Bickford of Suffolk
Families consistently rate this highly — reviewers highlight compassionate and professional care team. Schedule a visit to confirm the fit.
based on 64 Google reviews
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What this means for your family
This facility is an excellent choice for families seeking a community that feels more like a home than a clinical institution, particularly due to their strong activity programming. While the staff is overwhelmingly praised for their compassion, you may want to verify that maintenance and administrative support are easily accessible during all shifts.
Google Reviews
Google Reviews
64 reviews on Google“Bickford of Suffolk is highly regarded by families for its warm, home-like atmosphere and a dedicated staff that provides compassionate care. Reviewers frequently praise the social engagement, including concerts and activities, but one instance of difficulty accessing staff for maintenance was noted.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and professional care team
- Engaging resident activities and concerts
- Welcoming, home-like environment
- Clean and pleasant-smelling facility
Concerns
- Difficulty accessing staff for maintenance or exits
Rating Trends
Tap a year to see what changed
Distribution · 34 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your care team; how do you ensure that same level of personal connection is maintained as residents move into the memory care wing?
- 2The facility feels so clean and pleasant; what is your routine for maintaining this home-like environment and ensuring everything stays in top shape?
- 3We would love to hear more about the resident activities and concerts mentioned by others; are there specific types of social events or live music scheduled for the coming month?
- 4If a maintenance issue or a facility need arises, what is the best way for our family to reach the right person to ensure it is addressed quickly?
- 5In the event of a medical emergency during the night, what are the specific protocols in place to ensure immediate care and communication with our family?
- 6Since you have a dedicated memory care certification, how do the daily routines differ for residents who may need more specialized cognitive support?
Personalized based on this facility's data
Key Review Excerpts
“I went there to inquire about a place for my aunt. I went without an appointment and unannounced on a Saturday. Upon walking into the facility it was very clean and smelled great. The staff was very pleasant and inviting.”
“My husband and I have had the BEST experience with Jenny Do. She has gone above and beyond to help us understand about Bickford and also about many aspects of senior care.”
“bickford of Suffolk has been my mothers home for over 3 years. she loves the food and activities especially the concerts. I am so happy with staff. they all are so helpful with our mothers care.”
State Inspection History
State Inspections
Source: VA State Licensing Agency
Sep 24, 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: 09/24/2025 ( arrival 1:24 p.m. / departure 4:25 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 07/23/2025 regarding allegations in the area(s) of: Resident Care and Related Services Number of residents present at the facility at the beginning of the inspection: 61 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: 2 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 Darunda Flint, Licensing Inspector at (757) 807-9731 or by email at darunda.a.flint@dss.virginia.gov
Based on record review and staff interview, the facility failed to ensure a staff?s record included documentation of orientation and training required within the first seven working days of employment. Evidence: 1. On 09/24/2025 staff #2?s record did not include documentation of orientation and training within seven workings day of employment. Staff #2?s date of hire was documented as 06/15/2025. Staff # 2?s termination was documented as 08/12/2025 2. Staff #3 acknowledged staff #2?s record did not include documentation of required orientation and training.
Based on record review and interview, the facility failed to ensure the UAI
Based on record review and interview, the facility failed to ensure any resident of an assisted living facility has the rights and responsibilities as provided in A? 63.2-1808 of the Code of Virginia and this chapter to include the right to be treated with courtesy, respect, sensitivity, and dignity. Evidence: 1. Licensing Inspector received two incident reports dated -7/23/2025 and 09/19/2025 regarding an allegation of resident physical abuse that documented that the resident was shoved and pushed by a staff member. 2 On 09/24/2025, review of the facility's Investigative Form- General document dated 07/29/2025 noted staff #1was approached by resident #1?s family member concerning a video the family member viewed regarding abuse towards resident #1. The following was noted to be observed in the video: Staff #2 was observed in the video entering resident #1?s room and putting on gloves to assist resident #1 with their activities of daily living. Staff #2 is seen in the video grabbing resident #1?s right hand. Staff #2 then places their hand behind resident #1?s back and then pushing resident #1 upright while pulling on resident #1?s hand. Resident #1 became agitated and attempted to sit back down. Staff #2 then yanks resident #1 to their feet and then forcefully placed the residents? hands on their walker. At the same time staff #2 then got behind resident #1 and grabbed the resident by the bicep. Staff #2 then proceeded to forcefully push resident #1 to the bathroom. Throughout the entire video, resident #1 is seen attempting to go back to the couch. However, staff #2 continued to push resident #1 towards the bathroom. Resident #1 almost fell at one point due to being pushed by staff #2. However, staff #2 then yanked resident #1?s arms and continued to push the resident towards the bathroom never letting resident loose. Once staff #2 forced resident #1 into the bathroom, the video goes off. Approximately thirty seconds after entering the bathroom the resident?s walker is seen being thrown towards the bathroom door. Approximately fifteen seconds later, the resident comes back into the video frame as the resident is being thrown onto the commode. Resident #1 is seen not sitting on the commode but rather laying on the commode, and resident #1 appears to have struck their head.
