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based on 34 Google reviews
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Every family's needs are unique. We encourage you to visit English Meadows Manassas Campus in person, speak with staff and current residents' families, and trust your instincts. The data on this page provides a starting point, but your personal impression matters most.
Families face a deeply polarized experience at this facility. While some residents' families praise the compassionate caregivers and the ease of the admission process, multiple reviewers have reported severe issues including neglect, medication errors, and unprofessional management behavior.
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This facility rarely responds to reviews.
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Key Review Excerpts
“The caregivers know everyone by name and everyone is treated like family . They are patient , kind people doing their very best to make the residents comfortable .”
“All English Meadows staff are sincerely interested and supportive of my wife's care. Communications are excellent between the staff and family.”
“My husband has late stage Alzheimer’s and they are taking great Care of him. He fell and an aid Brittany was caring and thoughtful enough to check on his pain and get him help as fast as possible.”
Source: VA State Licensing Agency
Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: Date: 1/6/2026 Time In: 9:10am Time Out: 1:00pm 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 6/11/2025 regarding allegations in the area(s) of: Staffing and Supervision and 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: 5 Number of staff records reviewed: 4 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: Facility policies and staff and resident records were reviewed. Call bells were tested. Lunch was observed. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations 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 Ishmel Paige, Licensing Inspector at (804)-963-0360 or by email at ishmel.l.paige@dss.virginia.gov
Based on record review and interview, the facility failed to ensure that prompt response by staff to resident needs as reasonable to the circumstances. Evidence: 1. During onsite inspection on 1/6/2026, call bells were reviewed and tested along with resident interviews regarding call bell response times. 2. LI reviewed policy regarding ?Single Response Time.? The policy states that call lights should be answered within 6 minutes. If staff are unable to meet in that 6-minute window, they will page on a RMA or LPN to help. Lastly, the policy states that if a call light exceeds 20 minutes disciplinary action will occur. 3. Staff 1 provided the Call Bell Log for all residents on 1/5/2026-1/6/2026 which documented 94 total alerts were made with 31 alerts exceeding 6 minutes. 4. The Call Bell Log for Resident 1 from 12/7/2025-1/6/2026 indicated 98 total alerts were made with 43 alerts exceeding 6 minutes. 5. The Call Bell Log for Resident 2 from 12/11/2025-1/5/2026 indicated 29 total alerts were made with 16 alerts exceeding 6 minutes. 6. Staff 1 acknowledged that their policy regarding response time was not being followed. 7. Photo evidence was obtained.
Based on record review and staff interview, the facility failed to ensure that adequate staffing in knowledge, skills, and abilities and sufficient in numbers to provide services to attain and maintain the physical, mental, and psychosocial well-being of each resident as determined by resident assessments and individualized service plans, and to ensure compliance with this chapter. Evidence: 1. During inspection on 1/6/2026, LI reviewed the facility?s ?Written Staff Plan? and Staff Schedule for 6/1/25-6/14/25. 2. According to the ?Written Staff Policy? and their average daily census, the staff coverage should be: 7am-3pm: 3 RMA and 4 CNA/PCA 3pm-11pm: 3 RMA and 4 CNA/PCA 11pm-7am: 1 RMA and 5 CNA/PCA 3. The facility schedule for 6/1/25-6/14/25 was reviewed and showed the following: 7am-3pm: 3 RMA and 4 CNA/PCA were not scheduled or maintained for 9 out of the 14-day period. 3pm-11pm: 3 RMA and 4 CNA/PCA were not scheduled or maintained for 10 out of the 14-day period. 11:00-7:00am: 1 RMA and 5 CNA/PCA were not scheduled or maintained from 6/1/25-6/14/25. 4. Staff 1 acknowledged that the facilities policy regarding staff coverage was not followed. 5. Photo evidenced obtained.
