Benchmark at Alexandria
Families consistently rate this highly — reviewers highlight exceptional and compassionate staff. Schedule a visit to confirm the fit.
based on 28 Google reviews
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What this means for your family
This facility is an excellent choice if you are looking for a high-end, modern environment with a strong emphasis on personalized care and dining. The staff's dedication to the 'human element' is a standout feature, making transitions much smoother for residents.
Google Reviews
Google Reviews
28 reviews on Google“Benchmark at Alexandria is highly regarded by families for its warm, hotel-like atmosphere and exceptional, attentive staff who prioritize personalized care. Reviewers frequently praise the modern, immaculate facilities and the high quality of the dining services, though most feedback is overwhelmingly positive with no recurring major complaints.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional and compassionate staff
- Modern, high-end facility design
- High-quality, restaurant-style dining
- Engaging activity programs and lively memory care
- Transparent and professional touring process
Rating Trends
Tap a year to see what changed
Distribution · 28 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It's wonderful to see how much care you put into responding to everyone's feedback; how does that culture of communication extend to how you update families on their loved ones?
- 2The facility looks incredibly modern and high-end; how does the dining experience specifically cater to different dietary needs or preferences during meal times?
- 3We've heard great things about the energy in your memory care program; could you walk us through some of the specific daily activities that keep residents engaged?
- 4With the recent state inspections, what specific steps has the team taken to ensure all care standards are being met and maintained?
- 5In the event of a medical emergency during the night, what is the specific protocol for notifying the family and coordinating with doctors?
- 6Since the staff is frequently praised for being so compassionate, how do you ensure that this level of personalized care remains consistent as the community grows?
Personalized based on this facility's data
Key Review Excerpts
“The entire team - Rachel, Marie, Katy, Sarah, Millie, Lina, Sunny and many more are all so thoughtful and they truly individualize the care each resident receives.”
“The meals were top notch, like eating in a restaurant.”
“The decision to move to assisted living is never easy so it was a relief to find a place my mom immediately fell in love with while visiting - spacious/modernly equipped rooms with oversized windows and bright open common spaces.”
State Inspection History
State Inspections
Source: VA State Licensing Agency
Feb 3, 2026Complaint
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: 02/03/2026 Time in: 3:01 PM Time out: 4:42 PM 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 01/15/2026 regarding allegations in the area(s) of: Resident Care and Related Services and Complaint Investigation. Number of residents present at the facility at the beginning of the inspection: 90 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: Licensing inspector (LI) observed residents participating in scheduled activities. Additional Comments/Discussion: N/A An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegations; area(s) of non-compliance with standard(s) or law were: Resident Care and Related Services and Complaint Investigation. A violation notice was 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. 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov
Based on resident record and staff interview, the facility failed to ensure that individualized service plans ( ISP
Based on resident record review and staff interview, the facility failed to ensure that the care and services specified in the individualized service plan ( ISP
Based on resident record review and staff interview, the facility failed to ensure that care provision and service delivery should be resident-centered to the maximum extent possible and include prompt response by staff to resident needs as reasonable to the circumstances. Evidence: 1. During the onsite inspection on 02/03/2026, the automated e-call system (pull cord and pendant) indicated that staff responded to resident 1?s call pendant: a. On 01/17/2026 through 01/18/2026, 01/20-2026, and 02/03/2026, staff responded to the call bell between 31 to 37 minutes on 5 separate occasions. b. On 01/10/2026 through 01/16/2026, staff responded to the call bell between 41 to 49 minutes on 7 separate occasions. c. On 02/02/2026, staff responded to the call bell within 50 minutes on 1 occasion. d. On 02/03/2026, staff responded to the call bell within 62 minutes on 1 occasion. 2. The Emergency Response System policy stated, ?during monthly Safety Committee meetings, pendant and pull cord reports should be reviewed to discuss response times, highlight trends, and identify interventions as needed.? 3. During the onsite inspection, 02/03/2026, staff 1 stated that the expectation is for call pendants to receive a response in ?less than twenty minutes.? Staff 1 acknowledged that there were several instances within January and February 2026 where resident 1?s call pendant was not responded to in less than twenty minutes.