Aug 8, 2025Routine12Report
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: 08/08/2025 (arrival 8:00 a.m. / 5:08 p.m. departure) and 8/13/2025 (arrival 11.00 a.m. / departure 3:52 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: 62 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 interviews conducted with residents: 2 Number of interviews conducted with staff: 4 Observations by licensing inspector: Lunch and activity were observed. A medication pass observation was completed for 4 residents. The following were reviewed: staff and resident records, call bells, water temperatures, medication carts, and a first aid kit. 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 Darunda Flint, Licensing Inspector at 757-807-9731 or by email at Darunda.a.flint@dss.virginia.gov
Based on record review and interview, the facility failed to ensure prior to admitting a resident with serious cognitive impairment due to a primary psychiatric diagnosis of dementia to a safe, secure environment, the licensee, administrator, or designee shall determine whether placement in the special care unit is appropriate. The determination and justification of the decision shall be in writing and shall be retained in the resident?s file. Evidence: 1. Staff #6 confirmed resident #3 (admitted 12/16/2024 to safe secure unit). The administrator?s justification upon review assessment in resident #3?s record was dated 01/14/2025. Resident #3 did not have prior documentation of the determination and justification on whether placement in the special care unit appropriate by the licensee, administrator, or designee in their record.
Based on record review and interview, the facility failed to ensure six months after placement of the resident in the safe, secure environment and annually thereafter, the licensee, administrator, or designee perform a review of the appropriateness of each resident's continued residence in the special care unit. Evidence: 1. The record for resident #3, admitted 12/16/2024 into the safe, secure environment does not contain a six month review of appropriateness of placement and continued residence in the special care unit. 2. Staff #6 acknowledged resident 3 record did not contain the aforementioned.
Based on record review and interview, the facility failed to ensure the orientation and training required in subsections B and C of this section occur within the first seven working days of employment. Evidence: 1. Staff #3 confirmed the record of Staff #4 (hired 07/15/2025) did not complete their staff orientation and initial training within the first seven working days of employment. 2.Staff #3 confirmed staff # 6 (hired 06/11/2025) orientation form did not contain a signature and that staff#6 did not complete their staff orientation and initial training within the first seven working days of employment.
Based on resident record review, the facility failed to provide written assurance to the resident or his legal representative, ensuring that the facility has the appropriate license to meet the resident?s care needs at the time of admission. Evidence: 1. The record of resident #3 did not have a copy of the signed written assurance in the record. 2. Staff #6 acknowledged the aforementioned was not in resident #3? record.
Based on documentation review, the facility failed to provide a written agreement at or prior to the time of admission. Evidence: 1. Resident # 3 was admitted to the facility on 12/16/2024 and the signed agreement in the file was dated 01/14/2025.
Based on records reviewed and staff interviewed, the facility failed to ensure upon admission it would provide an orientation for new residents and their legal representatives. Acknowledgement of having received the orientation shall be signed and dated by the resident and as appropriate his legal representative, and such documentation shall be kept in the resident?s record. Evidence: 1.Resident #3 was admitted to the facility on 12/16/2024. The acknowledgement of orientation in the resident?s record was dated 01/15/2025.