Type of inspection: Monitoring Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: Date: 1/6/2026 Time In: 2:00pm Time Out: 2:35pm 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 12/21/2025 regarding allegations in the area(s) of: Personnel and 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: 1 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: Resident Records, Staff Training Records, Video of Incident Additional Comments/Discussion: N/A 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 (Ishmel Paige), Licensing Inspector at (804)-963-0360 or by email at ishmel.l.paige@dss.virginia.gov
Based on record review and staff interview, the facility failed to ensure that staff were considerate and respectful of the rights, dignity, and sensitivities of persons who are aged or infirm or who have disabilities. Evidence: 1. On 12/22/2025, the facility self-reported an allegation of abuse of Resident 1 by Staff 2 to licensing. 2. During inspection on 1/6/2026, Staff 1 showed a video of the reported incident from 12/18/2025 of Resident 1 and Staff 2 at approximately 6:51 a.m. The video showed Staff 2 assisting Resident 1 with changing/dressing while in the bed. Staff 2 can be seen repeatedly shoving the resident towards the wall and speaking loudly at the resident who can be heard verbally expressing discomfort. 3. Staff 1 acknowledged Staff 2?s actions were inappropriate and not respectful of Resident 1.
Based on staff review and interview, the facility failed to ensure that at least two of the required hours of training shall focus on infection control and prevention. Evidence: 1. During inspection on 1/6/2026, Staff 2?s annual training records (Hire Date: 01/09/2024) indicated Staff 2 completed 15 hours of training in the year of 2025; however, the training hours did not include infection control and prevention training. 2. Staff 1 acknowledged that Staff 2?s 2025 training records did not include at least two hours focused on infection control and prevention.
Based on staff record review and staff interview, the assisted living facility failed to ensure the rights and responsibilities of residents in assisted living facilities were reviewed annually with each resident or his legal representative or responsible individual. Evidence: 1. During inspection on 1/6/2026, Staff 2 (Hire Date: 1/9/2024) did not have documentation of Resident Rights and Responsibilities being reviewed for the year 2025. 2. Staff 1 acknowledged that Staff 2?s record did not include the review of Resident Rights and Responsibilities in 2025.
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: Date: 1/6/2026 Time In: 12:30pm Time Out: 2:00pm 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 12/21/2025 regarding allegations in the area(s) of: Personnel and 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: 2 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: reviewed staff and resident records. Additional Comments/Discussion: N/A 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. However, violation(s) not related to the self-report 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 Ishmel Paige, Licensing Inspector at (804)-963-0360 or by email at ishmel.l.paige@dss.virginia.gov
Based on resident record review, staff record review and staff interview, the facility failed to ensure that the rights and responsibilities of residents in assisted living facilities shall be reviewed annually with each resident or legal representative or responsible individual and each staff person. Evidence: 1. During inspection on 1/6/2026, Resident 1?s record included a review of Resident Rights and Responsibilities dated 9/20/2024. 2. Staff 2?s record (Hire Date: 10/15/25) included an unsigned copy of Resident Rights and Responsibilities. 3. Staff 1 acknowledged that the Resident Rights and Responsibilities were not reviewed annually for Resident 1 and acknowledged the unsigned copy in Staff 2?s record.
Based on staff record review and interview, the facility failed to ensure that each direct care staff member shall maintain current certification in first aid from the 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. During inspection on 1/6/2026, Staff 1 acknowledged that Staff 2 (Hire Date: 10/15/25) was the assigned caregiver and Staff 3 (Hire Date: 1/22/25) was the Medication Aid for Resident 1 as it relates to the self-reported incident on 12/21/2025. 2. During staff record review, Staff 2 and Staff 3 did not have documentation or a certificate of First Aid. 3. Staff 1 acknowledged that Staff 2 and Staff 3 records did not include First Aid certification.