Feb 3, 2026Routine
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: 02/03/2026 Time in: 4:42 PM Time out: 5:53 PM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-report was received by VDSS Division of Licensing on 02/02/2026 regarding allegations in the area(s) of: Administration and Administrative Services and Resident Care and Related Services. Number of residents present at the facility at the beginning of the inspection: 90 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 3 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Licensing inspector observed residents interacting with peers, staff, and visitors in the common areas and exercising in the gym. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report 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. 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov
Based on record review and staff interview, the facility failed to ensure compliance with all regulations for licensed assisted living facilities and terms of the license issued by the department; with relevant federal state, and local laws; with other relevant regulations; and with the facility?s own policies and procedures. Evidence: 1. The licensing department received an incident report on 02/02/2026 stating that resident 1 eloped from the safe, secure unit through the egress doors at 3:25 pm and again at 4:07 pm. Resident 1 entered the facility through the main entrance on both instances, alerting staff of their elopement. 2. Missing Resident Response Plan and Drills Policy stated, Activation of a door alarm/alert: ?if safe, secure unit egress door alarms, associates immediately search area adjacent to alarmed door (inside and out).? 3. During the onsite inspection, 02/03/2026, staff 1 acknowledged that the facility did not follow own policies when staff 2 and staff 3 did not immediately search area adjacent to the alarmed door (inside and out).
Based on resident record review and staff interview, the facility failed to assume general responsibility for the health, safety, and well-being of the residents. Evidence: 1. The licensing department received an initial incident report on 02/02/2026 regarding the elopement(s) of resident 1. 2. The final report, received on 02/08/2026, stated that on 02/01/2026, resident 1 eloped from the safe, secure unit through the side stairwell door and left the community around 3:21 pm. Resident 1 then walked through the main entrance door of the facility outside the safe, secure environment, at approximately 3:25 pm. Resident 1 was returned to the safe, secure unit by staff 5. 3. The final report, received on 02/08/2026, also indicated that resident 1 eloped from the safe, secure unit for a second time on 02/01/2026. Resident 1 eloped from a different stairwell door and left the facility around 4:06 pm. Resident re-entered the facility at 4:07 pm, 02/01/2026 through the main entrance of the facility outside of the safe, secure environment. Resident 1 was returned to the safe, secure unit by staff 5. Staff 2 and staff 3 walked resident 1 to their room to rest. 4. During the onsite inspection, 02/03/2026, as it relates to the first elopement of resident 1 on 02/02/2026, staff 1 stated that after reviewing video footage, resident 1 exited the stairwell at 3:21 pm and entered the facility through the main entrance outside of the safe, secure environment. Staff 5 returned resident 1 to the safe, secure unit and completed a full body assessment. Following the assessment, staff 5, working as the person in charge, left resident 1 on the safe, secure unit with staff 3 and staff 4, and returned to assisted living floor(s). 5. During the onsite inspection, 02/03/2026, as it relates to the second elopement of resident 1 on 02/02/2026, staff 1 stated that after reviewing video footage, it was noted that staff 2 left resident 1 in their room to provide care to another resident. Staff 3 left resident 1 in their room to conduct a head count and check all doors on the unit to ensure they were secured. Staff 1 stated that while staff 2 and staff 3 were completing these tasks, resident 1 eloped from the safe, secure unit and exited the stairwell at 4:06 pm and entered the facility through the main entrance outside of the safe, secure environment at 4:07 pm. Staff 5 returned resident 1 to the safe, secure environment and completed a full body assessment. Staff 5 remained on the safe, secure environment unit to provide additional support. 6. Staff 1 acknowledged that resident 1?s well-being was affected by an ability to elope from the safe, secure environment without staff?s knowledge, navigate two separate stairwells, and returned on their own without staff intervention or assistance.
