Cogir of Alexandria Fillmore
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Mar 13, 2026Routine
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: 03/13/2026 Time in: 9:48 AM Time out: 6:47 PM 03/17/2026 Time in: 2:14 PM Time out: 3:50 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: 85 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 5 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: Licensing inspector (LI) observed residents dining for lunch and dinner, residents entering and exiting the facility for community outings, and residents engaged in scheduled activities. 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. 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 review and staff interview, the facility failed to ensure that individualized service plans should be reviewed and updated at least once every 12 months and as needed for a significant change of a resident?s condition. Evidence: 1. Resident 1?s ISP
Based on record review and staff interview, the facility failed to ensure 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. February 2026 call pendant report indicated that resident 7 requested support on 02/26/2026 at 8:11 am and received a response in 42 minutes; requested support 02/27/2026 at 4:06 am and received a response in 3 hours and 16 minutes. 2. February 2026 call pendant report indicated that resident 8 requested support on 02/26/2026 at 8:12 am and received a response in 33 minutes. 3. February 2026 call pendant report indicated that resident 6 requested support on 02/26/2026 at 7:26 pm and received a response in 33 minutes. 4. February 2026 call pendant report indicated that resident 5 requested support on 02/27/2026 at 4:16 am and received a response in 1 hour and 16 minutes. 5. February 2026 call pendant report indicated that resident 9 requested support on 02/27/2026 at 9:44 am and received a response in 45 minutes; and 02/27/2026 at 12:13 pm and received a response in 34 minutes. 6. February 2026 call pendant report indicated that resident 10 requested support on 02/27/2026 at 5:19 am and received a support in 1 hour and 21 minutes. 7. During the onsite inspection, 03/13/2026, licensing inspector (LI) asked staff 7 the expectation for staff to respond to the call pendant request. Staff 7 stated, 20 minutes or earlier. Staff 7 acknowledged that not all resident call pendant requests received a prompt response by staff and that the facility does not have a policy regarding call pendants.
Based on staff record review and staff interview, the facility failed to ensure that the oversight specified in subsection A of this section should be on site and include the following: action taken in response to the recommendations noted in subdivision 3 of this subsection should be documented in the resident?s record. Evidence: 1. The oversight of special diet (11/17/2025) provided a recommendation for resident 4, ?speech therapy consult for dysphagia and least restrictive diet textures.? 2. Upon request, 03/13/2026, the facility did not provide documentation of action taken in response to the recommendations noted in the oversight of special diet. 3. During the onsite inspection, 03/13/2026, staff 7 acknowledged that documentation of action taken in response to the recommendations noted in the oversight of special diet was not provided to licensing inspector upon request.
Based on licensing observation and staff interview, the facility failed to have, keep current, and implement a written plan for medication management. The facility?s medication plan should address procedures for administering medication and should include a plan for proper disposal of medication. Evidence: 1. During the onsite inspection, 03/17/2026 licensing inspector (LI) requested to review resident 13?s medication cart. During the review, LI noted that an over-the-counter (OTC) medication, Dulcolax was in the medication cart. Staff 11 stated that the medication was removed from resident 13?s unit on a separate day and stored in the medication cart. Staff 7 confirmed that resident 13 does not have a physician?s order for Dulcolax. 2. The medication management plan stated, ?discontinued, expired, or unused medications shall be removed from active medication supply and stored securely until disposal.? Staff 7 and staff 11 acknowledged that the OTC medication was not disposed of properly.
Based on observations and staff interview, the facility failed to ensure that the interior and exterior of all buildings should be maintained in good repair and kept clean and free of rubbish. Evidence: 1. During the onsite inspection, 03/13/2026, licensing inspector (LI) toured the second floor, wellness office and noted ceiling tile missing in the ceiling; and on the tour of the fourth floor. LI observed cabinets missing, leaving an opening in the floor, a spout exposed, chipped painting, and discolored walls. 2. During the onsite inspection, 03/13/2026, staff 6 and staff 7 confirmed that the wellness office was missing a ceiling tile and the fourth floor was missing cabinets, which indicated that those areas of the building was not maintained in good repair.
