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Every family's needs are unique. We encourage you to visit Golden Years Assisted Living Facility, INC. 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 should approach this facility with significant caution due to serious allegations regarding cleanliness, including reports of bed bugs and poor maintenance. While some recent inquiries and older reviews praise the friendly staff and beautiful building, more recent feedback highlights severe concerns regarding facility upkeep and resident care transparency.
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Key Review Excerpts
“The staff was very attentive with the residents and seemed very involved with their everyday interactions and care. They were very friendly and answered all of my questions.”
“The food is great unlike previous facility where they served mashed potato and corn everyday!”
Source: VA State Licensing Agency
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: 11/18/2025 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: 76 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 11 Number of staff records reviewed:9 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 4 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on observations made during the tour of the building, the facility failed to ensure all buildings were well-ventilated and free from foul, stale, and musty odors. Evidence: 1. At 7:45 am during the start of the inspection, there was a strong urine odor in the hallway near the nurse?s station. 2. Staff # 1 and Staff # 9 acknowledged the presence of the smell of urine.
Based on the observation of facility postings, the facility failed to ensure that menus for meals and snacks for the current week shall be dated and posted in an area conspicuous to residents. Evidence: 1. During the on-site inspection, the facility did not have the current menu for the week posted. 2. Staff #1 and Staff #2 acknowledged there was no menu posted at the time of the inspector?s request. Staff #2 later posted the menu after the inspector?s request
Based on record review, the facility failed to obtain a copy of the certificate issued or other documentation indicating that a person in a role as a direct care staff had met one of the requirements to work as a direct care staff. Evidence: 1. The staff files for Staff# 6 and Staff # 9 provided to the licensing inspector at the time of inspection did not contain verification of the staff?s qualifications. 2. Staff #1 acknowledged the staff files for Staff #6 and Staff # 9 did not contain verification of the staff?s qualifications.
Based on resident record review, the facility failed to complete a comprehensive Individualized Service Plan ( ISP
Based on observations made during the tour of the building, the facility failed to maintain all furnishings, fixtures, and equipment clean and in good repair and condition. Evidence: During the on-site inspection of the facility the Licensing Inspector observed the following: 1. Bathroom in front hallway-There was a black substance in the shower drain 2. Bathroom in front hallway- The shower drains were unassembled 3. Bathroom in front hallway-Shower stalls have black substance in the grout lines 4. Staff #1 acknowledged the above-mentioned items needed to be cleaned. 5. LI obtained photographic evidence during the inspection.
Based on observation, facility failed to ensure that bathrooms provide privacy for such activities as bathing, toileting, and dressing. Evidence: 1. During the on-site inspection of the facility the Licensing Inspector observed there was no privacy for toileting as there was no door or barrier between the toilet, multi-stall showers, and sink areas. 2. Staff # 2 acknowledged there was no barrier or privacy. 3. LI obtained photographic evidence during the inspection.
Based on a review of resident records, the facility failed to ensure that prior to or at the time of admission to an assisted living facility, all required personal and social information on a person shall be obtained. Evidence: 1. The personal and social data for Resident #1 was incomplete. The record did not contain the contact information for the designated contact person, the resident?s last home address, lifetime vocation, personal physician, personal dentist, previous mental health or intellectual disability history, current behavioral and social functioning, Department of Social Services contact information. 2. The personal and social data for Resident #2 was incomplete. The record did not contain the resident?s last home address, place of birth, interest/hobbies, lifetime vocation, personal physician, personal dentist, previous mental health or intellectual disability history, current behavioral and social functioning, Department of Social Services contact information. 3. Staff #1 acknowledged the forms were not complete. 4. LI obtained photographic evidence during the inspection.
Based on record review, the facility failed to implement its written plan for medication management, specifically regarding its methods to ensure accurate counts of all controlled substances whenever assigned medication staff changes. Evidence: 1. A review of the Change of Shift-Controlled Medication Count Sheet for the month of November 2025 documented staff failed to ensure counts of all controlled substances occurred between oncoming staff and off going staff for medication Carts #1 and #2. 2. Staff #1 acknowledged the Change of Shift-Controlled Medication Count Sheet was not completed for each change of shift.
Based on record review and interview, the facility failed to ensure, either directly or indirectly, that the health care service needs of residents are met. Evidence: 1. Documentation in the resident file for Resident #2 noted the physician ordered blood work for Resident #2 on 2/6/25 for CBC with DIFF, TSH, FLP, Vitamin D, and Depakote levels. There was no documentation in the resident?s file that the bloodwork had been completed, and the results were sent to the physician. 2. The physician ordered the same lab work on 6/21/25, (CBC with DIFF, TSH, FLP, Vitamin D, and Depakote levels). There was no documentation in the resident?s file that the bloodwork had been completed, and the results sent to the physician. 3. Staff #1 could not verify when the lab work was completed, the results of the labs, or that the physician received the results. 4. LI obtained photographic evidence during the inspection.