Aug 20, 2025Routine
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: 08/20/2025 Time in: 10:55 AM Time out: 6:44 PM 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: 64 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 7 Number of staff records reviewed: 6 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 3 Observations by licensing inspector: Licensing inspector observed residents participating in scheduled activities, entering and exiting the community for outings, dining for breakfast, and interacting with staff and peers. Additional Comments/Discussion: N/A 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.
Based on record review and staff interview, the facility failed to ensure that during the night hours, when 22 or fewer residents were present, at least two direct care staff members were awake and on duty at all times in each special care unit and was responsible for the care and supervision of the residents. Evidence: 1. April 2025?s staff schedule for the safe, secure environment was assigned one staff for the care and supervision of ten residents. 2. During the onsite inspection, 08/20/2025, staff 7 acknowledged that April 2025?s staff schedule for the safe, secure environment assigned one staff for the care and supervision of ten residents.
Based on private duty record review and staff interview, the facility failed to ensure private duty personnel from a licensed home care organization met the requirements of 22VAC40-73-250-D 1 through D 4 regarding tuberculosis and were provided orientation and training regarding the facility?s policies and procedures related to the duties of private duty personnel. Evidence: 1. Upon request, the facility did not provide private duty 5?s tuberculosis risk assessment. 2. Upon request, the facility did not provide documentation of orientation and training for private duty 4, private duty 5, and private duty 6. 3. During the onsite inspection, 08/20/2025, staff 7 confirmed that a risk assessment documenting the absence of tuberculosis in a communicable form was not completed for private duty 5. Additionally, staff 7 confirmed that orientation and training regarding the facility?s policies and procedures was not included in private duty 4, private duty 5, and private duty 6?s records.
Based on record review and staff interview, the facility failed to ensure for residents who meet the criteria for assisted living care a licensed health care professional, practicing within the scope of the health care profession, provided health care oversight at least every three months, or more often if indicated, based on the health care professional?s professional judgement of the seriousness of a resident?s needs or stability of a resident?s condition. Evidence: 1. The healthcare oversight was completed 04/1/2024 through 10/23/2024 and 03/18/2025 through 03/19/2025. 2. During the onsite inspection, 08/20/2025, staff 7 confirmed the facility does not employ a licensed health care professional who was on site on a fulltime basis with their healthcare oversight for residents who met the criteria for assisted living care being completed by a regional licensed healthcare professional every six month. Staff 7 confirmed over the past year the healthcare oversight was completed on 10/23/2024, 03/18/2025, and 03/19/2025.
Based on record review and staff interview, the facility failed to ensure that all residents were included at least annually in healthcare oversight. Evidence: 1. The healthcare oversight completed on 10/23/2024 did not indicate which residents were reviewed during the review period. 2. The healthcare oversight completed on 03/18/2025 and 03/19/2025 indicated that six residents were evaluated for their ability to self-administer medications. The healthcare oversight did not include any other resident reviews. 3. During the onsite inspection, 08/20/2025, staff 7 confirmed that all residents were not included at least annually on the healthcare oversight.
Based on observation and staff interview, the facility failed to ensure to implement a written plan for medication that included a plan for proper disposal of medication. Evidence: 1. During the onsite inspection, 08/20/2025, LI observed resident 8?s medication (Morphine Sulfate Oral Solution 100 MG per 5 mL) in plain view, stored in a box under the wellness director?s desk. Staff 7 was present at the time of LI?s observation and acknowledged that the medication was discontinued. 2. The facility?s medication management plan directs staff to ?destroy? expired or discontinued medication ?per BSL Controlled Substance Policy.? 3. Picture taken.