Based on review of resident records, the facility failed to complete the Uniform Assessment Instrument ( UAI
Based on record review and interview, the facility failed to annually review the rights and responsibilities of residents with each resident, or their legal representative or responsible individual as stipulated in subsection H of this section and each staff person. Evidence: 1. Staff #6 confirmed there was not a review of the residents? rights and responsibilities in resident #3?s record. 2.Staff #6 confirmed the last review for resident rights and responsibilities for resident #4 was completed on 05/08/2024. 3.Staff #6 confirmed the last review for resident rights and responsibilities for resident #6 was completed on 03/25/2024.
Based on observation, the facility failed to ensure the interior and exterior of all buildings shall be maintained in good repair and kept clean and free of rubbish. Evidence: 1. During a tour of the facility, there was an electrical power washer, and scattered trash in the memory care unit courtyard. 2. Staff #1 acknowledged the aforementioned in the memory care unit courtyard.
Based on staff interviewed and records reviewed, the facility failed to develop a written emergency preparedness and response plan that shall address documentation of initial and annual contact with the local emergency coordinator to determine (i) local disaster risks, (ii) communitywide plans to address different disasters and emergency situations, and (iii) assistance, if any, that the local emergency management office will provide to the facility in an emergency. Evidence: 1. Staff #3 could not provide annual documentation of emergency preparedness review with a local emergency coordinator.
Based on observation, the facility failed to ensure a first aid kit for the building contained items as identified in the standard. Evidence: 1. The building first aid kit did not include the following items: roller gauze, adhesive tape, antiseptic wipes/ointment, disposable single-use breathing barriers or shields for use with rescue breathing or CPR. 2. Staff #2 acknowledged the aforementioned items were not contained in the first aid kit.
Based on the employee record review, the facility failed to ensure no employee was permitted to work in a position that involves direct contact with a resident until a background check was received as required in the Regulation for Background Checks for Assisted Living Facilities and Adult Day Care Centers (22VAC40-90), unless such persons works under the direct supervision of another employee for whom a background check has been completed in accordance with the requirements of the background check regulation (22VAC40-90). Evidence: 1. On 08/08/2025, staff #5?s date of hire date was noted as 06/11/2025. The facility did not have documentation of a background check for staff #5. 2.Staff #3 acknowledged the aforementioned was not in staff # 5?s record.
Nov 25, 2024Routine
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: 11/25/2024 from 11:50 am to 12:25 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 11/20/2024 regarding allegations in the area(s) of: Resident Care and Related Services. Number of residents present at the facility at the beginning of the inspection: 62 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: 3 Additional Comments/Discussion: Exits of safe, secure environment observed. 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on interview and record review, the facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs. Evidence: 1. On 11/19/2024, Resident #1 exited the safe, secure environment around 10:30 am. 2. Resident #1 was located in a vehicle in the parking lot of the facility around 11:15 am.
Oct 9, 2024RoutineCleanReport
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: 10/09/2024 from 12:43pm to 1:25pm. 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 09/08/2024 regarding allegations in the area(s) of: Resident Care and Related Services. 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: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 Additional Comments/Discussion: Follow-up on a self-reported incident. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the self-report 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Sep 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: 09/17/2024 from 11:00 am to 1:45 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 09/05/2024 regarding allegations in the area(s) of: Resident Care and Related Services and Buildings and Grounds. Number of residents present at the facility at the beginning of the inspection: 62 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: 2 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegation(s); area(s) of non-compliance with standard(s) or law were: Resident Care and Related Services. A violation notice was issued; any violation(s) not related to the complaint(s) 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on documentation, the facility failed to regularly observe each resident for changes in physical, mental, emotional, and social functioning. Any notable change in a resident's condition or functioning, including illness, injury, or altered behavior, and any corresponding action taken shall be documented in the resident's record. The facility shall provide appropriate assistance when observation reveals unmet needs. Evidence: 1. The May MAR
Based on observation and documentation, 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, including assistance or care with housekeeping. Evidence: 1. Resident #1?s ISP
Based on observation and discussion, the facility failed to ensure any resident of an assisted living facility has the rights and responsibilities as provided in ? 63.2-1808 of the Code of Virginia. Evidence: 1. Resident #1 admitted to the facility on 10/13/2023. 2. Resident #1 indicated via the ?Photo and Audio/Video Release? (signed 10/18/2023) that they are not to be featured in publications and media for the facility. 3. Resident #1 is observed in a photo and or video posted by the facility on one of their social media platforms on the following days: 11/3/2023, 1/5/2024, 1/25/2024, and 3/5/2024. 4. Staff #1 acknowledged there were photos/video of Resident #1 on social media posted by the facility despite the ?Photo and Audio/Video Release? denial signed 10/18/2023.
