Inspection Report Summary
The most recent inspections on October 30, 2025, included a substantiated complaint investigation citing a deficiency related to the facility’s failure to protect a resident who was injured by another resident, while two other complaint investigations on the same day found no deficiencies. Earlier inspections showed a mix of findings, including issues with incident reporting, resident safety, and documentation of care plans and staff certifications. Inspectors cited main deficiencies involving resident protection, timely reporting of incidents, and record keeping related to care plans and staff qualifications. Complaint investigations were mostly unsubstantiated except for two substantiated cases involving resident safety and failure to report incidents properly. The inspection history shows some ongoing challenges with resident safety and compliance with reporting requirements, with no clear pattern of consistent improvement or worsening.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
34% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
78 residents
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Monitoring
Deficiencies: 0
Date: Oct 30, 2025
Visit Reason
The inspection was a monitoring visit conducted on October 30, 2025, following a self-reported incident regarding allegations in the area of Resident Care and Related Services.
Findings
The investigation found no evidence to support the allegations of non-compliance with standards or law. The inspection summary will be posted publicly within five business days.
Report Facts
Number of resident records reviewed: 1
Number of staff interviews conducted: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Watkins | Licensing Inspector | Current inspector conducting the monitoring inspection |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 30, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-09-04 regarding allegations in the area of Resident Care and Related Services.
Complaint Details
Complaint investigation related to Resident Care and Related Services; the complaint was not substantiated.
Findings
The investigation found no evidence to support the allegation of non-compliance with standards or law. No violation notice was issued.
Report Facts
Number of resident records reviewed: 2
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 30, 2025
Visit Reason
The inspection was conducted as a complaint investigation following allegations related to Resident Care and Related Services at Watercrest Richmond Assisted Living and Memory Care.
Complaint Details
The complaint was substantiated. Resident #1 was injured by Resident #2, who was subsequently discharged. EMS was called and a police report was made.
Findings
The investigation supported the allegation of non-compliance with standards, specifically that the facility failed to protect the health, safety, and well-being of residents. A resident was punched by another resident, resulting in injury and discharge of the aggressor.
Deficiencies (1)
Facility failed to protect the health, safety and well-being of the residents as Resident #1 was punched in the face by Resident #2 causing injury.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 78
Deficiencies: 0
Date: Jul 24, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on March 6, 2025, regarding allegations in the area of staffing.
Complaint Details
Complaint related to staffing; the allegations were not substantiated based on the evidence gathered during the investigation.
Findings
The investigation found no evidence to support the allegations of non-compliance with standards or law related to staffing at the facility.
Inspection Report
Complaint Investigation
Census: 78
Deficiencies: 4
Date: Jul 23, 2025
Visit Reason
The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on 7/23/2025 regarding allegations in the area of Resident Care and Related Services.
Complaint Details
The complaint investigation was substantiated with violations issued. The complaint involved an incident of inappropriate sexual contact between two residents on 1/18/2025, which was not reported timely or properly by the facility.
Findings
The investigation supported the allegation of non-compliance with standards and laws, resulting in violations related to failure to report a major incident timely, failure to submit a written incident report within seven days, failure to ensure mandated reporters reported suspected abuse promptly, and failure to assume general responsibility for resident health, safety, and well-being.
Deficiencies (4)
Facility failed to report to the regional licensing office within 24 hours of any major incident affecting resident safety.
Facility failed to submit a written incident report to the regional licensing office within seven days of the incident.
Facility did not ensure all mandated reporters reported suspected abuse, neglect, or exploitation immediately as required by law.
Facility failed to assume general responsibility for the health, safety, and well-being of residents.
Report Facts
Number of residents present: 78
Number of resident records reviewed: 1
Number of staff interviews conducted: 2
Inspection Report
Renewal
Census: 113
Deficiencies: 0
Date: Jul 23, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the Watercrest Richmond Assisted Living and Memory Care facility.
