Inspection Reports for The Vero at Chesapeake
757 Cedar Rd, Chesapeake, VA 23322, United States, VA, 23322
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Inspection Report
Renewal
Census: 113
Deficiencies: 9
Oct 22, 2025
Visit Reason
An unannounced renewal inspection was conducted to assess compliance with applicable standards and laws for license renewal of the assisted living facility.
Findings
The inspection identified multiple violations including missing tuberculosis risk assessments for staff, lack of signed written assurances for residents, failure to provide orientation to new residents, medication management deficiencies, expired medication aide license, improper medication labeling, missing annual fire inspection, and incomplete criminal history record reports for staff.
Deficiencies (9)
| Description |
|---|
| Staff records missing initial and annual tuberculosis risk assessments. |
| Resident records missing signed written assurance of appropriate licensing at admission. |
| Failure to provide orientation to new residents on mealtimes and call system use. |
| Medication management plan deficiencies including expired medication on cart and inaccurate transcription of physician orders. |
| Staff administering medication with expired registered medication aide license. |
| Medications removed from pharmacy containers and kept in unlabeled cups on medication cart. |
| Over the counter medications on medication cart not labeled with resident names. |
| Facility failed to have annual fire inspection completed and documented. |
| Criminal history record reports not obtained within 30 days of employment for several staff. |
Report Facts
Number of residents present: 113
Number of resident records reviewed: 9
Number of staff records reviewed: 4
Number of interviews conducted with residents: 4
Number of interviews conducted with staff: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Inspector conducting the inspection |
| Staff #3 | Observed administering medications with expired medication aide license and improper medication handling | |
| Staff #5 | Confirmed missing tuberculosis assessments and criminal history reports for staff | |
| Staff #6 | Confirmed missing signed written assurances and orientation documentation for residents | |
| Staff #7 | Confirmed medication administration discrepancies | |
| Staff #8 | Confirmed lack of annual fire inspection |
Inspection Report
Monitoring
Census: 113
Deficiencies: 2
Oct 3, 2025
Visit Reason
An unannounced monitoring inspection was conducted following a self-report received by VDSS Division of Licensing regarding allegations in the areas of Personnel and Resident Care and Related Services.
Findings
The investigation supported some, but not all, of the self-reported areas of non-compliance related to Resident Care and Related Services. Violations were found concerning staff certification documentation and failure to document resident complaints and incidents properly.
Deficiencies (2)
| Description |
|---|
| The facility failed to ensure staff records contained documentation of required certifications for direct care staff. |
| The facility failed to ensure written communication methods were used to keep direct care staff informed of significant resident incidents and complaints, as evidenced by lack of documentation of a resident complaint and incident involving staff. |
Report Facts
Number of residents present: 113
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 4
Inspection Report
Complaint Investigation
Census: 113
Deficiencies: 0
Oct 3, 2025
Visit Reason
An unannounced complaint inspection was conducted due to complaints received on 2025-09-03 and 2025-09-04 regarding Resident Care and Related Services, Staffing and Supervision, The Safe Secure Environment, and Buildings and Grounds.
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 was received by VDSS Division of Licensing on 2025-09-03 and 2025-09-04 regarding allegations in Resident Care and Related Services, Staffing and Supervision, The Safe Secure Environment, and Buildings and Grounds. The investigation did not substantiate the allegations.
Report Facts
Number of residents present: 113
Number of resident records reviewed: 6
Number of staff records reviewed: 0
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Inspector conducting the complaint investigation |
Inspection Report
Complaint Investigation
Census: 113
Deficiencies: 1
Oct 3, 2025
Visit Reason
An unannounced complaint inspection was conducted due to allegations received regarding buildings and grounds at the facility.
Findings
The investigation supported the allegation of non-compliance related to the facility failing to maintain a temperature of at least 72 degrees Fahrenheit in all resident areas during waking hours. Violations were issued based on observations and staff interviews confirming thermostat settings below the required temperature.