Based on record review and staff interview, the facility failed to ensure that procedures in the plan for resident emergencies required in subsection A of this section should be 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, 03/17/2026, the facility did not provide documentation of the resident emergency reviews completed at least every six months. 2. During the onsite inspection, 03/17/2026, staff 7 acknowledged that documentation of resident emergency reviews were not provided to licensing upon request.
Mar 26, 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: 03/26/2025 Time in: 10:43 AM Time out: 5:08 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: 70 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: LI observed the physical plant of the facility. LI observed the residents dining for lunch, participating in scheduled activities, interacting with visitors, and entering and exiting the facility from the community. 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 staff review and staff interview, the facility failed to ensure that each direct care staff member maintained current certification in first aid from American Red Cross, American Heart Association, National Safety Council, American Safety and Health Institute, community college, hospital, volunteer rescue squad, or fire department. Evidence: 1. Staff 1 and staff 2?s record contained a CPR certification from NationalCPRFoundation. 2. On 03/26/2025, LI interviewed staff 5 confirmed that staff 1 and staff 2?s CPR certifications were not from the required organizations.
Based on resident review and staff interview, the facility failed to review and update the individualized service plan ( ISP
Based on resident record and staff interview, the facility failed to ensure that medications were administered in accordance with the physician?s or other prescriber?s instructions and consistent with the standards of practice outlined in the current medication aid curriculum approved by the Virginia Board of Nursing. Evidence: 1. Resident 3 had an order for Levothyroxin tab 88 MCG, Mirtazapine tab 30 MG ODT, Vitamin C 1000 MG, and Vitamin E Cap 180 MG; however, these medications were not present in medication cart at the time of inspection. 2. Resident 4 had an order for Aspirin Low CHW 81 MG, Hydralazine tab 10 MG, Vitamin B12 Ortal Tablet Extended, and Release 1000 MCG; however, these medications were not present in the medication cart at the time of inspection. 3. On 03/26/2025, LI completed the medication review with staff 5, who confirmed that resident 3 and resident 4?s medications were not present in the medication cart.
Based on observation and staff interview, the facility failed to ensure that elevators were in good running condition and inspected annually. Evidence: 1. The elevator inspection expired on 03/31/2022. The elevator continued to fail inspections due to the phone line not working. 2. On 03/26/2025, LI interviewed staff 6 who confirmed that the elevator had not passed inspection since 03/31/2022.
Feb 6, 2025RoutineCleanReport
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 02/06/2025 Time in: 12:30 p.m. Time out: 3:425 p.m. 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 11/25/2024 regarding allegations in the area(s) of: Administration and Administrative Services and Admission, Retention and Discharge of Residents Number of residents present at the facility at the beginning of the inspection: The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Licensing inspector (LI) toured the physical plant of the facility. LI observed residents participating in scheduled activities, dining in the dining room for lunch, and exiting the facility for community outings. Additional Comments/Discussion: none 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.
Mar 29, 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: 03.29.2024; Start Time: 10:39 am End Time: 3:31 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: 73 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of staff records reviewed: 6 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: LI toured the physical plant of the facility, and observed residents involved in independent pursuits. LI also observed a medication pass. 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 703.635.6074or by email at nina.wilson@dss.virginia.gov
Based on medication pass observation the facility failed to ensure that the medication cabinet was locked prior to walking away to administer medication. Evidence: 03/29/24 LI observed staff to prepare medications, turned to administer the medication but failed to lock the prior to walking away to administer the medication to the resident. LI prompted staff to secure medication cart.
Based on Elance at Alexandria?s records, it was found that the facility failed to provide a certificate of inspection. Evidence: The elevator certificate was dated 03/31/2022.
Jan 3, 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: 1/3/2024 (1:00 PM - 5:00 PM) Number of residents present at the facility at the beginning of the inspection: 79 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of interviews conducted with staff: 2 Observations by licensing inspector: Meal, medication administration An exit meeting was held. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Marshall Massenberg, Licensing Inspector at (703) 431-4247 or by email at m.massenberg@dss.virginia.gov.
Jul 7, 2023RoutineCleanReport
An unannounced initial inspection was conducted on 7/7/23. At the time of entrance, 95 residents were in care. An activity was observed. Building and grounds were inspected. Facility documentation was observed and records were reviewed. The sample size consisted of three resident records and three staff records. No violations were cited. An exit meeting was held.
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