Cardinal Senior Communities
Families consistently rate this highly — reviewers highlight compassionate and attentive caregiving staff. Schedule a visit to confirm the fit.
based on 59 Google reviews
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What this means for your family
This facility is an excellent choice if you value a small, home-like environment with a staff that treats residents like family. However, due to a serious allegation regarding billing and legal transparency, families should perform thorough due diligence regarding administrative and financial documentation during the move-in process.
Google Reviews
Google Reviews
59 reviews on Google“Cardinal Senior Communities is highly regarded by families and healthcare professionals for its warm, home-like atmosphere and exceptionally attentive staff. While most reviewers praise the cleanliness and the compassionate, family-oriented care, one reviewer raised a severe allegation regarding unethical billing practices and legal interference with power of attorney.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive caregiving staff
- Clean, well-maintained, and pleasant-smelling environment
- Engaging activities and community involvement
- Personalized, home-like atmosphere
Concerns
- Allegations of unethical billing and legal interference with POA
Rating Trends
Tap a year to see what changed
Distribution · 30 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1The facility looks so clean and well-maintained; what is your routine for ensuring the environment stays pleasant and fresh for the residents?
- 2We've heard great things about the engaging community involvement here; could you tell us more about the specific activities planned for this month?
- 3Since the community has such a cozy, home-like atmosphere, how do you ensure each resident's individual care plan is personalized to their specific needs?
- 4In the event of a medical emergency during the night, what is the specific protocol for getting care to a resident?
- 5How does the administration handle communication and transparency regarding billing and financial matters with families?
- 6How do you ensure that the staff's compassionate approach is maintained consistently across all shifts?
Personalized based on this facility's data
Key Review Excerpts
“The staff is like a family to each other and to the residents as well. I loved that it is smaller than most facilities. They utilize many volunteers and have fun, engaging activities all the time.”
“The kitchen staff are well-versed and consistently prepare appealing, delicious meals. I highly recommend Cardinal Senior Living as a wonderful place for your loved one”
“Hollie has repeatedly shown attentiveness and always responds to my questions and concerns the same day! My mom was having tooth pain on Friday and Hollie got her an appointment three days later on Monday morning!”
State Inspection History
State Inspections
Source: VA State Licensing Agency
Feb 19, 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: 02/19/2026 9:30AM to 4:45PM & 02/27/2026 9:05AM to 11:20AM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint as received by VDSS Division of Licensing on 01/15/2026 regarding allegations in the area of: resident care and related services Number of resident records reviewed: 1 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 of non-compliance with standard(s) or law. However, violation(s) not related to the complaint but identified during the course of the investigation can 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to ensure for private pay individuals that the uniform assessment instrument ( UAI
Dec 16, 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: 12/15/2025 9:30AM to 3:30PM & 02/19/2026 9:30AM to 4:45PM 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 12/05/2025 regarding allegations in the area of: resident care and related services Number of residents present at the facility at the beginning of the inspection: 37 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 allegations of non-compliance with standard(s) or law. However, violation(s) not related to the complaint but identified during the course of the investigation can 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to submit a written report of each incident specified in subsection A of this section to the regional licensing office within seven days from the date of the incident that contained a description of the incident, the circumstances under which it happened, and, when applicable, extent of injury or damage. EVIDENCE: 1. Staff person 1 emailed the licensing inspector (LI) a self-reported incident on 12/02/2025 that at 7:15AM on 12/01/2025 resident 1 was found on the floor of her room, was sent to the emergency room for assessment and evaluation, and the resident returned to the facility from the hospital with no new orders and a clear report. 2. The record for resident 1 contains hospital paperwork, dated 12/01/2025, that the resident had a hematoma to her left frontal forehead and a small, superficial laceration to the bridge of her nose from her glasses; however, this information was not included in the self-reported incident. Staff person 1 confirmed this is accurate.
Based on resident record review and staff interview, the fall risk rating shall be reviewed and updated after a fall. EVIDENCE: 1. The record for resident 1 contains hospital paperwork, dated 12/01/2025, that the resident was brought to the emergency department for evaluation of head injury because the resident was bending over from a chair a pick up her Bible that fell on the floor when she lost her balance falling forward, striking her head and was found awake lying on the floor. 2. The record for resident 1 does not contain an updated fall risk rating for this fall and staff person 1 confirmed this is accurate.