Complaint Details
The complaint was substantiated based on evidence gathered during the investigation, confirming non-compliance with temperature requirements.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure a temperature of at least 72 degrees Fahrenheit was maintained in all areas used by residents during hours when residents are normally awake. |
Report Facts
Number of residents present: 113
Thermostat temperature readings: 68
Thermostat temperature readings: 70
Thermostat temperature readings: 65
Plan of correction timeframe: 5
Plan of correction timeframe: 15
Audit duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Conducted the inspection and is the contact for questions |
Inspection Report
Complaint Investigation
Census: 113
Deficiencies: 1
Aug 26, 2025
Visit Reason
An unannounced complaint inspection was conducted due to allegations received by VDSS Division of Licensing regarding Resident Care and Related Services, and Buildings and Grounds.
Findings
The investigation supported some, but not all, of the allegations related to Buildings and Grounds. A violation was found regarding cleanliness and maintenance of furnishings and equipment, specifically unclean washing machines on the 2nd floor.
Complaint Details
Complaint was received on 2026-08-11 alleging issues in Resident Care and Related Services, and Buildings and Grounds. The evidence supported some allegations related to Buildings and Grounds.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure all furnishings, fixtures, and equipment, including furniture, window coverings, sinks, toilets, bathtubs, and showers, were kept clean and in good repair and condition, evidenced by unclean substance inside two washing machines on the 2nd floor. |
Report Facts
Number of residents present: 113
Number of resident records reviewed: 3
Number of staff records reviewed: 0
Number of interviews conducted with residents: 3
Number of interviews conducted with staff: 3
Inspection Report
Complaint Investigation
Census: 110
Deficiencies: 0
Apr 28, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-04-12 regarding allegations in the area of Admission, Retention, and Discharge of Residents.
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 within 5 business days of receipt.
Complaint Details
Complaint related to Admission, Retention, and Discharge of Residents; allegations were not substantiated.
Report Facts
Number of residents present: 110
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: 2
Inspection Report
Complaint Investigation
Census: 108
Deficiencies: 0
Apr 11, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-04-07 regarding allegations in the areas of Resident Care and Related Services and Buildings and Grounds.
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 at the facility.
Complaint Details
Complaint received on 2025-04-07 regarding Resident Care and Related Services and Buildings and Grounds; investigation did not substantiate the allegations.
Report Facts
Number of residents present: 108
Number of resident records reviewed: 5
Number of staff records reviewed: 0
Number of interviews conducted with residents: 5
Number of interviews conducted with staff: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Current inspector on-site during inspection |
| M. Tess Pittman | Licensing Inspector | Contact person for questions regarding the inspection |
Inspection Report
Complaint Investigation
Census: 109
Deficiencies: 2
Mar 18, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-03-12 regarding allegations in the areas of Personnel and Resident Care and Related Services.
Findings
The investigation supported the allegations of non-compliance with standards or law, resulting in violations issued. Deficiencies included failure to ensure all direct care staff completed required annual training and failure to assume general responsibility for the health, safety, and well-being of residents, including an incident involving a resident with a skin tear caused by staff.
Complaint Details
The complaint was substantiated as the evidence gathered supported the allegations of non-compliance with standards or law.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure all direct care staff attend at least 18 hours of training annually; direct care staff who are licensed health care professionals or certified nurse aides shall attend at least 12 hours of annual training. |
| Facility failed to assume general responsibility for the health, safety, and well-being of residents, evidenced by a resident observed with a skin tear caused by staff nails during bathing. |
Report Facts
Residents present: 109
Resident records reviewed: 2
Staff records reviewed: 5
Resident interviews conducted: 4
Staff interviews conducted: 1
Annual training hours required: 18
Annual training hours required for licensed health care professionals or certified nurse aides: 12
Inspection Report
Complaint Investigation
Census: 109
Deficiencies: 7
Mar 12, 2025
Visit Reason
The inspection was conducted in response to a complaint received on 2025-03-04 regarding allegations in the area of Resident Care and Related Services.
