Inspection Reports for The Village at Orchard Ridge

The inspection was conducted as a renewal of the facility's license, with the licensing inspector on-site for two days to assess compliance with applicable standards and regulations.

The inspection found non-compliance with applicable standards related to tuberculosis screening documentation for staff, resulting in documented violations. The facility was given the opportunity to submit a plan of correction to address these violations.

The inspection was conducted as a renewal of the facility's license to ensure compliance with applicable standards and laws.

The inspection found non-compliance with applicable standards related to medication administration, specifically that medications were not administered according to physician orders. A violation notice was issued and the licensee was given the opportunity to submit a plan of correction.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 05/25/2023 regarding allegations in the area of Resident Related Services.

The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings will be posted to the VDSS website within 5 business days of receipt.

Complaint related to Resident Related Services; the allegations were not substantiated.

The inspection was conducted following a self-reported incident received by VDSS Division of Licensing regarding allegations in the area of Protection of Adults and Reporting.

The evidence gathered during the investigation did not support the self-reported incident of non-compliance with standards or law. The inspection findings will be posted publicly and a copy is required to be posted on the premises.

The inspection was a monitoring visit conducted on March 15, 2023, following a self-reported incident received on March 14, 2023, regarding allegations in the area of Resident Care and Related Services.

The investigation did not support the self-report of non-compliance; however, a violation unrelated to the self-report was identified concerning failure to include companion services on one individualized service plan and lack of documentation of care provided by private duty personnel.

The inspection was a monitoring visit conducted on January 20, 2023, following a self-reported incident received on January 17, 2023, regarding allegations in the area of resident care.

The licensing inspector conducted a tour of the facility, reviewed resident and staff records, and observed staff and resident interactions. The evidence gathered did not support the self-report of non-compliance with standards or law.

The inspection was a monitoring visit to review compliance with resident care and related services regulations, including medication administration and infection control practices.

The inspection found non-compliance with the facility's infection control policy regarding hand hygiene during medication administration. A violation notice was issued and a plan of correction was required.

The inspection was a renewal visit conducted on November 9 and 10, 2022, to assess compliance with applicable standards and regulations for the assisted living facility.

The inspection identified multiple violations including failure to maintain an updated posted list of staff with first aid and CPR certification, failure to post a current weekly meal and snack menu, medication administration errors for one resident, and improper labeling of over-the-counter medications.

The inspection was conducted as a monitoring visit following a self-reported incident received by VDSS Division of Licensing regarding allegations in the area of Resident Care and Related Services.

The investigation did not support the self-report of non-compliance with standards or law. The licensing inspector completed a tour of the secured unit and conducted interviews and record reviews without identifying deficiencies.

This inspection was conducted as a focused inspection due to previous violations.

The evidence gathered during the inspection determined no violations with applicable standard(s) or law.

An announced inspection was conducted to measure the window space and square footage of 17 bedrooms and to check bathrooms for required items as part of a request to license two hallways and 17 rooms as assisted living and to increase licensed capacity.

The inspection measured window space and room square footage, checked bathrooms for required items including handrails, and noted that the licensed capacity increase from 18 to 51 will be determined after square footage calculations and receipt of building official's approval, fire inspection, and certificate of occupancy.

The inspection was a monitoring visit conducted on June 15, 2022, following a self-reported incident received on April 14, 2022, regarding allegations in the areas of medication administration and documentation.

The investigation supported the self-report of non-compliance with medication management standards, resulting in violations related to failure to review changed medication orders within 24 hours, failure to administer medications as ordered, and incomplete documentation in electronic medication administration records (eMARs). Plans of correction were proposed including education and audits by nursing staff.

A non-mandated monitoring inspection was conducted as a 60-day follow-up after a self-reported incident related to medication administration.

The inspection was conducted remotely and virtually, resulting in no violations found with applicable standards or law.

A non-mandated self-report inspection was initiated following a self-reported incident regarding allegations in the area of resident care and related services. The investigation was conducted by telephone and documentation review.

The investigation found that the facility failed to ensure one medication for one resident was administered according to the physician's order, resulting in violations issued.

The visit was complaint-related but the complaint was self-reported by the facility. The evidence supported non-compliance with standards or law.

An initial monitoring inspection was initiated to review compliance with applicable standards and laws through documentation review, virtual tour, and interviews conducted from September 7 to September 10, 2021.

The inspection identified multiple violations including failure to report a major incident within 24 hours, incomplete individualized service plans for one resident, unavailability of a prescribed medication, and oxygen orders missing required information.

A monitoring inspection was initiated due to a self-reported incident regarding allegations in the area of resident care. The inspection was conducted remotely due to a state of emergency health pandemic.

The investigation did not support the self-report of non-compliance with standards or law. The administrator and nurse in charge were contacted and documentation was reviewed to complete the investigation.