Based on record review and staff interview, the facility failed to develop and implement a semiannual review on the emergency preparedness and response plan for all staff, residents, and volunteers, with emphasis placed on an individual?s respective responsibilities. The review should be documented by signing and dating. Evidence: 1. Upon request, the facility did not provide documentation of a semi-annual review on the emergency preparedness and response plan for all staff, residents, and volunteers. 2. During the onsite inspection, 08/20/2025, staff 7 confirmed that the semi-annual review on the emergency preparedness and response plan for all staff, residents, and volunteers were not documented as completed by signing and dating.
Based on record review and staff interview, the facility failed to ensure that procedures in the plan for resident emergencies were reviewed by the facility at least every six months with all staff. Documentation of the review should be signed and dated by each staff person. Evidence: 1. Upon request, the facility did not provide documentation of resident emergency review with all staff. 2. During the onsite inspection, 08/20/2025, staff 7 confirmed that resident emergency reviews with all staff were not documented as completed every six months.
Jan 17, 2025Routine
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: 1/17/2025 Time in: 9:39 a.m. Time out: 11:00 a.m. 1/23/2025 Time in: 10:14 a.m. Time out: 11:45 a.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 10/18/2024 regarding allegations in the area(s) of: Personnel Number of residents present at the facility at the beginning of the inspection: 43 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 1 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 5 Observations by licensing inspector: Licensing inspector (LI) toured the safe, secure environment unit. LI observed residents interacting with peers and staff, participating in physical therapy, and dining for breakfast. Additional Comments/Discussion: None An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.
Based on record reviews and staff interview, the facility failed to ensure that at least two direct care staff members were awake and on duty at all times in each special care unit, who were responsible for the care and supervision of the residents Evidence: 1. The October 2024 staff schedule indicated that there was one staff scheduled one each shift (10/18/2024), 7:00 a.m. through 3 p.m., 3:00 p.m. through 11:00 p.m., and 11:00 p.m. through 7:00 a.m. 2. The October 2024 employee timecard indicated that one direct care staff clock into work 7:00 a.m. through 3 p.m., 3:00 p.m. through 11:00 p.m., and 11:00 p.m. through 7:00 a.m. on 11/29/2024. 3. On 1/17/2025, LI interviewed staff 3 who confirmed there was only one direct care staff scheduled to work on the safe, secure environment unit on 10/18/2024.
Based on private duty personnel review and staff interview, the facility failed to ensure that information on the type and frequency of the services delivered to the resident and a review of an original criminal history record report were obtained. Evidence: 1. Private duty personnel 6?s record did not include a criminal history report or information on the type and frequency of services delivered to resident 2. 2. On 1/17/2025, LI interviewed staff 2 who confirmed that private duty personnel 6?s record did not include a criminal history report of information on the type and frequency of services delivered to resident 2.
Jan 17, 2025Routine
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: 01/17/2025 Time In: 9:39 AM Time Out: 11:00 AM 01/23/2025 Time In: 1:50 PM Time Out: 2:22 PM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 11/12/2024 regarding allegations in the area(s) of: Staffing and Supervision, Article I ? Subjectivity Number of residents present at the facility at the beginning of the inspection: 42 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 7 Observations by licensing inspector: Licensing inspector (LI) toured the physical plant of the facility. LI observed residents engaging in scheduled activities, dining for breakfast and lunch in the dining area, entering and exiting the facility for community outings, exercising in the gym, and residents participating in physical therapy. Additional Comments/Discussion: None An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report 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 Nina Wilson, Licensing Inspector at (703) 635 ? 6074 or by email at nina.wilson@dss.virginia.gov.
Based on facility record review, the facility failed to ensure at least two direct care staff members were awake and on duty at all times in each special care unit who were responsible for the care and supervision of the residents. Evidence: 1. On 11/12/2024, resident 1, resident 2, resident 3, resident 4, resident 5, and resident 6 resided on the safe, secure unit. 2. On 1/17/2025, LI interviewed staff 2 who confirmed that there were residents 1, 2, 3, 4, 5, and 6 resided on the safe, secure unit on 11/12/2024. 3. November 2024 staff schedule indicated that staff 6 and staff 7 were assigned to the special care unit on 11/12/2024; however, staff 6 and staff 7 did not clock in or clock out on 11/12/2024.