Based on resident record review and staff interview, the facility failed to ensure the individualized service plan ( ISP
Dec 16, 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: 12/16/2025 8:45AM to 2:45PM & 02/19/2026 9:30AM to 4:45PM 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 12/08/2025 regarding allegations in the area of: resident care and related services Number of residents present at the facility at the beginning of the inspection: 37 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 allegations of non-compliance with standard(s) or law. However, violation(s) not related to the complaint but identified during the course of the investigation can 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to report to the regional licensing office within 24 hours any major incident that has negatively affected or that threatens the life, health, safety, or welfare of any resident. EVIDENCE: 1. The record for resident 1 contains a charting note by staff person 3 at 9:51PM on 10/24/2025 that resident 1 was observed in the floor of the bathroom on South hall, resident?s upper body was in the shower and his lower body was in front of the toilet and resident was sent to the emergency department. Hospital discharge instructions for the resident, dated 10/24/2025, contain documentation that the resident was diagnosed with a head injury. 2. The aforementioned incident involving resident 1 was not reported to the regional licensing office. Interview with staff person 1 confirmed this is accurate.
Based on resident record review and staff interview, the facility failed to ensure should a resident who meets criteria for assisted living care fall, the facility must show documentation of an analysis of the circumstances of the fall and interventions that were initiated to prevent or reduce risk of subsequent falls. EVIDENCE: 1. The record for resident 1 contains documentation on universal incident reports stating that resident 1 had a fall on 11/12/2025 and 11/14/2025. This document also contains a section labeled ?Steps Taken to Prevent Recurrence? which the facility utilizes for documentation of interventions that are to be initiated to prevent recurrence of falls; however, this section was not completed on the two aforementioned universal incident reports. 2. During on-site inspection on 02/19/2026, staff person 1 was unable to provide documentation of interventions that had been initiated to prevent or reduce subsequent falls for resident 1 for these two falls.
Dec 15, 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: 12/15/2025 9:30AM to 3:30PM & 02/19/2026 9:30AM to 4:45PM 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 12/05/2025 regarding allegations in the area of: resident care and related services Number of residents present at the facility at the beginning of the inspection: 37 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 allegations of non-compliance with standard(s) or law. However, violation(s) not related to the complaint but identified during the course of the investigation can 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on facility documentation, resident record review and staff interview, the facility failed to submit a written report of an incident with all required information to the regional licensing office within seven days from the date of the incident. EVIDENCE: 1. The licensing inspector (LI) received a self-reported incident via email from staff person 1 on 11/19/2025 at 4:53PM regarding resident 1. Staff person 1 stated in the incident report that at 3:30PM on 11/18/2025, resident 1 fell out of her wheelchair while going down the hall, the resident was sent to the emergency department for assessment and evaluation and the resident returned to the facility with a clear report, no new orders and hospice to resume services. 2. The record for resident 1 contains a universal incident report by staff person 2, dated 11/18/2025 at 3:30PM, that the resident fell out of her wheelchair while the resident was being pushed down the hallway, resident hit her head on the floor, and a large knot was observed on the left side of the resident?s forehead. The record for resident 1 also contains hospital discharge instructions, dated 11/18/2025, that the resident was diagnosed with traumatic hematoma of forehead and hospice documentation, dated 11/18/2025, states on page 3 of 4 that the resident has a large hematoma on the left side of her forehead. 3. Interview with staff person 1 on 02/19/2026 verified that it had not been reported to the LI that the resident obtained a hematoma from the fall that occurred on 11/18/2025.
