Inspection Reports for
Timberview Crossing
351 New Market Road, TIMBERVILLE, VA, 22853
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
12% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
39 residents
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 0
Date: May 13, 2025
Visit Reason
The inspection was conducted in response to a complaint received on August 6, 2024, regarding allegations related to admission, retention, and discharge of residents.
Complaint Details
Complaint received by VDSS Division of Licensing on 8/6/24 regarding allegations in the area of admission, retention, and discharge of residents. The evidence gathered did not support the allegation of non-compliance.
Findings
The investigation found no evidence to support the allegation of non-compliance with standards or law. The inspection included a tour of the facility and review of one resident record.
Report Facts
Residents present: 39
Resident records reviewed: 1
Staff records reviewed: 0
Staff interviews conducted: 2
Resident interviews conducted: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill James | Licensing Inspector | Named as the current inspector conducting the complaint investigation |
Inspection Report
Monitoring
Census: 39
Deficiencies: 3
Date: May 13, 2025
Visit Reason
The inspection was a monitoring visit to review compliance with applicable standards and laws at Timberview Crossing assisted living facility.
Findings
The inspection found non-compliance with several standards related to annual tuberculosis risk assessments, annual reassessments using the Uniform Assessment Instrument (UAI), and updates to individualized service plans (ISP). Violations were documented and a plan of correction was requested.
Deficiencies (3)
Failed to ensure risk assessments for tuberculosis (TB) were completed annually.
Failed to ensure an annual reassessment using the Uniform Assessment Instrument (UAI) had been completed to determine residents' needs.
Failed to ensure that individualized service plans (ISP) were updated at least every twelve months.
Report Facts
Number of residents present: 39
Number of resident records reviewed: 5
Number of staff records reviewed: 4
Number of interviews with residents: 2
Number of interviews with staff: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill James | Licensing Inspector | Current inspector conducting the inspection |
| Staff 1 | Acknowledged no TB screening completed for residents 1 and 2 after 1/25/2024 | |
| Staff 6 | Acknowledged UAI reassessments were behind and ISP updates were not completed since April 2024 for residents 4, 8, 9, and 10 | |
| Executive Director | Responsible for reviewing and ensuring compliance with TB screening, UAI, and ISP updates | |
| Wellness Coordinator | Responsible for reviewing compliance with TB screening and UAI assessments |
Inspection Report
Renewal
Census: 43
Deficiencies: 0
Date: Nov 15, 2023
Visit Reason
The inspection was a renewal inspection of the assisted living facility Timberview Crossing to review compliance with licensing requirements.
Findings
The Licensing Inspector reviewed multiple areas including administration, personnel, resident care, emergency preparedness, and conducted interviews and record reviews. The inspector observed residents during activities and meals and reviewed fire drills, pharmacy, healthcare oversight, and dietician reports.
Report Facts
Records reviewed: 7
Interviews conducted: 8
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 9
Date: Apr 25, 2023
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2023-04-12 regarding allegations in the areas of Administration, Personnel, Staffing, Admission, Retention, Discharge of Residents, Resident Accommodations, Building and Grounds, and Emergency Preparedness.
Complaint Details
The complaint investigation was substantiated in part, with findings of non-compliance in Personnel and Admission, Retention and Discharge of Residents. Some allegations were not supported.
Findings
The investigation supported some but not all allegations, identifying non-compliance in Personnel and Admission, Retention and Discharge of Residents. Multiple violations were cited including failure to complete required training, incomplete fall risk ratings, lack of registration with the Department of State Police for sex offender notifications, failure to document annual reviews of sex offender registry information, incomplete staff acknowledgements of residents' rights, failure to keep discharge records onsite, undated menus, and lack of semi-annual dietary reviews.
Deficiencies (9)
Facility failed to ensure two of four staff completed first aid training within 60 days of hire.
Facility failed to keep posted list of staff with current first aid and CPR training up to date.