Findings
The investigation supported the allegations of non-compliance with multiple standards related to resident assessments, care planning, emergency procedures, medication management, and documentation. Violations were issued and plans of correction were requested.
Complaint Details
The complaint was substantiated. The investigation found multiple violations related to resident care, including failure to complete required assessments, care plans, emergency procedures, and medication management.
Deficiencies (7)
| Description |
|---|
| Facility failed to complete a resident's UAI prior to admission, annually, and with significant condition changes. |
| Facility failed to ensure a preliminary plan of care was developed on or within seven days prior to admission. |
| Facility failed to ensure the comprehensive ISP was completed within 30 days after admission including required items. |
| Facility failed to secure immediate medical attention and document appropriately after a resident suffered a serious injury. |
| Facility failed to have a written plan for medication management to ensure timely filling and refilling of prescriptions. |
| Facility failed to ensure medications were administered according to physician's instructions. |
| Facility failed to have a written plan for resident emergencies including procedures for handling medical emergencies. |
Report Facts
Number of residents present: 109
Number of resident records reviewed: 2
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Current inspector conducting the inspection |
| M. Tess Pittman | Licensing Inspector | Contact person for questions regarding the inspection |
Inspection Report
Monitoring
Census: 104
Deficiencies: 1
Feb 3, 2025
Visit Reason
The inspection was a monitoring visit conducted on February 3, 2025, following a self-reported incident received on January 23, 2025, regarding allegations in the area of Resident Care and Related Services.
Findings
The investigation supported the self-report of non-compliance with standards or law, resulting in violations issued related to supervision of resident schedules, care, and activities, including attention to specialized needs.
Deficiencies (1)
| Description |
|---|
| Facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs. |
Report Facts
Number of residents present: 104
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 3
Inspection Report
Monitoring
Census: 96
Deficiencies: 3
Oct 31, 2024
Visit Reason
The inspection was a monitoring visit conducted on October 31, 2024, following three self-reported incidents received by VDSS regarding allegations in admission, retention, discharge of residents, resident care, and additional requirements for adults with serious cognitive impairments.
Findings
The investigation supported some but not all of the self-reports, identifying non-compliance in Resident Services and Additional Requirements for Facilities that Care for Adults with Serious Cognitive Impairments. A violation notice was issued with several specific deficiencies noted.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure doors leading to unprotected areas were monitored or secured with appropriate devices such as alarms or locking mechanisms. |
| Facility failed to ensure the Uniform Assessment Instrument (UAI) for residents was completed prior to admission, annually, and after significant changes in condition. |
| Facility failed to assume general responsibility for the health, safety, and well-being of residents, evidenced by an altercation resulting in a major injury to a resident. |
Report Facts
Number of residents present: 96
Number of resident records reviewed: 4
Number of staff records reviewed: 0
Number of resident interviews conducted: 2
Number of staff interviews conducted: 4
Inspection Report
Renewal
Census: 94
Deficiencies: 6
Oct 8, 2024
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 related to resident assessments, individualized service plans, meal menu postings, medication administration records, and staff rounds for residents unable to use signaling devices.
Deficiencies (6)
| Description |
|---|
| Facility failed to ensure the UAI for residents was completed at least annually and whenever there is a significant change in the resident's condition. |
| Facility failed to ensure on or within seven days prior to admission, a preliminary plan of care was developed to address basic resident needs. |
| Facility failed to review and update individualized service plans at least once every 12 months and as needed for significant resident condition changes. |
| Facility failed to ensure menus for meals for the current week were dated and posted in an area conspicuous to residents. |
| Facility failed to ensure the MAR accurately reflected the medication order within the record. |
| Facility failed to ensure direct care staff made rounds no less often than every two hours for residents unable to use signaling devices. |
Report Facts
Number of residents present: 94
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of resident interviews: 4
Number of staff interviews: 3
Inspection Report
Monitoring
Census: 89
Deficiencies: 1
Jul 15, 2024
Visit Reason
The inspection was a monitoring visit conducted on July 15, 2024, following a self-reported incident received on July 8, 2024, regarding allegations related to personnel.
