Inspection Reports for
The Village at Woods Edge
1401 North High Street, FRANKLIN, VA, 23851
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
52 residents
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Renewal
Census: 52
Deficiencies: 0
Date: Aug 20, 2025
Visit Reason
The inspection was a renewal visit conducted as an unannounced monitoring inspection to assess compliance with licensing standards.
Findings
The inspection found no violations with applicable standards or laws. The licensing inspector completed a tour of the physical plant, observed lunch, medication pass, and activities, and conducted interviews with residents and staff.
Report Facts
Number of resident records reviewed: 4
Number of staff records reviewed: 3
Number of interviews conducted with residents: 4
Number of interviews conducted with staff: 3
Inspection Report
Monitoring
Census: 49
Deficiencies: 1
Date: Dec 3, 2024
Visit Reason
An unannounced monitoring inspection was conducted to review compliance with applicable standards and laws at The Village at Woods Edge.
Findings
The inspection found non-compliance related to the facility's medication management plan, specifically an expired medication was found during the medication cart inspection.
Deficiencies (1)
The facility failed to maintain a current and implemented written plan for medication management, as evidenced by an expired Albuterol 90 mcg HFA inhaler found for resident #5.
Report Facts
Number of residents present: 49
Number of resident records reviewed: 4
Number of staff records reviewed: 2
Number of interviews with residents: 1
Number of interviews with staff: 3
Inspection Report
Monitoring
Census: 51
Deficiencies: 2
Date: Mar 13, 2024
Visit Reason
An announced monitoring inspection was conducted to review compliance with applicable standards and laws, including a self-reported incident regarding personnel allegations received on 2024-02-02.
Findings
The inspection found non-compliance with standards related to staff conduct and medication storage. Specifically, staff #1 was found to have verbally and physically abused residents, resulting in termination, and the medication cart was observed unlocked and unstaffed.
Deficiencies (2)
Facility failed to ensure all staff were considerate and respectful of residents' rights, dignity, and sensitivities; staff #1 was verbally and physically abusive to residents.
Facility failed to ensure medications were stored in a locked area; medication cart was unlocked and unstaffed during inspection.
Report Facts
Number of residents present: 51
Number of staff records reviewed: 1
Number of resident records reviewed: 0
Number of interviews conducted with staff: 1
Number of interviews conducted with residents: 0
Inspection Report
Renewal
Census: 48
Deficiencies: 6
Date: Sep 13, 2023
Visit Reason
An unannounced renewal inspection was conducted to assess compliance with applicable standards and laws for the facility's license renewal.
Findings
The inspection found multiple violations including failure to obtain prior written approval for placement in a secure unit, incomplete annual tuberculosis risk assessments, failure to review resident rights annually, unsecured medication storage, improper self-administration of medication, and insufficient emergency drinking water supply.
Deficiencies (6)
Failed to obtain prior written approval for placement of resident #3 in a safe, secure environment.
Failed to ensure annual tuberculosis risk assessment was completed for resident #3.
Failed to review rights and responsibilities annually with resident #4 or legal representative.
Medication carts were left unattended and unlocked during medication pass observations.
Resident #4 kept over-the-counter medication without physician order or documented capability for self-administration.
Facility failed to maintain a 96-hour supply of emergency food and drinking water for 48 residents.
Report Facts
Residents present: 48
Resident records reviewed: 7
Staff records reviewed: 4
Resident interviews: 3
Staff interviews: 3
Expired emergency water expiration dates: 3
Emergency water supply duration: 96
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Observed leaving medication cart unattended and unlocked during medication pass. | |
| Staff #2 | Observed leaving medication cart unattended and unlocked on 1st floor. | |
| Staff #5 | Acknowledged missing written approval for resident #3 placement; observed medication cart unlocked; involved in emergency water review. | |
| Director | Assisted Living Director | Re-educated staff #1 and #2 on medication cart security policies and procedures. |
Inspection Report
Routine
Census: 39
Deficiencies: 0
Date: Oct 18, 2022
Visit Reason
The inspection was a routine visit to review compliance with various regulatory provisions including administration, personnel, resident care, emergency preparedness, and building grounds.
Findings
The inspection included a tour of the facility, observation of lunch and activities, medication pass observation, and review of records and emergency drills. No violations of applicable standards or laws were found.
Report Facts
Resident records reviewed: 8
Staff records reviewed: 4
Resident interviews conducted: 3
Staff interviews conducted: 3
Inspection Report
Renewal
Census: 39
Deficiencies: 0
Date: Oct 29, 2021
Visit Reason
A hybrid renewal inspection was initiated to review compliance with applicable standards and regulations for the assisted living facility.
Findings
The inspection found no violations with applicable standards or law. No deficiencies were issued during the inspection.
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