Inspection Report
Renewal
Census: 3
Deficiencies: 1
Oct 7, 2025
Visit Reason
The inspection was conducted as a renewal of the facility's license to ensure compliance with applicable standards and laws.
Findings
The inspection found non-compliance related to the posting of the most recently issued license on the premises. The facility had not updated the posted license to the current one dated 8/19/2025.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure that the most recently issued license was posted on the premises; the posted license was outdated. |
Report Facts
Number of residents present: 3
Number of resident records reviewed: 3
Number of staff records reviewed: 2
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 3
Inspection Report
Monitoring
Census: 4
Deficiencies: 2
Sep 17, 2024
Visit Reason
The inspection was a monitoring visit to review compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found non-compliance with regulations related to nursing treatments and medication availability. Violations were documented regarding the failure to ensure skilled nursing treatments were provided by licensed personnel and the failure to have ordered PRN medications available for a resident.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure a resident's need for skilled nursing treatments was met by licensed nurse or contractual agreement. |
| Facility failed to ensure the medications ordered for PRN administration were available for a resident. |
Report Facts
Number of residents present: 4
Number of resident records reviewed: 2
Number of staff records reviewed: 3
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 3
Inspection Report
Renewal
Deficiencies: 3
Sep 26, 2023
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable standards and laws for the facility's license renewal.
Findings
The inspection found non-compliance with several standards including failure to ensure medication staff received required continuing education, failure to update fall risk ratings after resident falls, and failure to implement parts of the medication management plan related to controlled substances counts and infection control procedures.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure medication staff received continuing education as required by the Virginia Board of Nursing. |
| Facility failed to ensure that a fall risk rating is reviewed and updated after a fall. |
| Facility failed to implement parts of its medication management plan, specifically regarding accurate counts of controlled substances and infection control procedures related to blood glucose monitoring. |
Report Facts
Dates missing narcotic count signatures: 5
Fall incidents for resident 6: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Marie Swink | Current Inspector | Named as the licensing inspector conducting the inspection. |
| Holly Copeland | Licensing Inspector | Contact person for questions regarding the inspection. |
| Staff 1 | Named in medication administration continuing education deficiency and medication management plan observations. | |
| Staff 4 | Interviewed regarding medication administration training and fall risk evaluations. |
Inspection Report
Renewal
Census: 13
Deficiencies: 5
Aug 29, 2022
Visit Reason
The inspection was a renewal visit conducted to assess compliance with licensing regulations and facility standards for the assisted living facility.
Findings
The inspection found multiple areas of non-compliance including improper signing of TB assessments by unlicensed staff, incomplete new staff orientation, untimely TB screenings for staff, outdated individualized service plans for residents, and incomplete six-month emergency practice exercises.
Deficiencies (5)
| Description |
|---|
| The licensee failed to ensure TB Risk Assessments were signed by a Licensed Nurse rather than a Registered Medication Aide. |
| The facility failed to have complete new staff orientation covering required topics. |
| The facility failed to ensure TB screenings for staff were done within required time frames. |
| The facility failed to update individualized service plans to reflect discontinued oxygen and allergy precautions. |
| The facility failed to complete six-month practice exercises for resident emergencies covering physical and mental health emergencies. |
Report Facts
Number of residents present: 13
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of resident interviews conducted: 2
Number of staff interviews conducted: 6
Timeframe for audit frequency: 3
Timeframe for audit frequency: 2
Timeframe for audit frequency: 1
Date of most recent emergency practice exercise: Oct 6, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Marie Swink | Licensing Inspector | Current inspector conducting the renewal inspection |
| Susan Mallory | Licensing Inspector | Contact person for questions regarding the inspection findings |
| Director of Infection Control | Established TB screening completion and verification process for staff |
Inspection Report
Renewal
Census: 18
Deficiencies: 5
Sep 14, 2021
Visit Reason
A renewal inspection was initiated to review compliance with applicable standards and laws for the Davis & McDaniel Veterans Care Center.
Findings
The inspection identified multiple violations including failure to maintain a written work schedule indicating who is in charge, incomplete individualized service plans, inadequate medication management policies, unsigned or expired medication orders, and improper medication storage practices.
Deficiencies (5)
| Description |
|---|
| Facility failed to maintain a written work schedule that indicates who is in charge at any given time. |
| Facility failed to address some assessed needs on comprehensive individualized service plans (ISP). |
| Facility failed to have some required sections in their written plan for medication management. |
| Facility failed to have prescribers signed written orders in resident records. |
| Facility failed to keep medications in the pharmacy container until they were to be administered to the residents. |
Report Facts
Inspection dates: 4
Number of souffle cups with medications observed: 12
Number of souffle cups with medications observed: 15
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