Based on resident record review and staff interview, the facility failed to ensure that the individualized service plan shall be signed and dated by the licensee, administrator, or his designee, (i.e., the person who has developed the plan), and by the resident or his legal representative. Evidence: 1. During inspection on 1/6/2026, Resident 1?s record included their most current Individualized Service Plan ( ISP
Based on resident record review and staff interview, the facility failed to ensure that the Uniform Assessment Instrument ( UAI
Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: Date: 1/6/2026 Time In: 9:10am Time Out: 12:24pm 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 6/26/2025 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: 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: 0 Number of staff records reviewed: 0 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 4 Observations by licensing inspector: Temperatures were taken and reviewed throughout the facility. Kitchen observation due to reported fire with no concerns noted. Additional Comments/Discussion: N/A 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 Ishmel Paige, Licensing Inspector at (804)-963-0360 or by email at ishmel.l.paige@dss.virginia.gov
Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 4/28/2025 9:30 a.m. ? 1:20 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 4/25/2025 regarding allegations in the area(s) of: Resident Care and Staffing Number of residents present at the facility at the beginning of the inspection: 52 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 staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: Building and grounds, resident rooms, and dining services. Additional Comments/Discussion: N/A An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegation(s); area(s) of non-compliance with standard(s) or law was: staffing 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 Jeff Marnien, Licensing Inspector at (540) 571-0189 or by email at jeffrey.marnien@dss.virginia.gov
Based on document review and interview, the facility failed to maintain a written plan that specifies the number and type of direct care staff required to meet the day-to-day, routine direct care needs and any identified special needs for the residents in care. This plan shall be directly related to actual resident acuity levels and individualized care needs. Evidence: 1. During an interview on 4/28/2025 with staff 1, hired 11/14/2024, the Licensing Inspector (LI) requested the facilities staffing plan. Staff 1 provided a spreadsheet maintained by the Regional Manager that establishes staffing based on census. 2. Staff 1 confirmed the facility does not have a written staffing plan based on resident acuity levels and maintained at the facility.
Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 4/28/2025 from1:30 p.m. to 5:00 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 4/17/2025 regarding allegations in the area(s) of: resident care and medication administration Number of residents present at the facility at the beginning of the inspection: 52 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: 2 Observations by licensing inspector: Building and grounds Additional Comments/Discussion: n/a An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegations; area(s) of non-compliance with standard(s) or law were: resident care and medication management A violation notice was issued; any violation(s) not related to the complaints 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 Jeff Marnien, Licensing Inspector at (540) 571-0189 or by email at Jeffrey.marnien@dss.virginia.gov
Based on record review and staff interview, the facility failed to ensure medications were not started, changed, or discontinued by the facility without a valid order from a physician or other prescriber. Evidence: 1. Resident 1, admitted 8/2/2024, had an order for Pradaxa 150mg capsule, ordered 9/4/2024. The medication administration record ( MAR
Based on record review and staff interview, the facility failed to ensure a comprehensive individualized service plan was completed within 30 days after admission. Evidence: 1. The Licensing Inspector (LI) requested resident 1?s record, admitted 8/2/2024. The LI observed the initial individualized service plan ( ISP
Based on record review and staff interviews, the facility failed to assume general responsibility of a resident. Evidence: 1. Resident 1 was ordered an anti-coagulant Pradaxa 75mg, one capsule by mouth twice daily for blood clots. 2. In September 2024, 33 doses of Pradaxa 75mg capsules were not administered to resident 1 without documented follow-up with the physician and were not in accordance with the physician's order. Of the 33 missed doses, 11 were labeled as ?Medication on hold,? despite no hold order being recorded from the physician. 3. On 10/1/2024, resident 1 was experiencing a mental status change, confusion, left facial drop, and aphasia and was sent to the emergency room for further evaluation. An MRI was completed revealing a parietal lobe lacunar infarct (small stroke in the parietal lobe). Hospital discharge notes indicated resident 1 was to resume Pradaxa 75mg capsule and received a new order Pradaxa 150mg capsule by mouth every 12 hours, do not crush. 4. Staff 1 and staff 2 confirmed resident 1 medication was not administered as ordered in September 2024 and resident 1 was sent to the hospital on 10/1/2024 and returned 10/2/2024 with a new diagnosis and new medication orders.
Based on record review and staff interviews, the facility failed to ensure medications shall be administered in accordance with the physician's or other prescriber?s instructions. Evidence: 1. Resident 1 order for had an order for Dabigatran Etexilate (Pradaxa) 75mg cap also known as Pradaxa; take 1 capsule by mouth twice daily for blood clots, do not crush. 2. Staff 1 and staff 2 on 4/28/2025 during interview with LI, discussed the 33 instances Pradaxa 75mg capsule was not administered in the month of September 2024. Staff 1 and staff 2 stated the instances Pradaxa 75mg capsule was not administered was not according to the physician order, an explanation why codes: ?Medication on Hold? and ?Patient unable to take medication?, was unavailable and follow up between the facility and the physician was not documented.