Based on resident record review and staff interview, the facility failed to ensure the individualized service plan ( ISP
Dec 15, 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: 12/15/2025 9:40AM to 3:30PM 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 11/26/2025 regarding allegations in the area of: resident care and related services Number of residents present at the facility at the beginning of the inspection: 33 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 allegations of non-compliance with standard(s) or law. However, violation(s) not related to the complaint but identified during the course of the investigation can 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to ensure at or prior to the time of admission, there shall be a written agreement or acknowledgment of notification dated and signed by the resident or applicant for admission or the appropriate legal representative and by the licensee or administrator that includes the resident has been informed of the policy or guidelines regarding visiting in the facility if the facility has such a policy or guidelines (22VAC40-73-540-C). EVIDENCE: 1. During on-site inspection on 12/15/2025, the licensing inspector (LI) was provided with a copy of the facility?s policy regarding visitation and guests. The policy includes documentation that the community encourages regular family involvement with the resident and provides ample opportunities for participation in community activities; however, should visitors become disruptive to the resident or others, they may be asked to leave if behavior is not corrected. 2. The signed agreement in the record for resident 1, signed 04/02/2025, does not include the aforementioned information regarding visitation and guests. Staff persons 1 and 2 confirmed this is accurate.
Dec 15, 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: 12/15/2025 9:30AM to 3:30PM & 02/19/2026 9:30AM to 4:45PM 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 10/12/2025 regarding allegations in the area of: resident care and related services Number of residents present at the facility at the beginning of the inspection: 37 Number of resident records reviewed: 1 Number of staff records reviewed: 4 Number of interviews conducted with residents: N/A 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 allegations of non-compliance with standard(s) or law. However, violation(s) not related to the complaint but identified during the course of the investigation can 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to ensure the individualized service plan ( ISP
Based on resident record review and staff interview, the facility failed to implement its written policy and procedures for documentation and recordkeeping to ensure that the information in resident records is accurate and clear. EVIDENCE: 1. The facility?s policy, resident records 22VAC40-73-560, states that the community will maintain written and/or electronic records for each resident and resident records will be kept in an accurate, organized and confidential manner, stored in a locked area, and follow HIPPA requirements for safe-guarding personal information. 2. Resident 1?s October 2025 electronic medication administration record (EMAR) contains staff person 3?s initials as conducting safety checks on resident 1 at 12:00AM, 2:00AM, 4:00AM and 6:00AM on 10/12/2025; however, staff person 3 was terminated from the facility on 10/14/2025 due to ?violation of facility code of conduct falsifying document?. Interview with staff persons 1 and 2 revealed that staff person 4 was the staff person who conducted the safety checks on resident 1 during the aforementioned times on 10/12/2025 not staff person 3; however, staff person 4 was unable to document on resident 1?s EMAR due to not having access to the EMAR system. Staff person 3 was the only staff person during this time that had access to the resident?s EMAR and documented that the safety checks were done; however staff person 3 used their own initials and did not document that staff person 4 was the direct care staff person that conducted the rounds.
Based on resident record review and staff interview, the facility failed to ensure all resident records shall be kept current and retained at the facility. EVIDENCE: During on-site inspection on 12/15/2025, the record for resident 1 contained documentation by staff person 7 on 08/29/2025 at 4:34AM that the resident was sent to the hospital due to a fall; however, the hospital documentation was not available at the facility for review. During the inspection, staff person 9 informed the licensing inspector (LI) that they had to reach out to the hospital to obtain the documentation for the LI?s review.
Dec 15, 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: 12/15/2025 9:30AM to 9:40AM 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 10/09/2025 regarding allegations in the area of: resident care and related services 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Aug 29, 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: 08/29/2025 10:30AM to 11:45AM 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 07/30/2025 regarding allegations in the area of: resident care and related services 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: 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 allegations; area(s) of non-compliance with standard(s) or law were: medications 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. 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Based on resident record review, collateral interview and staff interview, the facility failed to implement its medication management plan in regard to 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: 1. The facility?s medication management plan, reviewed and updated August 2021, contains the following on page 5: If a new med is ordered the pharmacy will package that medication and send with the following delivery and meds are packaged in a card per individual med and a full card of 30 tabs, pill, capsules, etc. are sent and they are reordered as needed. 2. The record for resident 1 contains a signed physician?s order, dated 07/22/2025, start APAP (acetaminophen) 1000MG two times daily for pain and start Ibuprofen 200MG two times daily PRN
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