Inspection Reports for Viva Memory Care at Chesapeake
130 Great Bridge Blvd., VA, 23320
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
9.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
7% worse than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
48 residents
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Monitoring
Census: 48
Deficiencies: 0
Oct 30, 2025
Visit Reason
An unannounced monitoring inspection was conducted following a self-report received by VDSS Division of Licensing regarding allegations in the Safe Secure Unit.
Findings
The investigation did not support the self-report of non-compliance with standards or law. The licensing inspector completed a tour of the physical plant and observed the facility's exit doors without identifying deficiencies.
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
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 0
Oct 30, 2025
Visit Reason
An unannounced complaint inspection was conducted due to a complaint received on 2025-10-02 regarding allegations in the area of Resident Care and Related Services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No deficiencies were cited.
Complaint Details
Complaint received by VDSS Division of Licensing on 2025-10-02 regarding allegations in Resident Care and Related Services. Investigation findings did not substantiate the complaint.
Report Facts
Residents present: 48
Resident records reviewed: 3
Staff records reviewed: 0
Staff interviews conducted: 2
Resident interviews conducted: 0
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 0
Oct 30, 2025
Visit Reason
An unannounced complaint inspection was conducted due to a complaint received on 2025-10-03 regarding allegations in the area of Resident Care and Related Services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No deficiencies were cited.
Complaint Details
Complaint received by VDSS Division of Licensing on 2025-10-03 regarding Resident Care and Related Services. The investigation did not substantiate the allegations.
Report Facts
Residents present: 48
Resident records reviewed: 3
Staff records reviewed: 0
Staff interviews conducted: 2
Resident interviews conducted: 0
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 2
Sep 11, 2025
Visit Reason
An unannounced complaint inspection was conducted on September 11, 2025, following a complaint received on September 8, 2025, regarding Resident Care and Related Services, Staffing and Supervision, and the Safe Secure Environment.
Findings
The investigation supported some but not all of the complaint allegations, resulting in violations issued related to medication management, including failure to have valid physician orders for medication discontinuation and failure to administer medications according to physician instructions.
Complaint Details
Complaint was received by VDSS Division of Licensing on 09/08/2025 regarding allegations in Resident Care and Related Services, Staffing and Supervision, and the Safe Secure Environment. The evidence supported some but not all of the complaint of non-compliance, and violations were issued.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure no medication, dietary supplement, diet, medical procedure, or treatment was started, changed, or discontinued without a valid order from a physician or other prescriber. |
| Facility failed to ensure medications were administered in accordance with the physician's or other prescriber's instructions. |
Report Facts
Residents present: 60
Resident records reviewed: 4
Staff records reviewed: 4
Staff interviews conducted: 1
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 3
Aug 27, 2025
Visit Reason
An unannounced complaint inspection was conducted on August 27, 2025, and September 11, 2025, following a complaint received on August 15, 2025, regarding allegations related to Background Checks for Assisted Living Facilities and Resident Care and Related Services.
Findings
The investigation supported some, but not all, of the complaint allegations, resulting in violations issued. Deficiencies included failure to complete annual Uniform Assessment Instruments (UAI) and Individualized Service Plans (ISP) for residents, and failure to complete criminal history record reports within 30 days of employment for staff.
Complaint Details
The complaint was substantiated in part, with violations issued related to background checks and resident care standards. Some allegations were not supported.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure all residents and applicants were assessed face to face using the uniform assessment instrument (UAI) prior to admission, annually, and with significant changes. |
| Facility failed to ensure Individualized Service Plans (ISP) were reviewed and updated at least once every 12 months and as needed for significant changes. |
| Facility failed to ensure criminal history record reports were completed within 30 days of employment for each employee. |
Report Facts
Residents present: 66
Resident records reviewed: 5
Staff records reviewed: 5
Staff interviews conducted: 3
Dates of inspection: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Inspector conducting the complaint investigation |
| Staff #2 | Interviewed staff unable to provide updated UAI and ISP documents for residents | |
| Staff #3 | Interviewed staff unable to provide criminal history report for staff #8 | |
| Resident Care Director | Responsible for correcting deficiencies related to assessments and service plans | |
| Assistant Resident Care Director | Responsible for correcting deficiencies related to assessments and service plans | |
| Business Office Manager | Responsible for employee file audits and ensuring criminal history checks | |
| Executive Director | Responsible for employee file audits and ensuring criminal history checks |
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 0
Aug 27, 2025
Visit Reason
The inspection was conducted due to a complaint received on 2025-08-15 regarding allegations related to Regulations for Background Checks for Assisted Living Facilities and Resident Care and Related Services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings will be posted publicly and a violation notice was issued.