Based on facility record review and staff interview, the facility failed to ensure that doors that lead to unprotected areas were monitored or secured through devices that conform to applicable building and fire codes, including door alarms and delayed egress mechanisms. Residents who reside in safe, secure environments were prohibited from exiting the facility or the special care unit if applicable building and fire cords were met. Evidence: 1. On 11/12/2024, resident 1 eloped from the facility through an unsecured fire door on the special care unit. 2. On 1/17/2025, during a tour of the facility with staff 1 and staff 2, to ensure that the fire doors were secured, but the fire doors delayed egress mechanism were malfunctioning. The doors did not open or alarm when the pressure plate was pushed for 15 ? 30 seconds. 3. On 1/23/2025, LI interviewed staff 4 who stated that the fire doors on the special care unit were not equipped with an egress mechanism functionality for the safety of the residents.
Based on record reviews and staff interview, the facility failed to ensure at the time of discharge a dated statement was provided to the resident, legal representative, and designated contact person. Evidence: 1. Resident 1?s progress notes (12/2/2024) indicated that their legal representative was not provided a written discharge statement. 2. On 1/17/2025, LI interviewed staff 5 who confirmed that the legal representative was not provided a written discharge statement.
Jan 17, 2025Routine
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: 1/17/2025 Time in: 9:39 a.m. Time out: 11:00 a.m. 1/23/2025 Time in: 11:46 a.m. Time out: 1:50 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 11/29/2024 regarding allegations in the area(s) of: Personnel, Additional Requirements for Facilities that Care for Adults with Serious Cognitive Impairments, and Article 3: Safe, Secure Environment Number of residents present at the facility at the beginning of the inspection: 43 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 1 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 4 Observations by licensing inspector: Licensing inspector (LI) toured the safe, secure environment unit. LI observed residents engaging in physical therapy, interacting with staff and peers in the common area, and walking to and from their bedrooms. Additional Comments/Discussion: None An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.
Based on record reviews and staff interviews, the facility failed to ensure that direct care staff attended at least 10 hours of training in cognitive impairment within four months of the starting date of employment in the safe, secure environment. Evidence: 1. During the review of serious cognitive impairment training for the safe, secure environment unit, licensing inspector (LI) observed that 33 direct care staff and nurse?s records did not include serious cognitive impairment training. 22 out of 33 direct care staff and nurses hire dates were between one year and four months. 2. The serious cognitive impairment training titled ?Dementia: Connect First ? Live Event? was a half an hour. The 22 direct staff and nurse?s records did not include this training. 3. On 1/23/2025, LI interviewed staff 5 who confirmed that ?Dementia: Connect First ? Live Event? was the serious cognitive impairment training.
Oct 17, 2024Complaint
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: 10/17/2024 Time In: 9:15 AM Time Out: 12:53 PM 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 10/16/2024 regarding allegations in the areas of: Personnel and Complaint Investigation Number of residents present at the facility at the beginning of the inspection: 29 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 0 Number of staff records reviewed: 5 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Licensing inspector (LI) observed breakfast being served, residents interacting with peers and staff, and residents exiting the community for activities. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.
Based on record reviews and staff interview, the facility failed to ensure that at least two direct care staff members were awake and on duty at all times in the special care unit who were responsible for the care and supervision of the residents. Evidence: 1. During a review of the special care unit census, July 2024 through January 2025, LI observed that there were six residents present on the unit October through November 2024. 2. The October and November 2024 staff schedule indicated that one staff was scheduled 10/18/2024 and 11/28/2024 on each shift, 7:00 a.m. through 3 p.m., 3:00 p.m. through 11:00 p.m., and 11:00 p.m. through 7:00 a.m. 3. There was one staff scheduled, 3:00 p.m. through 11:00 p.m., and two staff scheduled, 7:00 p.m. through 11:00 p.m. There was one staff scheduled, 11:00 p.m. through 7:00 a.m. 4. On 1/17/2025, LI interviewed staff 5 who confirmed that there was only one staff scheduled on each shift on the safe, secure environment unit in October and November 2024.
