Inspection Reports for The Summit
1400 Enterprise Dr, Lynchburg, VA 24502, United States, VA, 24502
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Inspection Report
Complaint Investigation
Deficiencies: 0
May 13, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-03-07 regarding allegations in the area of resident care and related services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings will be posted publicly and a copy is required to be posted on the facility premises.
Complaint Details
Complaint related to resident care and related services; the allegations were not substantiated based on the investigation.
Report Facts
Resident records reviewed: 1
Staff records reviewed: 0
Resident interviews conducted: 1
Staff interviews conducted: 1
Inspection Report
Monitoring
Deficiencies: 0
May 13, 2025
Visit Reason
The inspection was a monitoring visit conducted on May 13, 2025, following a self-reported incident received by VDSS Division of Licensing on April 10, 2025, regarding allegations in the area of resident care and related services.
Findings
The evidence gathered during the investigation did not support the self-report of non-compliance with standards or law. An exit meeting will be conducted to review the inspection findings.
Report Facts
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 42
Deficiencies: 0
Mar 4, 2025
Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and regulations at the assisted living facility.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector completed a tour of the physical plant, reviewed resident and staff records, conducted interviews, and observed meals and medication administration.
Report Facts
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with residents: 4
Number of interviews conducted with staff: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Stokes | Licensing Inspector | Inspector conducting the monitoring visit |
Inspection Report
Renewal
Census: 42
Deficiencies: 1
Feb 15, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with applicable standards and laws.
Findings
The inspection found non-compliance related to the facility's medication management plan, specifically the failure to ensure proper dating and disposal of opened medications such as eye drops.
Deficiencies (1)
| Description |
|---|
| Failure to implement medication management plan regarding methods to prevent the use of outdated, damaged, or contaminated medications, specifically undated opened eye drops. |
Report Facts
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of resident interviews conducted: 3
Number of staff interviews conducted: 3
Inspection Report
Monitoring
Deficiencies: 0
May 4, 2023
Visit Reason
The inspection was a monitoring visit conducted to review administration and resident care services at the assisted living facility.
Findings
The inspection found no violations of applicable standards or laws during the visit.
Inspection Report
Renewal
Census: 40
Deficiencies: 3
Mar 20, 2023
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for licensing renewal of the assisted living facility.
Findings
The inspection found non-compliance with infection control policies related to assisted blood glucose monitoring, medication administration practices inconsistent with standards, and failure to have properly labeled and available PRN medications. Plans of correction were submitted addressing these deficiencies.
Deficiencies (3)
| Description |
|---|
| Failure to ensure implementation of infection control policy regarding assisted blood glucose monitoring, including unlabeled glucometer. |
| Failure to ensure medications were administered consistent with standards of practice; pills left unattended in resident's room. |
| Failure to ensure PRN medications were available, properly labeled, and properly stored; missing Mucinex medication. |
Report Facts
Residents present: 40
Resident records reviewed: 8
Resident records reviewed for medication administration: 2
Staff records reviewed: 4
Resident interviews conducted: 4
Staff interviews conducted: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Stokes | Licensing Inspector | Current inspector conducting the inspection |
| Staff 2 | Registered Medication Aide | Named in medication administration deficiency for leaving pills unattended |
Inspection Report
Renewal
Census: 41
Deficiencies: 0
Mar 3, 2022
Visit Reason
The visit was an unannounced mandated renewal inspection conducted to assess compliance with the Standards for Assisted Living Facilities.
Findings
The inspection included a tour of the physical plant, observation of medication passes, review of medication storage carts, resident interviews, and staff record reviews. No violations were cited during the renewal inspection.
Inspection Report
Monitoring
Census: 41
Deficiencies: 1
Dec 8, 2021
Visit Reason
An unannounced mandated monitoring inspection was conducted to assess compliance with the Standards for Assisted Living Facilities, including review of resident records, medication passes, staff records, and facility documentation.
Findings
The facility failed to ensure that the Individualized Service Plan (ISP) addressed all identified needs for some residents, specifically missing oxygen flow rate details and lacking written descriptions of physical therapy services and providers in ISPs for certain residents.
Deficiencies (1)
| Description |
|---|
| The facility failed to ensure that the Individualized Service Plan (ISP) addressed all of the identified needs, including missing oxygen flow rate and incomplete descriptions of physical therapy services. |
Report Facts
Residents in care: 41
Inspection Report
Original Licensing
Census: 45
Deficiencies: 0
Sep 13, 2021
Visit Reason
An announced mandated initial on-site inspection was conducted to evaluate compliance with applicable standards and laws for licensing purposes.
Findings
The inspection included a tour of the physical plant and review of policies and procedures. No violations were found and all required components and documentation were complete.
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