Complaint Details
Complaint received on 2025-08-15 regarding allegations in the areas of Background Checks for Assisted Living Facilities and Resident Care and Related Services. The investigation did not substantiate the allegations.
Report Facts
Number of residents present: 66
Number of resident records reviewed: 5
Number of staff records reviewed: 6
Number of staff interviews conducted: 3
Number of resident interviews conducted: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Named as the current inspector conducting the complaint investigation |
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 2
Aug 27, 2025
Visit Reason
An unannounced complaint inspection was conducted on August 27, 2025, and September 11, 2025, following a complaint received on August 15, 2025, regarding allegations in Personnel, Staffing and Supervision, and Resident Care and Related Services.
Findings
The investigation supported some, but not all, of the complaint allegations and violations were issued. Deficiencies included failure to ensure direct care staff met training requirements and failure to provide timely healthcare oversight by a licensed health care professional.
Complaint Details
Complaint was substantiated in part regarding Personnel, Staffing and Supervision, and Resident Care and Related Services. Some violations were issued based on the complaint.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure direct care staff met training requirements within two months of employment. |
| Facility failed to ensure a licensed health care professional provided health care oversight at least every six months. |
Report Facts
Number of residents present: 66
Number of resident records reviewed: 5
Number of staff records reviewed: 5
Number of interviews conducted with staff: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Named in deficiency for failing to meet direct care staff training requirements and suspended on 09/25/25 | |
| Staff #3 | Provided evidence and interviews related to deficiencies | |
| Donesia Peoples | Licensing Inspector | Conducted the inspection and interviews |
| Business Office Manager | Responsible for auditing employee files and verifying credentials as part of plan of correction | |
| Resident Care Director | Responsible for healthcare oversight plan of correction | |
| Regional Clinical Director | Initiated completion of healthcare oversight as part of plan of correction |
Inspection Report
Monitoring
Census: 60
Deficiencies: 1
Aug 27, 2025
Visit Reason
An unannounced monitoring inspection was conducted on August 27, 2025 and September 11, 2025 following a self-report received by VDSS regarding allegations in Resident Care and Related Services and the Safe Secure Environment.
Findings
The investigation supported the self-report of non-compliance related to medication management, with violations issued. Specifically, medication errors occurred where residents were administered medications prescribed to other residents, resulting in hospitalizations.
Deficiencies (1)
| Description |
|---|
| The facility failed to implement a written plan for medication management. |
Report Facts
Residents present: 60
Resident records reviewed: 4
Staff records reviewed: 3
Staff interviews conducted: 3
Medication errors: 2
Inspection Report
Complaint Investigation
Census: 69
Deficiencies: 0
Jul 10, 2025
Visit Reason
An unannounced complaint inspection was conducted due to allegations regarding Staffing and Supervision, Resident Care and Related Services, Personnel, and the Safe Secure Environment.
Findings
The evidence gathered during the investigation did not support the complaint of non-compliance with standards or law.
Complaint Details
A complaint was received by VDSS Division of Licensing on 2025-06-30 regarding allegations in the areas of Staffing and Supervision, Resident Care and Related Services, Personnel, and the Safe Secure Environment. The investigation found no substantiated non-compliance.
Report Facts
Number of residents present: 69
Number of staff records reviewed: 3
Number of interviews conducted with staff: 6
Number of resident records reviewed: 0
Number of interviews conducted with residents: 0
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 4
May 27, 2025
Visit Reason
An unannounced complaint inspection was conducted due to a complaint received on 2025-05-22 regarding allegations in the area of Resident Care and Related Services.
