Inspection Reports for The Wellington at Lake Manassas
7820 Baltusrol Blvd, Gainesville, VA 20155, United States, VA, 20155
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Inspection Report
Monitoring
Census: 105
Deficiencies: 0
Aug 21, 2025
Visit Reason
The inspection was a monitoring visit conducted by the licensing inspector to review resident care and related services, following a self-reported incident received by VDSS Division of Licensing on 2025-06-26.
Findings
The inspection findings did not support the self-report of non-compliance with standards or law. Observations included residents eating lunch and returning from an outing, and a tour of the physical plant was completed.
Report Facts
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
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Pearson | Licensing Inspector | Current inspector conducting the monitoring inspection |
Inspection Report
Monitoring
Census: 91
Deficiencies: 3
May 19, 2025
Visit Reason
The inspection was a monitoring visit conducted on May 19 and 20, 2025, to review compliance with applicable standards and laws at The Wellington at Lake Manassas assisted living facility.
Findings
The inspection identified non-compliance with several standards including failure to develop individualized service plans addressing fall risks, failure to conduct annual reviews of resident rights, and failure to implement a semi-annual emergency preparedness review for all staff. Violation notices were issued with opportunities for the facility to submit plans of correction.
Deficiencies (3)
| Description |
|---|
| Facility failed to develop an Individualized Service Plan (ISP) describing the needs of the resident based on the fall risk rating. |
| Facility failed to review annually the rights and responsibilities of residents in assisted living facilities. |
| Facility failed to implement a semi-annual review on the emergency preparedness and response plan for all staff. |
Report Facts
Number of residents present: 91
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 4
MORSE fall risk rating score: 55
Number of residents without annual review of rights: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Pearson | Licensing Inspector | Current inspector conducting the monitoring inspection |
| Director of Clinical Services | Named in plan of correction to review ISPs for falls | |
| Staff 4 | Provided various emergency reviews with staff but did not encompass entire emergency preparedness plan | |
| Environmental Service Director | Responsible for scheduling total emergency preparedness review for all staff |
Inspection Report
Complaint Investigation
Census: 113
Deficiencies: 0
Jan 10, 2025
Visit Reason
The inspection was conducted as a complaint investigation to review allegations of non-compliance with standards or law at the facility.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. An exit meeting was planned to review the inspection findings.
Complaint Details
The inspection was complaint related, but the allegations were not substantiated based on the evidence gathered during the investigation.
Report Facts
Number of residents present: 113
Number of resident interviews: 1
Number of staff interviews: 2
Number of resident records reviewed: 0
Number of staff records reviewed: 0
Inspection Report
Complaint Investigation
Census: 105
Deficiencies: 1
Nov 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on allegations regarding administration, resident care, and personnel.
Findings
The investigation supported some but not all allegations, identifying areas of non-compliance in administration, resident care, and personnel. A violation notice was issued with an opportunity for the licensee to submit a plan of correction.
Complaint Details
The complaint investigation found some substantiated violations related to delayed staff response times to resident call bells, with specific evidence from a call history report showing multiple delays on 5/17/2024.
Deficiencies (1)
| Description |
|---|
| Facility failed to provide prompt response by staff to resident needs as reasonable to the circumstances, with 10 instances of delayed call bell responses exceeding 20 minutes. |
Report Facts
Instances of delayed call bell response: 10
Number of residents present: 105
Number of resident records reviewed: 1
Number of staff interviews conducted: 2
Inspection Report
Renewal
Census: 122
Deficiencies: 0
Dec 13, 2023
Visit Reason
The inspection was conducted as a renewal inspection to review compliance with licensing requirements and assess facility operations since the last inspection.
Findings
The Licensing Inspector reviewed 8 records and conducted 5 interviews, observed resident activities and medication administration, and evaluated self-reported incidents since the last inspection. No complaint was related to this visit.
Report Facts
Records reviewed: 8
Interviews conducted: 5
Inspection Report
Monitoring
Census: 102
Deficiencies: 1
Feb 28, 2023
Visit Reason
The inspection was a monitoring visit to review administrative services, personnel, staffing, resident care, building and grounds, emergency preparedness, and additional requirements for adults with serious cognitive impairments.
Findings
The inspection found that Resident C's Individualized Service Plan did not identify all of her needs or services provided, including spoon feeding, use of bedrails, and mental health services. A plan of correction was initiated to update and monitor the service plans for accuracy.
Deficiencies (1)
| Description |
|---|
| Individualized Service Plan did not identify all the resident's needs or services provided, including spoon feeding, use of bedrails, and mental health services. |
Report Facts
Records reviewed and interviews conducted: 8
Inspection Report
Routine
Deficiencies: 1
Mar 14, 2022
Visit Reason
The inspection was conducted as a routine review of the assisted living facility covering areas such as administration, personnel, resident care, buildings and grounds, and emergency preparedness.
Findings
The facility was found to have failed to update an Individualized Service Plan (ISP) to reflect a change in a resident's psychosocial needs and dietary restrictions. A plan of correction was implemented to update the ISP and ensure future compliance through nursing staff audits.
Deficiencies (1)
| Description |
|---|
| Failure to update an Individualized Service Plan (ISP) to indicate a change in resident condition as required. |
Inspection Report
Renewal
Census: 81
Deficiencies: 0
Jan 5, 2020
Visit Reason
A renewal inspection was initiated to evaluate compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found no violations with applicable standards or law; no deficiencies were issued.
Report Facts
Resident records reviewed: 5
Staff records reviewed: 5
Current census: 81
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