Based on record review and staff interview, the facility failed to have a physical examination completed within 30 days preceding admission to an assisted living facility. Evidence: 1. The resident record for Resident #1 (D.O.A. 10/4/2025) contained an admission physical dated 8/6/2025. 2. Staff #1 acknowledged the physical was completed more than 30 days prior to the resident?s admission to the facility. 3. LI obtained photographic evidence during the inspection.
Based on resident record review and staff interview, the facility failed to ensure the Uniform Assessment Instrument ( UAI
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: 12/18/2025 10:00am- 11:30 am 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 11/22/2025 regarding allegations in the area(s) of: Admission, Retention and Discharge of Residents Number of residents present at the facility at the beginning of the inspection: 72 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: 1 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the (allegation(s)/self-report) of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
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: 11/18/2025 3:00 pm- 3:30 pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 10/29/2025 regarding allegations in the area(s) of: Administration and Administrative Services Resident Care and Related Services Number of residents present at the facility at the beginning of the inspection: 72 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 2 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 2 Observations by licensing inspector: n/a 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)/self-report); area(s) of non-compliance with standard(s) or law were: Administration 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on record review and staff interview, the facility failed to ensure that for a facility licensed for both residential and assisted living care, the administrator shall be licensed as an assisted living facility administrator or nursing home administrator by the Virginia Board of Long-Term Care Administrators pursuant to Chapter 31 (A? 54.1-3100 et seq.) of Title 54.1 of the Code of Virginia. Evidence: 1. The facility is licensed for residential and assisted living level of care. 2. On 10/29/2025 the LI received a complaint alleging the facility?s administrator?s Administrator In Training license expired in April 2025. 3. During the inspection on 11/18/2025, Staff #1 self-identified as the administrator of record. 4. During the 11/18/2025 inspection, the Licensing Inspector searched the Virginia Department of Health Profession?s license lookup webpage for Staff #1?s name. The results revealed that Staff #1?s Acting Administrator in Training license expired on 04/14/2025. 5. During the interview on 11/18/2025, Staff #1 acknowledged that Staff #1?s license expired on 04/14/2025. Staff #1 stated there have been no arrangements made to complete the licensure process required to become a licensed assisted living facility administrator.
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: 11/18/2025 2:15pm- 2:30 pm and 12/17/2025 1:30 pm- 3:00 pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 10/20/2025 regarding allegations in the area(s) of: Admission, Retention and Discharge of Residents Resident Care and Related Services Resident Accommodations and Related Provisions Buildings and Grounds Number of residents present at the facility at the beginning of the inspection: 76 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: The Licensing Inspector reviewed resident charts and inspected resident bedrooms. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation(s) of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint(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. 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on record review and staff interview, the facility failed to ensure that each resident has their own clothing. Evidence: 1. The Division received a complaint on 10/20/2025 regarding the facility discarding the personal belongings for Resident #1. 2. A review of Resident #1?s file contained an incident report which detailed that on 9/17/2025, Resident #1?s roommate moved out of the facility and some of Resident #1?s belongings were inadvertently packed and taken with the roommate?s clothing. 3. During the inspection Staff #1 acknowledged the incident occurred and the resident?s family had not been monetarily compensated for the items.
Based on documentation review and staff interview, the facility failed to ensure that a copy of a written discharge statement signed by the administrator was retained in resident records which contained the date notice of discharge was provided to or by the facility or the resident, the reason for discharge and the date of the actual discharge from the facility. Evidence: 1. The records for Resident #1 and Resident #2 contained discharge statements which did not document the reason for the discharge, the actions taken by the facility to assist the resident in the discharge and relocation process. 2. The discharge statement for Resident # 2 did not contain the actual date of the discharge. 3. Staff #1 acknowledged the discharged resident statements did not contain the required information.
Based on observations made during a tour of the building and interviews with residents and staff, the facility failed to ensure buildings shall be kept free of infestations of insects and vermin. Evidence: 1. The Licensing Inspector observed live and crawling bed bugs on the bedroom wall of resident bedroom #3 on 12/16/2025. Photographic evidence taken during the inspection. 2. Staff # 1 acknowledged the facility has an on-going pest control issue (bed bugs) which is being addressed. Interview with Collateral #1 confirmed the building is being treated for an insect infestation.
Based on records reviewed and staff interviewed, the facility failed to ensure a risk assessment for tuberculosis was completed annually on each resident as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. Evidence: 1. The most recent TB assessment in the file for Resident #1 (date of admission 6/1/2018) was dated 9/4/2024. 2. Staff #1 acknowledged the TB assessment dated 9/4/2024 was the most recent.
Based on resident record review and staff interview, the facility failed to ensure that medical procedures or treatments ordered by a physician or other prescriber shall be provided according to the prescriber?s instructions and documented and the documentation shall be maintained in the resident?s record. Evidence: 1. Documentation in the file for Resident #1 noted on 6/6/2025, the resident?s physician ordered for the resident to have GI consult ? Colonoscopy. There was no evidence in the resident?s file that the resident had seen the specialist or received a colonoscopy. 2. Staff # 1 acknowledged the facility did not have documentation the resident was seen by a GI specialist or received a colonoscopy.