Findings
The investigation supported some, but not all, of the complaint allegations, resulting in violations issued. Deficiencies included failure to report major incidents to the licensing office, failure to update fall risk ratings after falls, failure to secure and document medical attention and notifications for serious incidents, and failure to document medication errors or omissions.
Complaint Details
The complaint was substantiated in part, with violations issued related to Resident Care and Related Services. Some allegations were not supported by the evidence gathered.
Deficiencies (4)
| Description |
|---|
| Facility failed to report to the regional licensing office within 24 hours any major incident that negatively affected or threatened the life, health, safety, or welfare of any resident. |
| Facility failed to ensure the fall risk rating was reviewed and updated after a fall. |
| Facility failed to ensure medical attention was secured immediately for serious incidents and failed to document notifications to legal representatives within 24 hours. |
| Facility failed to ensure the medication administration record included reasons for medication errors or omissions. |
Report Facts
Residents present: 66
Resident records reviewed: 2
Staff records reviewed: 0
Staff interviews conducted: 1
Falls documented for resident #1: 5
Medication omission dates for resident #1: 4
Medication omission dates for resident #2: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Conducted the inspection and interviews |
| Staff #1 | Interviewed staff member who acknowledged failures in reporting and documentation |
Inspection Report
Monitoring
Census: 64
Deficiencies: 2
Apr 17, 2025
Visit Reason
An unannounced monitoring inspection was conducted following a self-report received by VDSS Division of Licensing regarding allegations in the areas of Resident Care and Related Services and the Safe Secure Environment.
Findings
The investigation supported the self-report of non-compliance with standards and laws, resulting in violations related to inadequate supervision of residents and failure to complete required two-hour rounds for a resident with cognitive impairment.
Deficiencies (2)
| Description |
|---|
| The facility failed to ensure supervision of resident schedules, care, and activities, including prevention of falls and wandering from the premises, as evidenced by a resident exiting the secure unit unnoticed and being found off premises. |
| The facility failed to ensure required two-hour rounds were made and documented for a resident with cognitive inability to use signaling devices on multiple dates. |
Report Facts
Number of residents present: 64
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of staff interviews conducted: 2
Distance resident found from facility: 5
Dates missing documented 2-hour rounds: 8
Inspection Report
Renewal
Census: 64
Deficiencies: 8
Apr 17, 2025
Visit Reason
An unannounced renewal inspection was conducted to assess compliance with applicable standards and regulations for licensing renewal of the assisted living facility.
Findings
The inspection identified multiple violations related to disclosure statements, staff tuberculosis risk assessments, physical examinations, admission agreements, uniform assessment instruments, preliminary plans of care, individualized service plans, and hospice care coordination. Plans of correction were proposed for each deficiency to ensure compliance.
Deficiencies (8)
| Description |
|---|
| Facility failed to provide current disclosure statements including the name of the licensee and facility name changes. |
| Staff did not annually submit tuberculosis risk assessments as required. |
| Physical examinations for residents lacked required elements such as statements about nursing care needs, dates, height, weight, and blood pressure. |
| Admission agreements were not updated to reflect facility name changes. |
| Residents were not assessed face to face using the uniform assessment instrument annually or upon significant change. |
| Preliminary plans of care were not completed within seven days prior to admission. |
| Individualized service plans were not completed within 30 days after admission. |
| Hospice care services were not included in the individualized service plan as required. |
Report Facts
Residents present: 64
Resident records reviewed: 6
Staff records reviewed: 3
Resident interviews conducted: 1
Staff interviews conducted: 4
Plan of correction submission timeframe: 5
Review request timeframe: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Licensing Inspector | Conducted the inspection and is contact for questions |
| Staff #5 | Interviewed multiple times acknowledging deficiencies in disclosure statements, physical exams, admission agreements, UAI, ISP, and hospice care documentation | |
| Staff #2 | Staff member whose tuberculosis risk assessment was missing and later corrected |
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 0
Jan 16, 2025
Visit Reason
An unannounced complaint inspection was conducted due to a self-reported incident received by VDSS Division of Licensing on 2024-12-30 regarding allegations in the areas of Staffing and Supervision, Resident Care and Related Services, and the Safe Secure Environment.