Based on record reviews and staff interview, the facility failed to ensure at the time of discharge a dated statement was provided to the resident, legal representative, and designated contact person. Evidence: 1. Resident 1?s progress notes (12/2/2024) indicated that their legal representative was not provided a written discharge statement. 2. On 1/17/2025, LI interviewed staff 5 who confirmed that the legal representative was not provided a written discharge statement.
Sep 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: 09/16/2024 Time In: 11:41 AM Time Out: 5:54 PM 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: 26 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: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: LI toured the physical plant of the facility, observed the administration of medication and observed residents involved in independent pursuits: lunch and dinner dining, residents resting in their room, lounging in the common areas, and walking around the facility. Additional Comments/Discussion: 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov
Based on facility record review, the facility failed to ensure that the health information required by these standards shall be maintained at the facility and be included in the staff record for each staff person, and also shall be maintained at the facility for each household member who comes in contact with residents. Initial tuberculosis examination and report: each staff person on or within seven days prior to the first day of work at the facility and each household member prior to coming in contact with residents shall submit the results of a risk assessment, documenting the absence of tuberculosis in a communicable form as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. The risk assessment shall be no older than 30 days. 1. Staff 1?s (hire date, 03/04/2024) tuberculosis examination was completed on 02/14/2024. Upon request Staff 1?s risk assessment was not provided. 2. On 09/17/2024, LI received an email from Staff 4 with Staff 1?s risk assessment, 02/14/2024.
Based on resident record review and staff interview, the facility failed to ensure a written plan for medication management was implemented. The facility?s medication plan shall address procedures for administering medication and shall include methods to ensure that each resident?s prescription medications and any over-the-counter drugs and supplements ordered for the resident are filled and refilled in a timely manner to avoid missed dosages. Evidence: Resident 2 (admit date, 08/28/2024), who self-administered medications had an order for Symbicort 160 mcg-4/5 mcg/actuation HFA aerosol inhaler (inhale 2 puffs twice daily) that was not available for self-administration. 2. On 09/16/2024, LI interviewed Staff 4 who confirmed that the medication was not present on-site. 3. Resident 2 has an order for Dicyclomine 20 mg tablet (instructions unavailable on medication list) that was not available for self-administration. 4. On 09/16/2024, LI interviewed Resident 2 who stated it was realized that the Dicyclomine 20 mg medication was unavailable for self-administration when preparing weekly pill organizer. Resident 2 stated that the nursing team was notified. 5. On 09/16/2024, LI interviewed Staff 4 who stated that Resident 2 informed the nursing team that Dicyclomine 20 mg had run out. Staff 4 stated that Resident 2 missed one dose, but the medication would be available the next day. Staff 4 stated that Resident 2 would only miss the one dose of medication. Staff 4 stated that the nursing team does not track the medication for those who self-administer. Staff 4 stated that there is not a timeline or a certain number of instances where the self-administer missed medication doses before re-assessing consent for self-administration. 6. Resident 2 (admit date, 03/04/2024), who self-administered had an order for Symbicort 160 mcg-4.5 mcg/actuation HFA aerosol inhaler that was not available on-site.
Based on facility record review, the facility failed to ensure that the required fire and emergency evacuation drills contained number of staff and residents participating, and the time it took to complete the drill. Evidence: 1. May 2024 fire drill documentation was missing the number of staff participating. 2. June 2024 fire drill documentation was missing the time it took to complete the drill. 3. July 2024 fire drill documentation was missing the time it took to complete the drill and the number of staff participating. 4. August 2024?s fire drill documentation was missing the number of residents participating, the number of staff participating, and has two different start times, 6:45 AM and 6:52 AM.
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