 2021
Plan of correction start date: Mar 26, 2021
Plan of correction dates: Apr 13, 2021
Plan of correction date: Apr 21, 2021
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 19, 2020
Visit Reason
The inspection was initiated to investigate allegations regarding on-site facility management, holiday visitation, and infection control at The Pearl at Watkins Centre.
Complaint Details
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.
Findings
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.
Deficiencies (1)
Facility failed to maintain an administrator on a full-time basis as the on-site agent responsible for day-to-day administration and management.
Report Facts
Dates with no on-site administrator listed: 17
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