Findings
The evidence gathered during the investigation did not support the complaint of non-compliance with standards or law. The licensing inspector completed a tour of the physical plant and reviewed the facility's staffing schedule.
Complaint Details
Complaint related to allegations in Staffing and Supervision, Resident Care and Related Services, and the Safe Secure Environment. The complaint was not substantiated based on the investigation findings.
Report Facts
Residents present: 64
Resident records reviewed: 3
Staff records reviewed: 0
Staff interviews conducted: 2
Resident interviews conducted: 0
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 2
Dec 19, 2024
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2024-12-12 regarding allegations in the areas of Resident Care and Related Services and the Safe Secure Environment.
Findings
The investigation supported some, but not all, of the complaint allegations, resulting in violations issued. The facility failed to ensure individualized service plans were reviewed and updated timely and failed to assume general responsibility for the health, safety, and well-being of residents, including an incident involving a resident fall due to wet carpet.
Complaint Details
Complaint was received by VDSS Division of Licensing on 2024-12-12 regarding allegations in Resident Care and Related Services and the Safe Secure Environment. The investigation partially substantiated the complaint with violations issued.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure Individualized Service Plans (ISP) were reviewed and updated at least once every 12 months and as needed for significant changes in resident condition. |
| Facility failed to assume general responsibility for the health, safety, and well-being of residents, evidenced by a resident fall on wet carpet resulting in a hip fracture. |
Report Facts
Residents present: 64
Resident records reviewed: 3
Staff records reviewed: 2
Staff interviews conducted: 2
Resident interviews conducted: 0
Inspection Report
Complaint Investigation
Census: 69
Deficiencies: 0
Aug 8, 2024
Visit Reason
An unannounced complaint inspection was conducted due to a complaint received on 2024-07-30 regarding allegations in the area of Resident Care and Related Services.
Findings
The evidence gathered during the investigation did not support the complaint of non-compliance with standards or law.
Complaint Details
Complaint received by VDSS Division of Licensing on 07/30/2024 regarding allegations in Resident Care and Related Services. The complaint was not substantiated.
Report Facts
Residents present: 69
Resident records reviewed: 3
Staff records reviewed: 0
Staff interviews conducted: 1
Resident interviews conducted: 0
Inspection Report
Renewal
Census: 66
Deficiencies: 5
Apr 29, 2024
Visit Reason
An unannounced renewal inspection was conducted to assess compliance with applicable standards and regulations for license renewal.
Findings
The inspection found multiple violations including failure to ensure criminal history checks for employment, delayed first aid certification for staff, physical examinations not completed within required timeframe prior to admission, missing signatures on individualized service plans, and unsecured medication storage.
Deficiencies (5)
| Description |
|---|
| Facility failed to ensure any person required to obtain a criminal history report was ineligible for employment if the report contained convictions of barrier crimes. |
| Facility failed to ensure each direct care staff member without current first aid certification received certification within 60 days of employment. |
| Facility failed to ensure physical examination by an independent physician was completed within 30 days preceding admission. |
| Individualized service plans were not signed and dated by the resident or legal representative. |
| Medication cart was observed to be unlocked and unstaffed, not consistent with standards of practice. |
Report Facts
Number of residents present: 66
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 4
Inspection Report
Routine
Census: 56
Deficiencies: 0
Jul 27, 2023
Visit Reason
The inspection was conducted as a routine visit following a self-reported incident received by VDSS Division of Licensing regarding allegations in the area of Resident Care and Related Services.
Findings
The investigation did not support the self-report of non-compliance with standards or law. The licensing inspector completed a tour of the physical plant, reviewed one resident record, and conducted interviews with one resident and one staff member.