Findings
The investigation supported the self-report of non-compliance with standards related to staff conduct. A violation was issued for staff being verbally aggressive to a resident, resulting in termination of the staff member. The facility is required to educate staff on mandated reporting and resident rights and implement monitoring to ensure compliance.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure staff are considerate and respectful of the rights, dignity, and sensitivities of persons who are aged, infirm, or disabled; staff member was verbally aggressive to a resident. |
Report Facts
Number of residents present: 89
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 2
Inspection Report
Renewal
Census: 67
Deficiencies: 6
Oct 17, 2023
Visit Reason
The inspection was a renewal visit conducted to assess compliance with applicable standards and laws for continued licensing of the assisted living facility.
Findings
The inspection found multiple violations including failure to maintain current first aid certification for direct care staff, lack of treatment plans for residents on psychotropic medications, presence of expired medications, medication administration errors, missing valid Do Not Resuscitate orders, and incomplete criminal history record reports for several staff members.
Deficiencies (6)
| Description |
|---|
| Facility failed to ensure each direct care staff member maintain current certification in first aid. |
| Facility failed to ensure residents admitted or retained with psychotropic medications have treatment plans. |
| Facility failed to ensure their written plan for medication management includes methods to prevent the use of outdated medications. |
| Facility failed to ensure medications be administered in accordance with the physician's or other prescriber's instructions. |
| Facility failed to ensure a valid written Do Not Resuscitate (DNR) order has been issued by the resident's attending physician and included in the individualized service plan. |
| Facility failed to obtain a criminal history record report on or prior to the 30th day of employment for each employee. |
Report Facts
Number of residents present: 67
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of residents observed during medication pass: 4
Expired medications observed: 2
Number of staff without timely criminal history record report: 4
Inspection Report
Monitoring
Census: 47
Deficiencies: 2
Jul 24, 2023
Visit Reason
The inspection was a monitoring visit conducted to review compliance with additional requirements for facilities that care for adults with serious cognitive impairments, following a self-reported incident received on 07/15/2023.
Findings
The investigation supported the self-report of non-compliance with violations issued related to unsecured doors leading to unprotected areas and failure to document evening rounds prior to 12am for residents in a safe, secure environment.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure doors leading to unprotected areas were monitored or secured through devices conforming to applicable building and fire codes, allowing residents to exit into unprotected areas. |
| Facility failed to ensure documented rounds were made on residents in the safe, secure environment prior to 12am as required. |
Report Facts
Number of residents present: 47
Number of resident records reviewed: 2
Number of staff interviews conducted: 2
Inspection Report
Monitoring
Census: 42
Deficiencies: 2
Jun 29, 2023
Visit Reason
The inspection was a monitoring visit conducted to assess compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found non-compliance with applicable standards, including medication administration timing and documentation of Do Not Resuscitate (DNR) orders. Violations were documented and a plan of correction was requested.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure medications were administered not earlier than one hour before and not later than one hour after the facility's standard dosing schedule, except for drugs ordered for specific times. |
| Facility failed to ensure a valid written Do Not Resuscitate (DNR) order was issued by the resident's attending physician and included in the individualized service plan. |
Report Facts
Number of residents present: 42
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Inspection Report
Original Licensing
Deficiencies: 0
May 11, 2023
Visit Reason
The inspection was an initial licensing inspection conducted to evaluate compliance with applicable standards and laws for the facility's licensing.
Findings
The inspection found no violations with applicable standards or laws. The licensing inspector completed a tour of the physical plant and reviewed required postings, first aid kits, menu, activity calendar, and water temperature samples.
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