Bellgrade Estates Senior Living
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Dec 30, 2025RoutineCleanReport
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: 9/30/2025 10:30a -4:00p 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: 70 residents 60 AL 10 MC The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 3 Observations by licensing inspector: Postings, Activities, Residents, Medication Administration, Medication Cart Additional Comments/Discussion: 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 Tamara Watkins, Licensing Inspector at (804) 840-3710 or by email at tamara.g.watkins@dss.virginia.gov Violation Notice Issued: No
Dec 30, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 09/29/2025 09/30/2025 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 9/29/2025 regarding allegations in the area of : Resident Care and Related Services ? Personal care services and general supervision and care Number of resident records reviewed: 1 Number of interviews conducted with staff: 3 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation(s) of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Tamara Watkins, Licensing Inspector at (804) 840-3710 or by email at tamara.g.watkins@dss.virginia.gov Violation Notice Issued: Yes
Based on interviews the facility failed to ensure that personal assistance and care are provided to each resident as necessary so that the needs of the resident are met. Resident #1 The resident was discovered by a family member on 9/28/25 in soiled urine soaked sheets, mattress and wet blanket with several soiled under pads underneath.
Dec 29, 2025ComplaintCleanReport
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 9/29/2025 & 9/30/2025 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 9/29/2025 regarding allegations in the area(s) of: Resident care and Related Services ? Personal care services and general supervision and care and Administration of medications Number of resident records reviewed: 4 Number of interviews conducted with staff: 3 The evidence gathered during the investigation did not support the allegations of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 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 Tamara Watkins, Licensing Inspector at (804) 840-3710 or by email at tamara.g.watkins@dss.virginia.gov Violation Notice Issued: No
Jul 25, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7/25/2025 12:30p ? 1:30p The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 2/27/2025 regarding allegations in the area of: Resident Care and Related Services Number of resident records reviewed: 1 Number of interviews conducted with staff: 2 Additional Comments/Discussion: The evidence gathered during the investigation supported the allegation of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Tamara Watkins, Licensing Inspector at (804) 840-3710 or by email at tamara.g.watkins@dss.virginia.gov Violation Notice Issued: Yes
Based on resident record documentation no medication shall be started, changed, or discontinued by the facility without a valid order from a physician or other prescriber. Medications include prescription, over-the-counter, and sample medications. Evidence: A letter from the prescriber dated 1/30/2025 stated that "there has been a medication error resulting in delay of care for Resident #1, an Assisted Living resident".
Jul 25, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7/25/2025 10:20a ? 11:20a The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 2/13/2025 regarding allegations in the area of: Resident Care and Related Services Number of resident records reviewed: 1 Number of interviews conducted with residents: Number of interviews conducted with staff: 2 Additional Comments/Discussion: The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violations were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed 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 Tamara Watkins, Licensing Inspector at (804) 840-3710 or by email at tamara.g.watkins@dss.virginia.gov Violation Notice Issued: Yes
Based on staff interviews the facility failed to report to the regional licensing office within 24 hours any major incident that has negatively affected or threatened the life, health, safety, or welfare of any resident. Evidence: No documentation of an incident report involving Resident #1?s panic attack or muscle spasms prior to her death was submitted to the regional licensing office.
The facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs. Evidence: On the evening of 2/8/2025 Resident #1 called a relative reporting they were having a panic attack or muscle spasms and needed to go to the hospital. The facility did not send the resident to the hospital. The relative reports calling the resident and receiving no answer on Sunday, 2/9/25. At 6pm on 2/9/2025 the relative was informed by the facility that the resident died
The facility failed to ensure that medications were administered according to physician instructions. Evidence: Resident #1 was prescribed Duopa (a medication used to treat Parkinson?s disease) to be administered at 6am daily. At the time of this inspection no documentation ( MAR
Jul 25, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7/25/2025 10:30a ? 11:20a The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on regarding allegations in the area of: Resident Care and Related Services Number of resident records reviewed: 1 Number of interviews conducted with staff: 2 The evidence gathered during the investigation supported the allegation of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Tamara Watkins, Licensing Inspector at (804) 840-3710 or by email at tamara.g.watkins@dss.virginia.gov Violation Notice Issued: Yes
Based on a review of medication administration records, the facility failed to administer medication in accordance with physician?s orders. Evidence: Resident #1 Eight medications were not given according to physician orders February 2026 as documented on the MAR
Dec 16, 2024Routine
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: 12/16/2024 1:10p ? 5:40p 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: 81 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 4 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 4 Observations by licensing inspector: Postings, Menus, Activity Schedule; Emergency Preparedness; Staffing; Medication Administration, Physician Orders Additional Comments/Discussion: 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 Tamara Watkins, Licensing Inspector at (804) 662-7422 or by email at tamara.g.watkins@dss.virginia.gov Violation Notice Issued: Yes
Based on a review of staff records the facility did not ensure that resident rights and responsibilities were reviewed annually. Evidence: The last documented review of resident rights in the staff file is 2/7/23 for resident #1; 12/4/20 for resident #2; 4/5/22 for resident #5; and there was no evidence of a review documented in the record for resident #6.