Report Facts
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 56
Deficiencies: 1
Jun 13, 2023
Visit Reason
An unannounced monitoring inspection was conducted to review compliance with regulations, including a self-reported incident regarding resident care and related services.
Findings
The investigation supported the self-report of non-compliance with standards related to resident care, resulting in violations issued. Specifically, the facility failed to assume general responsibility for the health, safety, and well-being of a resident, with documented incidents involving inadequate assistance and improper staff conduct.
Deficiencies (1)
| Description |
|---|
| Facility failed to assume general responsibility for the health, safety, and well-being of residents, including incidents where staff did not assist a resident and restricted resident's freedom. |
Report Facts
Number of residents present: 56
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of staff interviews conducted: 2
Inspection Report
Monitoring
Census: 57
Deficiencies: 1
Mar 22, 2023
Visit Reason
An unannounced monitoring inspection was conducted to investigate a self-reported incident regarding personnel allegations received by VDSS Division of Licensing.
Findings
The investigation supported the self-report of non-compliance related to staff conduct, specifically a staff member using a curse word towards a resident. Violations were issued and the licensee was given the opportunity to submit a plan of correction.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure all staff shall be considerate and respectful of the rights, dignity, and sensitiveness of persons who are aged, infirm, or disabled. |
Report Facts
Number of residents present: 57
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of staff interviews conducted: 2
Inspection Report
Renewal
Census: 57
Deficiencies: 6
Mar 22, 2023
Visit Reason
An unannounced renewal inspection was conducted to assess compliance with applicable standards and regulations for the facility's license renewal.
Findings
The inspection identified multiple violations related to discharge documentation, uniform assessment instrument updates, individualized service plans, hospice care coordination, signature requirements on ISPs, and medication management including expired medications on the medication cart.
Deficiencies (6)
| Description |
|---|
| Failed to provide a dated discharge statement including the resident's destination. |
| Failed to complete the uniform assessment instrument (UAI) upon significant change in resident condition. |
| Individualized Service Plan (ISP) did not include description of identified needs based on UAI. |
| Failed to establish an agreed upon coordinated plan of care between facility and hospice organization including hospice services in ISP. |
| ISPs were not signed and dated by the resident or legal guardian. |
| Failed to implement a written medication management plan to prevent use of outdated medications; expired medications were found on medication cart. |
Report Facts
Number of residents present: 57
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of resident interviews: 2
Number of staff interviews: 3
Expired medications observed: 4
Inspection Report
Monitoring
Census: 55
Deficiencies: 3
Nov 15, 2022
Visit Reason
An unannounced monitoring inspection was conducted to review compliance with regulations, including a self-reported incident regarding resident care and related services.
Findings
The inspection found violations related to unsecured exit doors in the memory care unit, failure to complete comprehensive individualized service plans within 30 days of admission, and inadequate supervision of residents leading to an elopement incident.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure doors leading to unprotected areas were monitored or secured with appropriate devices, resulting in an unlocked exit door in the safe, secure unit. |
| Facility failed to complete comprehensive individualized service plans within 30 days after admission for residents. |
| Facility failed to provide adequate supervision of resident schedules, care, and activities, including attention to specialized needs, resulting in a resident eloping from the premises. |
Report Facts
Number of residents present: 55
Number of resident records reviewed: 5
Number of staff records reviewed: 3
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 3
Time resident was missing: 20
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 8, 2022
Visit Reason
An unannounced non-mandated complaint inspection was initiated on July 8, 2022, from 9:10 a.m. until 10:30 a.m.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law.
Complaint Details
Complaint related inspection; the allegations of non-compliance were not substantiated.
Inspection Report
Renewal
Census: 50
Deficiencies: 4
Mar 10, 2022
Visit Reason
An unannounced renewal inspection was conducted to assess compliance with regulatory standards including medication pass observation, meal service, staff and resident records, emergency preparedness, and other areas.
Findings
The facility was found deficient in several areas including incomplete physical examination records for residents, individualized service plans lacking all assessed needs, failure to update service plans timely, and incomplete medication administration records. Plans of correction were outlined for each deficiency.
