Inspection Reports for Westminster Canterbury of Lynchburg
501 V.E.S. Road, VA, 24503
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
74% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
54 residents
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Monitoring
Census: 54
Deficiencies: 2
Apr 28, 2025
Visit Reason
The inspection was a monitoring visit conducted to assess compliance with applicable standards and laws at Westminster Canterbury of Lynchburg.
Findings
The inspection found non-compliance with applicable standards or laws, specifically related to the completion of private pay uniform assessment instruments and medication administration orders. Violations were documented and a plan of correction was requested.
Deficiencies (2)
| Description |
|---|
| The facility failed to ensure that private pay uniform assessment instruments (UAIs) were completed as required, with registered medication aides administering medications but not properly documented. |
| The facility failed to ensure that medication aides administering PRN medications had detailed physician orders including symptoms, exact dosage, time frames, and directions if symptoms persist. |
Report Facts
Number of residents present: 54
Number of resident records reviewed: 7
Number of staff records reviewed: 4
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Jo Ball | Licensing Inspector | Current inspector conducting the inspection |
Inspection Report
Renewal
Census: 45
Deficiencies: 1
Jan 5, 2024
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 with applicable standards or laws related to the facility's physical plant, specifically regarding incomplete information on posted fire and emergency evacuation drawings.
Deficiencies (1)
| Description |
|---|
| The facility posted fire and emergency evacuation drawings located by the elevators on the 3rd, 4th and 5th floors did not contain information about areas of refuge or assembly areas. |
Report Facts
Number of residents present: 45
Number of resident records reviewed: 7
Number of staff records reviewed: 4
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
Inspection Report
Monitoring
Census: 46
Deficiencies: 3
May 15, 2023
Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and laws at Westminster Canterbury of Lynchburg.
Findings
The inspection found non-compliance with applicable standards and laws, resulting in documented violations related to incomplete uniform assessment instruments, improper medication administration by medication aides, and unsecured cleaning supplies.
Deficiencies (3)
| Description |
|---|
| The facility failed to ensure that private pay uniform assessment instruments (UAIs) were completed as required. |
| The facility failed to ensure that medications administered were consistent with the standards of practice outlined in the current medication aide curriculum approved by the Virginia Board of Nursing. |
| The facility failed to ensure that cleaning supplies were stored in a locked area. |
Report Facts
Number of residents present: 46
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of interviews with residents: 2
Number of interviews with staff: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Jo Ball | Licensing Inspector | Current inspector conducting the monitoring inspection |
| Resident Care Coordinator | Named in plans of correction for deficiencies related to UAIs, medication administration, and cleaning supplies storage |
Inspection Report
Renewal
Deficiencies: 4
Dec 3, 2021
Visit Reason
Two inspectors conducted a renewal study including review of resident and staff records, background checks, a physical plant tour, medication pass observation, and document review.
Findings
The facility was found deficient for failing to have protective devices on windows in the special unit sunroom, failing to provide direct care or companion services as per individualized service plans, improperly addressing needs on service plans, and changing treatment without valid physician orders.
Deficiencies (4)
| Description |
|---|
| Facility failed to have protective devices on windows in the special unit sunroom to prevent residents from crawling through. |
| Facility failed to have direct care or companion services provided by private duty personnel to meet identified needs on the resident's individualized service plan. |
| Facility failed to properly address a need on a comprehensive individualized service plan. |
| Facility failed to ensure no treatment was changed without a valid order from a physician or other prescriber. |
Report Facts
Resident records reviewed: 8
Staff records reviewed: 5
Inspection duration hours: 7.17
Windows without protective devices: 4
Inspection Report
Renewal
Census: 47
Deficiencies: 2
Dec 10, 2020
Visit Reason
A renewal inspection was initiated on 12/10/2020 and concluded on 12/14/2020 to assess compliance with applicable standards and laws for Westminster Canterbury of Lynchburg.
Findings
The inspection identified non-compliance with standards including failure to complete a uniform assessment instrument (UAI) properly and incomplete prescriber's orders for supplemental oxygen. Corrections were made during the inspection period.
Deficiencies (2)
| Description |
|---|
| The facility failed to complete a uniform assessment instrument (UAI) in accordance with Assessment in Assisted Living Facilities (22VAC30-110). |
| The facility failed to have a complete prescriber's order for a resident using supplemental oxygen, lacking information regarding the source of oxygen. |
Report Facts
Resident records reviewed: 3
Staff records reviewed: 3
Companion records reviewed: 1
Census: 47
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