Inspection Reports for
The Trillium Tyson’s

1620 Boro Place, MC LEAN, VA, 22102

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

67% better than Virginia average
Virginia average: 9.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2024
2025

Census

Latest occupancy rate 34 residents

Based on a March 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

0 10 20 30 40 Sep 2024 Jan 2025 Mar 2025

Inspection Report

Renewal
Census: 34 Deficiencies: 4 Date: Mar 19, 2025

Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with applicable standards and laws for the assisted living facility.

Findings
The inspection identified multiple violations including failure to securely store resident records and hazardous materials, incomplete physician orders missing diagnoses, and lack of respect for resident privacy during medication administration.

Deficiencies (4)
Facility failed to ensure that all resident records were stored in a locked area.
Facility failed to ensure physician orders included the diagnosis, condition, or specific indications for administering each drug.
Facility failed to ensure cleaning supplies and other hazardous materials were stored in a locked area.
Facility failed to ensure residents were accorded respect for ordinary privacy in every aspect of daily living including medication administration.
Report Facts
Number of residents present: 34 Number of resident records reviewed: 4 Number of staff records reviewed: 3 Number of interviews with residents: 1 Number of interviews with staff: 6

Employees mentioned
NameTitleContext
Staff 1 Confirmed medication orders were missing diagnosis
Staff 2 Acknowledged resident records and hazardous materials were not stored in locked areas
Staff 4 Observed during medication pass with Resident 1
Staff 5 Administered medication in dining room and confirmed typical medication administration practice

Inspection Report

Monitoring
Census: 24 Deficiencies: 2 Date: Jan 9, 2025

Visit Reason
The inspection was a monitoring visit to review compliance with applicable standards and regulations at The Trillium Tyson's assisted living facility.

Findings
The inspection found non-compliance with applicable standards, including failure to conduct sex offender checks prior to admission and failure to maintain the grounds by removing snow and ice in the secured outdoor area.

Deficiencies (2)
Facility failed to ascertain whether a potential resident is a registered sex offender prior to admission.
Facility failed to ensure that the grounds are maintained, including removal of snow and ice.
Report Facts
Number of residents present: 24 Number of resident records reviewed: 4 Number of staff records reviewed: 2 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 5

Inspection Report

Original Licensing
Deficiencies: 0 Date: Sep 10, 2024

Visit Reason
Initial licensing inspection of The Trillium Tyson's assisted living facility to assess compliance with applicable standards and regulations.

Findings
The inspection included a tour of the physical plant and review of staff interviews. No violations of applicable standards or laws were found during the inspection.

Report Facts
Number of residents present: 0 Number of resident records reviewed: 0 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 4

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