Deficiencies (4)
| Description |
|---|
| Facility failed to ensure the physical examination included all required information for two of six residents' records. |
| Facility failed to ensure the individualized service plan (ISP) included all assessed needs for four of six residents' records. |
| Facility failed to ensure the individualized service plan (ISP) was reviewed and updated at least once every 12 months and as needed for significant changes for two of six residents' records. |
| Facility failed to ensure the medication administration record (MAR) included all required information for one of six residents' records. |
Report Facts
Census: 50
Number of residents with incomplete physical exam records: 2
Number of residents with incomplete ISP assessed needs: 4
Number of residents with ISP not updated timely: 2
Number of residents with incomplete MAR information: 1
Plan of Correction due date: Apr 11, 2022
Inspection Report
Monitoring
Census: 50
Deficiencies: 1
Mar 10, 2022
Visit Reason
An unannounced monitoring inspection was conducted to review compliance with staffing, admission, retention, discharge, and additional requirements for adults with serious cognitive impairments.
Findings
The facility failed to ensure that ordinary materials or objects potentially harmful to residents were inaccessible except under staff supervision, as evidenced by a resident ingesting hand sanitizer and the individualized service plan not being updated to address safety concerns.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure harmful materials or objects were inaccessible to residents except under staff supervision. |
Report Facts
Facility census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Inspector | Named as current inspector conducting the inspection |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 9, 2021
Visit Reason
A non-mandated, self-report inspection was initiated following a self-reported incident received on 2021-07-01 regarding allegations in the area of resident care on the serious cognitive unit. The investigation was conducted by contacting the assistant resident care director and gathering documentation.
Findings
The investigation supported the self-report of non-compliance with standards or law, resulting in violations issued related to the facility's failure to ensure harmful materials or objects were inaccessible to residents except under staff supervision.
Complaint Details
The visit was complaint-related but the complaint was self-reported by the facility. The evidence gathered supported the self-report of non-compliance and violations were issued.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure that ordinary materials or objects that may be harmful to a resident were inaccessible except under staff supervision, evidenced by resident #1 accessing resident #2's calmoseptine barrier cream. |
Report Facts
Inspection Dates: 3
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 17, 2021
Visit Reason
A complaint inspection was initiated on May 5, 2021 and concluded on June 17, 2021, regarding allegations in the areas of resident care and related services at the facility.
Findings
The investigation found non-compliance with standards related to failure to ensure attention to specialized needs for prevention of falls, including failure to obtain a soft helmet for a resident at risk of falls, which contributed to the resident's injury and death.
Complaint Details
The complaint investigation was substantiated with evidence supporting the allegation of non-compliance related to resident care and fall prevention.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure attention to specialized needs for prevention of falls, including failure to order a soft helmet for Resident #1 as a fall risk intervention. |
Report Facts
Dates of hospitalizations: Resident #1 experienced falls with hospitalizations on 2021-04-26 and 2021-05-03.
Resident admission date: Resident #1 admitted on 2021-04-19.
Resident death date: Resident #1 death certificate dated 2021-05-08.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Inspector | Conducted the complaint inspection. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 17, 2021
Visit Reason
A complaint inspection was initiated on May 5, 2021 and concluded on June 17, 2021 due to allegations regarding resident care and related services at the facility.
Findings
The investigation found non-compliance with standards related to failure to ensure attention to specialized needs for prevention of falls, including failure to obtain a soft helmet for a resident at risk of falls, which contributed to the resident's injury and death.
Complaint Details
The complaint investigation was substantiated with evidence supporting the allegation of non-compliance related to resident care and fall prevention.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure attention to specialized needs for prevention of falls, including failure to obtain a soft helmet for Resident #1 as a fall risk intervention. |
Report Facts
Dates related to Resident #1: Apr 19, 2021
Dates related to Resident #1 hospitalizations: Apr 26, 2021
Dates related to Resident #1 hospitalizations: May 3, 2021
Date of Resident #1 death: May 8, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Inspector | Current Inspector conducting the complaint investigation |
| Staff #1 | Confirmed falls occurred and helmet was not obtained prior to Resident #1's death |
Inspection Report
Renewal
Census: 48
Deficiencies: 3
May 18, 2021
Visit Reason
A renewal inspection was initiated on May 18, 2021 and concluded on May 20, 2021 to assess compliance with applicable standards and laws at Viva Memory Care at Chesapeake.
