Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Inspection Report
Monitoring
Census: 56
Deficiencies: 5
May 16, 2025
Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and laws at The Residence at Colvin Run assisted living facility.
Findings
The inspection identified multiple violations related to staff tuberculosis risk assessments, medication management including timely medication administration and availability, and criminal background checks for employees. Plans of correction were provided for each violation to ensure compliance.
Deficiencies (5)
| Description |
|---|
| Facility did not ensure that each staff member submits tuberculosis risk assessment results on or within seven days prior to first day of work. |
| Facility did not ensure medication management plan was implemented to avoid missed dosages. |
| Facility did not ensure medications were administered in accordance with physician's instructions. |
| Facility did not ensure medications ordered for PRN administration were available and properly stored. |
| Facility did not ensure criminal history record report was obtained on or prior to the 30th day of employment for each employee. |
Report Facts
Number of residents present: 56
Number of resident records reviewed: 6
Number of resident interviews: 4
Number of staff interviews: 4
Inspection Report
Renewal
Census: 47
Deficiencies: 1
Feb 26, 2024
Visit Reason
The inspection was a renewal inspection conducted to review compliance with licensing standards and facility operations.
Findings
The facility was found to have failed to administer medications as prescribed to a resident due to unavailability of medication on two dates. A plan of correction was initiated to address the medication management issue.
Deficiencies (1)
| Description |
|---|
| Facility failed to administer medications to the resident as prescribed by the physician; Acetaminophen was not available for Resident E on 2/26/2024 and 2/27/2024. |
Report Facts
Records reviewed: 8
Interviews conducted: 5
Inspection Report
Renewal
Census: 29
Deficiencies: 0
Mar 9, 2023
Visit Reason
An unannounced renewal inspection was conducted to review compliance with applicable standards and laws.
Findings
The inspection found no violations with applicable standards or laws. Resident and staff records, medication administration, and resident activities were reviewed and found compliant.
Report Facts
Resident records reviewed: 6
Staff records reviewed: 3
Individual interviews conducted: 2
New staff hires background checked: Virginia State Police background checks reviewed for all new staff hired since previous inspection
Inspection Report
Monitoring
Census: 17
Deficiencies: 0
Dec 6, 2022
Visit Reason
An unannounced mandated monitoring inspection was conducted to review resident and staff records, background checks, medication administration, and overall compliance with applicable standards and laws.
Findings
The inspection found no violations with applicable standards or laws. Resident and staff records, background checks, and medication administration were reviewed and found compliant.
Inspection Report
Original Licensing
Deficiencies: 0
Aug 24, 2022
Visit Reason
An announced initial inspection was conducted to verify compliance with licensing requirements including physical plant, policies, staff records, and emergency preparedness.
Findings
No violations were cited during the inspection. The inspector verified window and room measurements, reviewed policies and procedures, staff records, and tested the call bell system. Required documents were noted as needed but not cited as violations.
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