Type of inspection: Renewal Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 4/23/2025 10:00 a.m. ? 5:50 p.m., 4/24/2025 9:30 a.m. ? 4:30 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of resident records reviewed: 7 Number of staff records reviewed: 4 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: Building and grounds, dining services, kitchen operations, medication pass, and resident rooms. 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 Jeff Marnien, Licensing Inspector at (540) 571-0189 or by email at Jeffrey.marnien@dss.virginia.gov
Based on record review and staff interview, the facility failed to provide the current disclosure statement form prepared by the department. Evidence: 1. The Licensing Inspector (LI) during an interview with staff 5 on 4/23/2025 asked for the facility?s current disclosure statement. 2. Staff 5 provided the previous version of the disclosure statement that was discontinued 1/23/2025. 3. The LI showed staff 5 the current disclosure statement on the dss.virginia.gov website. Staff 5 confirmed the form in use was not the current disclosure statement.
Based on record review and staff interview, the facility failed to ensure fire drills were completed on each shift in a quarter and were not conducted in the same month. Evidence: 1. The LI requested staff 7 provide fire drills. Documentation showed fire drills were completed on 3/30/2025 on the 3rd shift, 3/3/2025 on the 2nd shift, and 2/6/2025 on the 1st shift. 2. Staff 7 confirmed the fire drills were completed in the same month for the 2nd and 3rd shift.
Based on observation and staff interview, the facility failed to post a snack menu for the week that was dated and posted in a conspicuous area for residents. Evidence: 1. LI observed the menu posted in the main dining area did not include a list of snacks. During an interview with staff 7, weekly menus were given to residents, but a snack list was not posted with the main menu, in the bistro or included with the menu given to the residents. 2. During an interview with staff 5 on 4/23/2025, staff 5 confirmed a snack menu was not posted in the main dining area or in the Bistro, which is open to residents 24 hrs. a day. 3. Photo evidence P1 taken.
Based on record review and staff interview, the facility failed to ensure the dietary oversight included certification that the requirements of this subsection were met. Evidence: 1. LI reviewed the dietary oversight conducted 1/24/2025 and did not observe a certification that the criteria of this section were met. 2. Staff 5 confirmed the certification was not included in the dietary oversight report.
Based on record review and staff interviews, the facility failed to ensure it obtained an annual inspection by the Department of Health. Evidence: 1. During an interview with Staff 8 on 4/23/2025 the LI requested the annual health inspection from the Department of Health. Staff 8 provided a health inspection that was last completed on 3/24/2024. 2. Staff 5 and staff 8 confirmed the inspection by the Department of Health was out of date.
Based on record review and staff interview, the facility failed to ensure the medication review included a certification statement from the licensed health care professional that the requirements of subdivisions E 1 through E 11 were met. Evidence: 1. LI observed the medication review dated 4/10/2025 did not include a certification statement the criteria in this section were met. 2. Staff 5 confirmed the certification statement was not included in the medication review.
Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 3/20/2025 10:30 a.m. ? 2:00 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 2/27/2025 regarding allegations in the area(s) of: resident care. Number of residents present at the facility at the beginning of the inspection: 46 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 Observations by licensing inspector: Building and grounds, resident rooms, and dining services Additional Comments/Discussion: N/A An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jeff Marnien, Licensing Inspector at (540) 571-0189 or by email at Jeffrey.marnien@dss.virginia.gov
Based on record review and staff interviews, the facility failed to implement its written medication management plan, specifically its methods for verifying that medication orders have been accurately transcribed to medication administration records ( MAR
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Commonwealth Senior Living at Manassas
1.3 miAssisted Living · Manassas, VA
Willow Oaks Court
1.5 miAssisted Living · Manassas, VA
Uptown Assisted Living
1.5 miAssisted Living · Manassas, VA
Birmingham Green
1.5 miNursing Home · Manassas, VA
District Home Assisted Living at Birmingham Green
1.6 miAssisted Living · Manassas, VA
Affectionate Care, LLC
2.9 miAssisted Living · Manassas Park, VA