Facility failed to ensure fall risk ratings were completed after each fall for one of three resident records reviewed.
Facility failed to ensure registration was completed and remained current with the Department of State Police for sex offender notifications.
Facility failed to ensure sex offender registry information was reviewed annually for one of three resident records reviewed.
Facility failed to ensure written acknowledgement of an annual review of the rights and responsibilities of residents was documented in five of eight staff records reviewed.
Facility failed to ensure one discharge record remained onsite for at least the first year after discharge.
Facility failed to ensure menus were dated.
Facility failed to ensure dietary reviews were conducted at least once every six months.
Report Facts
Number of residents present: 40
Number of resident records reviewed: 3
Number of staff records reviewed: 9
Number of interviews conducted with residents: 5
Number of interviews conducted with staff: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill James | Licensing Inspector | Current inspector conducting the inspection |
| Janice Knight | Licensing Inspector | Contact person for questions about VDSS Licensing Programs |
Inspection Report
Renewal
Census: 30
Deficiencies: 0
Date: Nov 30, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility Timberview Crossing.
Findings
The inspection found no violations with applicable standards or laws. Outside inspections were current, and a fire inspection was scheduled for later in the month.
Report Facts
Number of resident records reviewed: 4
Number of staff records reviewed: 4
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jan 5, 2022
Visit Reason
A non-mandated self-report inspection was initiated due to a self-reported incident regarding allegations in the areas of resident care. The investigation was conducted by contacting the administrator and reviewing documentation.
Complaint Details
The visit was complaint-related but the complaint was self-reported. The evidence supported the self-report of non-compliance and a violation was issued.
Findings
The investigation supported the self-report of non-compliance with standards or law, resulting in a violation issued for failure to provide supervision to prevent a resident fall caused by staff not locking wheelchair wheels.
Deficiencies (1)
Failed to provide supervision to prevent a fall due to staff not locking wheelchair wheels.
Inspection Report
Renewal
Census: 26
Deficiencies: 1
Date: Dec 8, 2021
Visit Reason
A renewal inspection was initiated to review compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance related to the failure to include hospice services on the Individualized Service Plan (ISP) for a resident, resulting in a documented violation.
Deficiencies (1)
Facility failed to ensure services provided by hospice are included on the Individualized Service Plan (ISP).
Report Facts
Census: 26
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 8, 2021
Visit Reason
A non-mandated self-report inspection was initiated due to a self-reported incident regarding allegations in the areas of resident care.
Complaint Details
The investigation was conducted following a self-reported incident; the evidence did not substantiate non-compliance.
Findings
The evidence gathered during the investigation did not support the self-report of non-compliance with standards or law.
Inspection Report
Deficiencies: 0
Date: Sep 6, 2021
Visit Reason
A non-mandated self-report inspection was initiated following a self-reported incident regarding allegations in the areas of resident care. The investigation was conducted by contacting the acting administrator and requesting documentation.
Findings
The evidence gathered during the investigation did not support the self-report of non-compliance with standards or law.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Sep 1, 2021
Visit Reason
A non-mandated complaint inspection was initiated due to a complaint received regarding allegations in the areas of resident care and related services. The investigation was conducted to determine compliance with applicable standards and laws.
Complaint Details
The complaint investigation was substantiated with evidence supporting non-compliance with standards or law related to resident care and medication administration.
Findings
The investigation found violations including failure to include hospice services in the Individualized Service Plan (ISP), failure to have ISPs signed and dated by the resident or legal representative, and failure to administer medications according to physician's orders and approved standards.
Deficiencies (3)
Facility failed to ensure the Individualized Service Plan included services provided by hospice.
Facility failed to ensure the Individualized Service Plan was signed and dated by the resident or legal representative.
Facility failed to ensure medications were administered in accordance with physician's instructions and standards of practice.