Findings
The inspection identified non-compliances including failure to ensure physician's orders identified diagnosis or indications for medications, failure to include Do Not Resuscitate (DNR) orders on individualized service plans, and failure to ensure truthful sworn statements by staff regarding criminal history.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure physician's orders identified the diagnosis, condition, or specific indications for administering each drug. |
| Facility failed to ensure Do Not Resuscitate (DNR) Order was included on the individualized service plan (ISP). |
| Facility failed to ensure any person making a materially false statement on the sworn statement shall be guilty of a Class 1 misdemeanor. |
Report Facts
Census: 48
Resident records reviewed: 3
Staff records reviewed: 3
Comprehensive ISP audits: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Current Inspector | Named as the inspector conducting the inspection |
Inspection Report
Complaint Investigation
Deficiencies: 2
Apr 7, 2021
Visit Reason
A complaint inspection was initiated due to allegations regarding resident care and related services, building and grounds, and staffing at Viva Memory Care at Chesapeake.
Findings
The investigation did not substantiate the allegations of non-compliance; however, violations were identified related to medication orders lacking diagnosis or specific indications and failure to provide medical treatments as ordered by prescribers.
Complaint Details
Complaint related to allegations in resident care and related services, building and grounds, and staffing. The evidence gathered did not support the allegations of non-compliance, but violations were issued.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure prescriber orders included the diagnosis, condition, or specific indications for administering each drug. |
| Facility failed to ensure medical treatments ordered by a prescriber were provided according to his instructions. |
Report Facts
Inspection dates: 3
Medication administration record non-compliance instances: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Inspector | Current inspector conducting the complaint investigation |
| Staff #1 | Confirmed missing diagnosis in medication orders and failure to apply/remove treatments as ordered |
Inspection Report
Monitoring
Census: 55
Deficiencies: 2
Jan 5, 2021
Visit Reason
A monitoring inspection was initiated due to the state of emergency health pandemic declared by the Governor of Virginia, conducted remotely to review compliance with resident care and related services standards.
Findings
The inspection found non-compliance with standards including failure to establish written policies and procedures for resident rights and failure to ensure Medication Administration Records included initials of direct care staff administering medications.
Deficiencies (2)
| Description |
|---|
| Facility failed to establish written policies and procedures for implementing §63.2-1808 of the Code of Virginia regarding residents' rights. |
| Facility failed to ensure Medication Administration Records included initials of direct care staff administering medications for multiple residents. |
Report Facts
Medication Administration Record missing initials: 68
Medication Administration Record missing initials: 28
Medication Administration Record missing initials: 3
Resident records reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Inspector | Named as current inspector conducting the inspection |
| Staff #1 | Provided information regarding policies and medication administration records |
Inspection Report
Monitoring
Deficiencies: 3
Sep 17, 2020
Visit Reason
A monitoring inspection was initiated due to several self-reported incidents related to Administration and Administrative Services and Resident Care and Related Services during a state of emergency health pandemic.
Findings
The investigation supported self-reports of non-compliance with facility policies and state standards, resulting in violations related to abuse prevention, mandated reporting, and medication order management after hospital discharge.
Deficiencies (3)
| Description |
|---|
| Failure to ensure compliance with the facility's own policies and procedures regarding abuse prevention and investigation. |
| Failure to ensure staff who are mandated reporters report suspected abuse of residents in accordance with Virginia Code. |
| Failure to ensure new orders for medications and treatments are obtained prior to or at the time of resident's return from hospital. |
Report Facts
Inspection dates: 4
Days medication not administered: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donesia Peoples | Current Inspector | Named as the licensing inspector conducting the inspection |
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