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Source: VA State Licensing Agency
Type of inspection: ?Renewal? Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 02/02/2026, 10:15 a.m. to 1:36 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 7 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 2 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: Bingo and Lunch Additional Comments/Discussion: none. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of these inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Refer to General Procedures and Information for Licensure, 22VAC40-80-260-B for information on requesting a problem solving conference. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jacquelyn Kabiri, Licensing Inspector at (703) 397-3017 or by email at Jacquelyn.Kabiri@dss.virginia.gov
Based on direct observation, the facility failed to store cleaning supplies and other hazardous materials in a locked area. Evidence: 1. During the facility tour on 02/01/2026, at approximately 10:32 a.m., the LI observed that the kitchen cabinet located directly under the kitchen sink was unlocked. The following items were observed inside the cabinet: A. One red sharps container with an open top, containing more than twenty (20) used needles and syringes, and what appeared to be empty glass vials. B. Cleaning and chemical products, including: one box of Finish dishwasher pods; one small bottle of Berkeley Johnson blue dishwashing soap; one large bottle of Lysol Clean and Fresh; one spray bottle of Clorox multi-surface cleaner with bleach; one bottle of Soft Scrub cleaner with bleach; one bottle of Cascade dishwashing soap; and one spray bottle of OdoBan Pet Oxy Stain Remover. 2. Photo evidence taken.
Based on observation, the facility failed to implement their medication management plan. Evidence: 1.On 02/01/2026, the LI observed the red sharps container unlocked and under the kitchen sink cabinet. 2. The facility?s medication management states that sharps will be in a locked location. 3. Staff 1 confirmed the sharps container was not in a locked location at the time of inspection.
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 05/09/2025, 8:20 a.m. to 12:00 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 8 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of staff records reviewed:2 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: Breakfast and exercise Additional Comments/Discussion: none An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jacquelyn Kabiri, Licensing Inspector at (703) 397-3017 or by email at Jacquelyn.Kabiri@dss.virginia.gov
Based on observations, the facility failed to keep all furnishings, fixtures, and equipment clean and in good repair and condition. Evidence: 1. Resident 2?s bedroom window screen is torn. 2. Resident 3?s bedroom window had paper towels pushed against the windowsill, to keep the water out. 3. Resident 4?s window had broken blinds. 4. The living room wall had two areas where the drywall was chipped and scrapped behind the recliner chairs. 5. Photo evidence taken.
Based on observations, the facility failed to ensure that cleaning supplies and other hazardous materials were stored in a locked area. Evidence: 1. The third level bathroom shower had two disposable razors in the shower caddy. The vanity cabinets had one pink disposable razor, and one clear plastic bowl, containing power laundry detergent. 2. The bathroom countertop had a basket containing face and hair products and two, 16 oz bottles of mouthwash. 3. Photo evidence taken.
Based on observations, the facility failed to have an operable window effectively screened. Evidence: 1. During the onsite inspection with staff 1, it was observed that windows in residents 1, 2, and 4?s rooms were not screened. 2. Photo evidence taken.
Based on observation and interview, the facility failed to ensure doors leading to the outside not be locked from the inside or secured from the inside in any manner that amounts to a lock. Evidence: 1. On 05/09/2025, LI observed the front door was equipped with multiple locking mechanisms, including: a. One lock that secures into the top of the door frame. b. One lock that secures into the floor. c. One thumbturn lock. 2. During the inspection, the kitchen (emergency exit) door also had a thumbturn deadbolt and a lock on the doorknob. 3. Staff 1 confirmed the thumbturn deadbolt on the kitchen door was not locked during the inspection. 4. Photo evidence taken.
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: LI entered the facility at 8:44 am on 2/9/2023 and exited at 10:30 am on 2/9/2023. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 8 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 plus 2 discharged residents Number of staff records reviewed: 3 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 0 Observations by licensing inspector: LI observed residents engaging in activities.LI observed medication administration. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jamie Eddy, Licensing Inspector at (703) 479-5247 or by email at jamie.eddy@dss.virginia.gov
A monitoring inspection was started on 9/9/21 and concluded on 9/13/21 with the inspection findings being reviewed. Today's census was 7. Facilities fire and health inspections are current and activities are varied to meet different level of care needs. Reviewed two staff records and two residents? records including MAR
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