Inspection Reports for
Whispering Pines Assisted Living Facility
200 Leaksville Road, LURAY, VA, 22835
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
42% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
40 residents
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Renewal
Census: 40
Deficiencies: 6
Date: Sep 24, 2025
Visit Reason
The inspection was conducted as a renewal inspection of Whispering Pines Assisted Living Facility to assess compliance with applicable standards and laws.
Findings
The inspection found multiple violations related to staff first aid certification, medication management, emergency preparedness documentation, and emergency drills. The facility was determined to be non-compliant with several regulatory standards and was issued a violation notice.
Deficiencies (6)
Facility failed to ensure that each direct staff person received first aid certification within 60 days of employment.
Facility failed to ensure medications remained in the pharmacy issued container with prescription label until administered.
Facility failed to ensure that medications ordered for PRN (as needed) were available.
Facility failed to document annual contact with the local emergency coordinator regarding disaster risks and emergency assistance.
Facility failed to ensure a semi-annual review on the emergency preparedness plan with all staff, residents, and volunteers.
Facility failed to ensure that at least once every six months all staff participated in emergency procedure drills.
Report Facts
Number of residents present: 40
Number of resident records reviewed: 4
Number of staff records reviewed: 3
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill James | Licensing Inspector | Current inspector conducting the inspection |
Inspection Report
Monitoring
Census: 40
Deficiencies: 0
Date: Sep 24, 2025
Visit Reason
The inspection was a monitoring visit conducted on September 24, 2025, following a self-reported incident received on July 25, 2025, 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 toured the facility and reviewed resident records, with no deficiencies noted.
Report Facts
Number of resident records reviewed: 2
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill James | Licensing Inspector | Inspector conducting the monitoring visit |
Inspection Report
Monitoring
Census: 40
Deficiencies: 2
Date: Sep 24, 2025
Visit Reason
The inspection was a monitoring visit triggered by a self-reported incident received on 2025-08-09 regarding allegations in the area of resident care and related services.
Findings
The investigation did not substantiate the self-reported non-compliance; however, violations unrelated to the self-report were identified during the inspection, including failure to ensure staff in charge received proper training and failure to provide adequate supervision to prevent wandering.
Deficiencies (2)
Facility failed to ensure that prior to being placed in charge, the staff member in charge was informed of and received training on duties and responsibilities and provided written documentation of duties and responsibilities.
Facility failed to provide supervision of resident care and activities including attention to specialized needs such as to prevent wandering.
Report Facts
Number of residents present: 40
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of staff interviews conducted: 2
Date of self-reported incident: Aug 9, 2025
Date of resident wandering incident: Aug 29, 2025
Inspection Report
Monitoring
Census: 37
Deficiencies: 0
Date: Jul 17, 2025
Visit Reason
The inspection was a monitoring visit conducted to review resident care and related services following a self-report received by VDSS Division of Licensing regarding allegations in these areas.
Findings
The investigation did not support the self-report of non-compliance with standards or law. The licensing inspector observed residents eating lunch and completed a tour of the physical plant including the building and grounds.
Report Facts
Resident records reviewed: 1
Staff interviews conducted: 1
Inspection Report
Monitoring
Census: 26
Deficiencies: 3
Date: May 30, 2024
Visit Reason
The inspection was conducted as a monitoring visit following a self-reported incident received by VDSS Division of Licensing on May 18, 2024, regarding allegations in the area of Resident Care and related services.
Findings
The investigation supported the self-report of non-compliance with standards or law, resulting in violations issued related to failure to timely report a major incident, incomplete staff scheduling information, and inadequate supervision to prevent resident wandering. The licensee was given the opportunity to submit a plan of correction.
Deficiencies (3)
Facility failed to provide a written report of a major incident threatening resident health, safety, or welfare to the regional licensing office within seven days from the date of the incident.
Facility failed to ensure the staff schedule included job classification of all staff working each shift and indicated who was in charge at any given time.
Facility failed to ensure supervision of resident care was provided, including prevention from wandering from the premises.
Report Facts
Number of residents present: 26
Number of resident records reviewed: 1
Number of staff interviews conducted: 4
Incident report delay days: 12
Elopement screening score: 10
Inspection Report
Monitoring
Census: 26
Deficiencies: 8
Date: May 30, 2024
Visit Reason
The inspection was a monitoring visit conducted on May 30-31, 2024, to assess compliance with applicable standards and laws at Whispering Pines Assisted Living Facility.
Findings
The inspection identified multiple violations including staff qualification documentation, annual review of sex offender registry information, incomplete resident personal and social information, unsecured medication storage, incomplete documentation of staff rounds, missing emergency contact postings, lack of written emergency policies, and incomplete criminal history record reports.
Deficiencies (8)
Facility failed to ensure qualifications for 1 of 4 staff records reviewed included certification or other documentation.
Facility failed to ensure an annual review of information on the sex offender registry and documentation of resident acknowledgment.
Facility failed to ensure required resident personal and social information was obtained prior to or at the time of admission.
Facility failed to ensure that the medication storage area was locked.
Facility failed to ensure documentation of staff rounds was completed including resident name, date/time, and staff member.
Facility failed to ensure emergency telephone numbers were posted by each telephone shown on the fire and emergency evacuation plan.
Facility failed to ensure there were written policies and procedures for resident emergencies.
Facility failed to ensure criminal history record reports were obtained on or prior to the 30th day of employment for certain staff.
Report Facts
Number of residents present: 26
Number of resident records reviewed: 4
Number of staff records reviewed: 4
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeff Marnien | Licensing Inspector | Contact person for questions about the inspection |
| Jill James | Licensing Inspector | Current inspector conducting the inspection |
| Staff 5 | Staff member interviewed and acknowledged multiple deficiencies including missing qualifications, incomplete documentation, and procedural failures | |
| Staff 3 | Staff member whose records were reviewed and had missing documentation | |
| Staff 4 | Staff member whose records were reviewed and had missing documentation | |
| Staff 2 | Staff member whose criminal history record report was missing | |
| Staff 6 | Staff member whose criminal history record report was reviewed |
Inspection Report
Renewal
Census: 18
Deficiencies: 1
Date: Sep 29, 2022
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance with applicable standards related to dietary oversight. A violation notice was issued due to failure to ensure oversight of special diets by a dietician or nutritionist at least every six months.
Deficiencies (1)
Facility failed to ensure that an oversight of special diets by dietician or nutritionist was completed at least every six months.
Report Facts
Number of residents present: 18
Number of resident records reviewed: 4
Number of staff records reviewed: 4
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 19
Deficiencies: 1
Date: Oct 25, 2021
Visit Reason
A monitoring inspection was initiated to review compliance with applicable standards and laws, including a remote documentation review of resident and staff records, fire drills, and criminal history reports.
Findings
The inspection determined non-compliance with standards related to Individual Service Plans (ISPs), specifically that ISPs did not include all required components for residents.
Deficiencies (1)
Facility failed to ensure that Individual Service Plans (ISPs) included all required components, such as addressing use of a Geri Chair and providing written descriptions of services for disorientation.
Viewing
Loading inspection reports...