Based on record review, the facility failed to implement interventions as soon as a nutritional problem is suspected. These interventions shall include the following: weighing residents at least monthly to determine whether the resident has significant weight loss (i.e., 5.0% weight loss in one month, 7.5% in three months, or 10% in six months); and notifying the attending physician if a significant weight loss is identified in any resident who is not on a physician-approved weight reduction program and obtaining, documenting, and following the physician's instructions regarding nutritional care. Evidence: 1. Resident #1 had a significant weight loss of over 5% in one month from May 2024 (documented weighing 124.2 pounds) to June 2024 (documented weighing 117.4 pounds). 2. There was no documentation interventions were put into place nor was Resident #1?s attending physician notified of the significant weight loss. 3. There also were no monthly weights obtained in November 2023 or December 2023 for Resident #1.
Sep 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: 09/17/2024 from 11:00 am to 1:45 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 08/29/2024 regarding allegations in the area(s) of: Resident Care and Related Services. Number of residents present at the facility at the beginning of the inspection: 62 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: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on record review and interview, the facility failed to when the resident suffers serious accident, injury, illness, or medical condition, or there is reason to suspect that such has occurred, medical attention from a licensed health care professional shall be secured immediately. The resident's physician, if not already involved, next of kin, legal representative, designated contact person, case manager, and any responsible social agency, as appropriate, shall be notified as soon as possible but no later than 24 hours from the situation and action taken, or if applicable, the resident's refusal of medical attention. Evidence: 1. Resident #1 and Resident #2 had labs completed on 08/22/2024. 2. The results for Resident #1 and Resident #2 indicated both had critically low glucose on 08/23/2024; however, there was no documentation that their physician was notified of these findings within 24 hours.
Aug 27, 2024ComplaintCleanReport
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: 08/27/2024 from 12:00 pm to 2:00 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 08/16/2024 regarding allegations in the area(s) of: Resident Care and Related Services. 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: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation(s) 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Jul 18, 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: 07/18/2024 from 12:00 pm to 1:17 pm and 07/29/2024 from 10:30 am to 12:40 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 07/18/2024 regarding allegations in the area(s) of: Resident Care and Related Services. Number of residents present at the facility at the beginning of the inspection: 62 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 5 Number of staff records reviewed: 2 Number of interviews conducted with residents: 0 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on record review and interview, the facility failed to obtain a copy of the certificate issued or other documentation indicating that the person has met one of the requirements of subsection C of this section, which shall be part of the staff member's record in accordance with 22VAC40-73-250. Evidence: 1. Staff #3 works at the facility and was hired on 03/06/2023 as direct care staff; however, their record does not include a copy of the certificate issued or other documentation indicating that the person has met one of the requirements of subsection C of this section.
Based on record review, the facility failed to ensure a fall risk rating is completed after a fall. Evidence: 1. Resident #2 fell per nursing notes on 01/17/2024; however, there is not a completed fall risk rating in the record of Resident #2 after the fall.
Based on record review and interview, the facility failed to ensure when the resident suffers serious accident, injury, illness, or medical condition, or there is reason to suspect that such has occurred, medical attention from a licensed health care professional be secured immediately. Evidence: 1. Notes in Resident #4?s chart indicates the resident sustained a skin tear during a transfer with staff on 03/18/2024; however, it is documented treatment for the skin tear was initiated on 03/29/2024.
Based on record review, the facility failed to ensure medications be administered in accordance with the physician's or other prescriber?s instructions Evidence: 1. Resident #5?s Metoprolol order was changed on 06/13/2024 to receive 12.5 mg twice daily with the parameters to hold for SBP<110 or HR<55 and to notify provider if SBP <101 or >160. 2. Resident #5?s June 2024 MAR
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