Findings
The inspection found no violations with applicable standards or laws. The licensing inspector completed a tour of the physical plant and reviewed resident and staff records, as well as conducted interviews and observations.
Report Facts
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: 2
Inspection Report
Complaint Investigation
Census: 78
Deficiencies: 0
Date: Jul 23, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on July 23, 2025, regarding allegations in the area of Resident Care and Related Services.
Complaint Details
Complaint related to Resident Care and Related Services; the allegations were not substantiated.
Findings
The investigation found no evidence to support the allegations of non-compliance with standards or law. No violation notice was issued.
Report Facts
Number of residents present: 78
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of interviews conducted with staff: 3
Inspection Report
Monitoring
Census: 114
Deficiencies: 7
Date: Jul 15, 2024
Visit Reason
The inspection was a monitoring visit conducted to assess compliance with applicable standards and laws at Watercrest Richmond Assisted Living and Memory Care.
Findings
The inspection found multiple violations related to resident and staff record keeping, including failure to perform required reviews, missing documentation of disclosures, incomplete risk assessments, lack of first aid certification for staff, incomplete tuberculosis screenings, missing signed resident agreements, and failure to include Do Not Resuscitate orders in service plans.
Deficiencies (7)
Facility failed to perform six-month and annual reviews of appropriateness of each resident's continued residence in the special care unit.
Facility failed to document written acknowledgment of receipt of the disclosure statement by the resident or legal representative.
Facility failed to ensure annual staff evaluations and risk assessments documenting freedom from communicable tuberculosis.
Facility failed to ensure staff received first aid certification within the first 60 days of employment.
Facility failed to complete annual tuberculosis risk assessments for residents.
Facility failed to retain signed resident agreements in resident records.
Facility failed to include written Do Not Resuscitate Orders in residents' individualized service plans.
Report Facts
Number of residents present: 114
Number of resident records reviewed: 10
Number of staff records reviewed: 5
Number of resident interviews: 3
Number of staff interviews: 2
Inspection Report
Renewal
Census: 82
Deficiencies: 2
Date: Aug 11, 2023
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for the facility's license renewal.
Findings
The inspection found non-compliance with applicable standards or laws, resulting in documented violations. The facility was cited for failure to develop a preliminary plan of care within seven days of admission and failure to develop a plan for resident emergencies and practice exercises.
Deficiencies (2)
Based on a review of resident records a preliminary plan of care was not developed on or within seven days prior to admission.
Based on a review of facility records the facility failed to develop a plan for resident emergencies and practice exercises.
Report Facts
Number of residents present: 82
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: 2
Inspection Report
Monitoring
Census: 46
Deficiencies: 4
Date: May 11, 2023
Visit Reason
The inspection was a monitoring visit conducted to assess compliance with applicable standards and laws at Watercrest Richmond Assisted Living and Memory Care.
Findings
The inspection found non-compliance with several standards related to resident physical examinations, individualized service plans, and inclusion of Do Not Resuscitate orders in service plans. Violations were documented and a violation notice was issued.
Deficiencies (4)
Facility failed to ensure that resident physical examinations were within 30 days preceding admission.
Facility failed to document if resident individualized service plans were developed on or within seven days prior to the day of admission.
Individualized service plans failed to include all elements of the comprehensive individualized service plan.
Facility did not include Do Not Resuscitate Orders in individualized service plans.
Report Facts
Number of residents present: 46
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Watkins | Licensing Inspector | Inspector conducting the monitoring visit and contact person for questions |
| Resident Wellness Director | Responsible for addressing cited violations and implementing plans of correction |
Inspection Report
Original Licensing
Deficiencies: 0
Date: Mar 8, 2023
Visit Reason
Initial licensing inspection to evaluate the facility for issuance of a license to operate.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector completed a tour of the physical plant including resident bedrooms, dining areas, memory care unit, common areas, bathrooms, medication carts, kitchen, activities and sitting areas, and required postings.
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