Inspection Reports for Tribute at the Glen by Cogir

The inspection was a monitoring visit conducted on July 22-23, 2025, following a self-reported incident received on February 21, 2025, regarding allegations in Resident Care and Related Services and Building and Grounds.

The investigation supported the self-report of non-compliance with standards or law, resulting in violations issued. Deficiencies included failure to maintain a written work schedule and failure to assume general responsibility for resident health, safety, and well-being, particularly related to a resident found on the floor in a secured unit stairwell.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-02-24 regarding allegations in the areas of Administration and Administrative Services, and Resident Care and Related Services.

The investigation supported some, but not all, of the allegations. Areas of non-compliance were found in Administration and Administrative Services, and Resident Care and Related Services. A violation notice was issued and the licensee was given the opportunity to submit a plan of correction.

The complaint was substantiated in part. The investigation found non-compliance in Administration and Administrative Services, and Resident Care and Related Services related to resident weight monitoring, ISP documentation, and timely interventions for nutritional issues.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-06-23 regarding allegations in the areas of Resident Care and Related Services.

The investigation supported some, but not all, of the allegations related to Resident Care and Related Services. Violations were found including failure to include hospice services in the Individualized Service Plan and failure to follow physician orders regarding medication administration.

The complaint was substantiated in part; evidence included resident record review, staff interview, and video footage showing medication administration contrary to physician orders.

The inspection was a monitoring visit conducted to review resident care and related services following a self-reported incident received on 2025-04-10 regarding allegations in these areas.

The licensing inspector observed residents participating in activities and eating meals. The evidence gathered did not support the allegations or self-report of non-compliance with standards or law.

The inspection was a monitoring visit conducted by the licensing inspector to review Resident Care and Related Services following a self-reported incident received on 2025-03-05.

The investigation did not support the self-report of non-compliance with standards or law. Observations included residents participating in activities and eating lunch, and the inspection findings will be posted publicly.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on January 13, 2025, regarding allegations in resident care and related services.

The investigation found no evidence to support the allegations of non-compliance with standards or law. The inspection findings will be posted publicly within five business days.

The complaint was received on 2025-01-13 and was related to resident care and related services. The evidence gathered did not support the allegations or self-report of non-compliance.

The inspection was a monitoring visit conducted on July 22, 2025, following a self-reported incident received on February 6, 2025, regarding allegations in personnel and resident care and related services.

The investigation supported the self-report of non-compliance related to medication administration by staff. Violations were issued for failure to ensure staff met licensing requirements for administering medications.

The inspection was a monitoring visit conducted on July 22 and 23, 2025, following a self-reported incident received on June 20, 2025, regarding allegations in the area of Resident Care and Related Services.

The inspection determined non-compliance with applicable standards or laws, resulting in documented violations related to staff training and resident rights review. The facility failed to ensure direct care staff completed required annual training and failed to review resident rights annually with each staff person.

The inspection was conducted in response to a complaint received on 2025-04-30 regarding allegations in the areas of Administration and Administrative Services, and Resident Care and Related Services.

The investigation supported some, but not all, of the allegations. Non-compliance was found in Administration and Administrative Services and Resident Care and Related Services. A violation notice was issued and the licensee was given the opportunity to submit a plan of correction.

Complaint was substantiated in part. Evidence included video footage, staff interview, email correspondence, and staff record review. The complaint involved disrespectful treatment of a resident and failure to timely notify licensing office of administrator change.

The inspection was a renewal visit conducted on December 3 and 5, 2024, to assess compliance with applicable standards and regulations for the assisted living facility.

The inspection identified multiple violations related to resident record documentation, individualized service plans, emergency preparedness, and employee background checks. The facility was found non-compliant in areas including approval for placement in special care units, sex offender registry checks, individualized service plans for fall risk and DNR orders, emergency preparedness training, and timely criminal background checks for employees.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-09-17 regarding allegations in the area of Resident Care and Related Services.

The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. No deficiencies were cited.

Complaint related to Resident Care and Related Services; the allegation was not substantiated.

The inspection was a monitoring visit conducted on January 3 and 4, 2024, to review various areas including administration, staffing, resident care, and medication management.

The facility was found to have a deficiency related to the unavailability of prescribed PRN medications for a resident. The facility implemented a plan of correction including pharmacy contact, staff in-service training, medication audits, and ongoing monitoring to ensure medication availability.

The inspection was a monitoring visit to review various areas including administration, personnel, resident care, and emergency preparedness, and to assess compliance with regulations.

Two violations were cited: failure to obtain and document complete physician orders for medications, and failure to conduct a semi-annual Emergency Preparedness Review with staff. Plans of correction were provided with completion dates in February 2023.

The inspection was a renewal inspection conducted to review compliance with licensing regulations and facility operations.

The Licensing Inspector reviewed multiple areas including fire drills, menus, activities calendars, dietician report, health care oversight, and pharmacy review. Residents were observed during meals, activities, and medication pass. Ten records and six interviews were conducted.

A complaint inspection was initiated due to allegations regarding resident care received by the department.

The investigation did not find evidence to support the allegations of non-compliance with standards or law.

A complaint was received regarding allegations in the areas of resident care. The investigation was conducted remotely, and the administrator was contacted and provided documentation. The evidence gathered did not substantiate the complaint.

A renewal inspection was initiated to assess compliance with applicable standards and laws for the assisted living facility.

The inspection found no violations with applicable standards or law; no deficiencies were issued.

A complaint inspection was initiated due to allegations regarding resident care at the facility. The inspection was conducted remotely due to a state of emergency health pandemic.

The inspection found non-compliance with applicable standards, specifically that the facility retained more residents requiring two-person assist to transfer and exit the building than permitted by its license stipulation.

Complaint related: Yes. A complaint was received regarding resident care, triggering the inspection. The complaint was substantiated by findings of non-compliance.