Based on a tour of the building the facility did not ensure that it was free from foul odors. Evidence: There was a foul odor in the first-floor hallway containing rooms 100-120.
Jun 21, 2024Routine14Report
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: 6/21/2024 9:50a ? 5:00p 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: 102 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 10 Number of staff records reviewed: 4 Number of interviews conducted with residents: 5 Number of interviews conducted with staff: 3 Observations by licensing inspector: Meals, Dining, Activities, Postings, Resident Rooms, Kitchen, Medication, Additional Comments/Discussion: 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 Tamara Watkins, Licensing Inspector at (804) 662-7422 or by email at tamara.g.watkins@dss.virginia.gov
Upon review of resident records, the facility failed to obtain written approval for a resident to reside in a safe, secure environment in a special care unit. Evidence: Resident #1 was admitted to the facility on 11/18/14 and an assessment dated 8/9/15 indicates that they had a serious cognitive impairment. The date the resident was admitted to the unit is unclear and approval following the order of priority for residence in the unit was not documented in the resident record.
Based on a review of resident records the facility failed to perform a six month or annual review of the appropriateness of each resident?s continued residence in the special care unit. Evidence: Resident #1 has resided in the special care unit since 2015 (exact date is unclear). A review of the appropriateness for continued residence and justification for the decision was not in writing and retained in the resident?s file prior to 5/30/24.
Upon review of staff records the facility failed to verify that staff orientation and training occurred within the first seven working days of employment. Evidence: Orientation for staff #1(date of hire 5/30/23) was dated but not signed by the trainer. Staff #4 (date of hire 7/5/22) had no documentation of orientation retained in her record available for review.
Upon review of staff records the facility failed to ensure that all direct care staff attend at least 18 hours of training annually. Evidence: Staff #4 (date of hire 7/5/22) only has 2.5 hours of annual training documented.
Based on a review of resident records the facility failed to document prior to or at the time of admission all the information on the personal and social information form. Evidence: Resident #3 has no date of admission on the personal and social information form. Resident #4 has no date of admission on the personal and social information form. Resident #7 has no date of admission on the personal and social information form.
Based on a review of resident records the facility failed to keep the personal and social information form current. Evidence: Resident #5 has a date of 3/25/22 on the personal and social information form but the resident was transferred to the memory care unit on 6/10/24 and the form was not updated to reflect this change.
Based on a review of resident records the facility failed to update the Uniform Assessment Instrument at least annually. Evidence: Resident #1 has an UAI
Based on a review of resident records the facility failed to update the Uniform Assessment Instrument at least annually. Evidence: The only documented UAI
Based on a review of resident records the facility failed to review and update the resident individualized service plan at least once every 12 months. Evidence: ISP
Upon a review of staff and resident records the facility failed to ensure that the rights of residents in an assisted living facility were reviewed with each resident and staff annually. Evidence: There was no documentation retained in the resident record that rights were reviewed with residents #2,3&5 and staff #4 annually.
Based on resident record reviews the facility failed to ensure that all resident records are current, retained at the facility and kept in a locked area. Evidence: Facility nursing staff were unable to find the resident record for resident #11.
Based on a review of resident records the facility did not maintain a current picture or description of each resident for identification purposes. Evidence: There is no current picture in the resident record for residents #5 &9.
Based on an inspection of the building the facility did not ensure that the building was free from foul odors. Evidence: During a tour of the facility a strong smell of urine was noted in bedroom #156.
Upon review of required documents the facility failed to comply with the Virginia Statewide Fire Prevention Code (13VAC5-51) as determined by at least an annual inspection by the appropriate fire official. Evidence: The last fire inspection report conducted by the local fire official available for review was dated 8/11/22.
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