Report Facts
Physician's order date: Jan 13, 2021
Individualized Service Plan date: Jul 21, 2021
Hospice nursing note date: Jun 28, 2021
Inspection Report
Complaint Investigation
Deficiencies: 9
Date: Jul 21, 2021
Visit Reason
A non-mandated complaint inspection was initiated due to allegations regarding resident care and related services. The investigation was conducted to determine compliance with standards and laws based on a complaint received by the department.
Complaint Details
The complaint investigation was substantiated with findings supporting non-compliance with standards or law related to resident care and medication management.
Findings
The investigation found multiple violations including failure to document fall analyses and interventions, incomplete Individual Service Plans (ISPs), failure to secure immediate medical attention after serious incidents, inadequate medication management plans, and failure to administer medications according to physician orders. Several ISPs lacked required components, signatures, and updates.
Deficiencies (9)
Facility failed to document analysis of fall circumstances and interventions to prevent subsequent falls.
Facility failed to ensure Individual Service Plans include all required components.
Facility failed to ensure Individualized Service Plan included hospice services.
Facility failed to ensure Individualized Service Plans are signed and dated by administrator and resident or legal representative.
Facility failed to ensure Individualized Service Plan is reviewed and updated annually.
Facility failed to ensure a current copy of the Individualized Service Plan is provided to the resident.
Facility failed to secure immediate medical attention from a licensed health care professional after serious accident or medical condition.
Facility failed to implement a written plan for medication management to ensure residents do not receive medications to which they have known allergies.
Facility failed to administer medications in accordance with physician's instructions and standards of practice.
Report Facts
Incident dates: 2
Medication administration errors: 9
Blood pressure reading: 186
Medication management plan last review: 2018
ISP dates: 2019
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jul 6, 2021
Visit Reason
A complaint inspection was initiated due to allegations regarding resident care at Timberview Crossing. The inspection was conducted remotely due to a state of emergency health pandemic.
Complaint Details
The complaint investigation was substantiated with violations issued for failure to report a major incident timely, incomplete individualized service plans, and failure to secure immediate medical attention after a serious fall resulting in rib fractures.
Findings
The investigation supported the allegations of non-compliance with standards, resulting in violations related to failure to report a major incident within 24 hours, incomplete individualized service plans, and failure to ensure immediate medical attention after a serious accident. Violations were issued and plans of correction requested.
Deficiencies (3)
Facility failed to report to the licensing office a major incident affecting resident within 24 hours.
Facility failed to have a comprehensive Individualized Service Plan (ISP) that includes the assessed needs of the resident.
Facility failed to ensure immediate medical attention from a licensed health care professional when resident suffered a serious accident or injury.
Report Facts
Dates: Jul 6, 2021
Dates: Jul 11, 2021
Incident date: Jun 30, 2021
Hospital admission: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill James | Inspector | Named as current inspector conducting the complaint investigation |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Apr 26, 2021
Visit Reason
A complaint inspection was initiated on 04/26/2021 and concluded on 05/28/2021 due to allegations regarding administration, resident care, and staff at the facility.
Complaint Details
Complaint related: Yes. The complaint was regarding administration, resident care, and staff. The investigation substantiated violations of standards and laws.
Findings
The investigation supported allegations of non-compliance with standards or law, resulting in violations related to failure to report major incidents within 24 hours, incomplete tuberculosis screening documentation for staff, and failure to secure immediate medical attention for residents after serious incidents.
Deficiencies (3)
Facility failed to report to the regional licensing office, within 24 hours, any major incident that affected or threatened the life, health, safety, or welfare of any resident.
Facility failed to ensure that the submitted results of a risk assessment documented the absence of tuberculosis in a communicable form as evidenced by incomplete tuberculosis screening form for staff.
Facility failed to ensure that when a resident suffers serious accident, injury, illness or medical condition, medical attention from a licensed health care professional was secured immediately.
Report Facts
Incident dates: 4
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