Based on a review of resident records and interviews, the facility failed to provide within 60 days of the date of discharge with each resident a final statement of account, any funds due, and return money, property, or things of value held in trust or custody by the facility. Evidence: 1. Resident # 1?s date of discharge from the facility was 10/11/2025, per the Discharge Notification statement. The resident?s representative/next of kin was provided with a final statement of account within 60 days of the discharge. 2. Resident # 2?s date of discharge from the facility was 7/29/2025, per the Discharge Notification statement. The resident nor the resident?s representative was not provided with a final statement of account within 60 days of discharge. 3. Staff #1 acknowledged that neither Resident #1 nor Resident #2 received a final statement within 60 days of their discharge.
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/27/2025 9:22 am- 1:17 pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 10/23/2025 and 1 10/25/2025 regarding allegations in the area(s) of: Buildings and Grounds 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: 0 Number of staff records reviewed: 0 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 3 Observations by licensing inspector: LI toured the facility, conducted interviews with staff and residents. Additional Comments/Discussion: n/a An exit meeting will be conducted to review the inspection findings. 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/17/2025 3:45 pm- 5:20 pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 10/17/2025 regarding allegations in the area(s) of: Admission Retention and Discharge Number of residents present at the facility at the beginning of the inspection: 72 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: The licensing inspector conducted an inspection of the resident record and the facility. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation(s) of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint(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. 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on facility documentation and interview with staff, the facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs, such as prevention of falls and wandering from the premises. Evidence: 1. The October 2025 Medication Administration Record for Resident #1 documented that the resident was out of the facility on the following days at an unknown location: 10/2/2025, 10/4/2025, 10/5/2025, 10/9/2025, and 10/13/2025. The physical for Resident #1 documented the resident as having dementia. 2. Staff #1 acknowledged that Resident #1 exits the facility and walks the area. 3. Photographic evidence obtained at the time of inspection.
Based on a record review, the facility failed to ensure the resident had a physical examination by an independent physician within the 30 days preceding admission which contained the resident?s weight and blood pressure. Evidence: 1. The physical for Resident #1 dated 8/15/2025 did not document the resident?s height or weight. 2. Photographic evidence obtained at the time of
Based on a review of resident records and interviews with staff, the facility failed to ensure medical procedures or treatments ordered by a physician shall be provided according to his instructions and documented. The documentation shall be maintained in the resident's record. Evidence: 1. The MAR
Based on resident record review, the facility failed to include a description of identified needs and date identified based upon the Uniform Assessment Instrument ( UAI
Based on physician?s order, staff interviews and Medication Administration Record ( MAR
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/7/2025 11:00 am- 1:20 pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 10/6/2025 regarding allegations in the area(s) of: Personnel and Resident Care and Related Services 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: 2 Number of interviews conducted with staff: 2 Observations by licensing inspector: n/a 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on a review of staff records, the facility failed to ensure the rights and responsibilities of residents in assisted living facilities shall be reviewed annually with each staff person, including written acknowledgment of having been so informed, which shall include the date of the review and shall be filed in the staff person's record. Evidence: 1. The last Resident Rights review documented in the record for Staff #2 was dated 5/28/2024. 2. Staff #1 acknowledged the last documented review of Resident?s Rights in the file provided to the Licensing Inspector was dated 5/28/2024. Staff #1 acknowledged Resident?s Rights training had been provided to Staff # 2 since 5/28/2024, however the documentation of the training could not be located at the time of the inspection.
Based on a review of documentation and interviews, it was determined that the facility did not ensure all staff shall be considerate and respectful of the rights, dignity, and sensitivities of persons who are aged, infirm, or disabled. Evidence: 1. On 10/6/2025, the facility self-reported an allegation of physical abuse made by the family of Resident #1. Resident #1 was interviewed by Licensing Inspector, and the resident denied any physical abuse by Staff #2, however the resident did indicate the staff member spoke to the resident in an inappropriate manner by teasing and using misgendering names towards the resident which upset him. 2. Staff #1 acknowledged that Staff #2 had been placed on suspension while the facility conducted an internal investigation.
Based on record reviewed, the resident?s individualized service plan ( ISP
Based on review of resident records the facility failed to ensure that each resident?s individualized service plan ( ISP
Based on the record reviewed, the facility failed to ensure that a fall risk assessment was reviewed and updated after a resident experiences a fall. Evidence: 1. The file for Resident #1 documented a fall which resulted in the resident going to the emergency room on 8/19/2025. There was no fall assessment in the resident?s file pertaining to the fall. 2. Staff #1 acknowledged the file for Resident #1 did not contain a fall risk assessment for the resident?s fall which occurred on 8/19/2025.
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: 9/27/2024 8:45 am ? 2:15 pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 10/2/2024 regarding allegations in the area(s) of: Buildings and Grounds Emergency Preparedness Number of residents present at the facility at the beginning of the inspection: 74 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:2 Number of interviews conducted with staff: 3 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the complaint 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on observation, staff and collateral interviews, the facility failed to ensure the food supply was current. Evidence: 1. During the on-site inspection the facility?s current rotating emergency food stock, peanut butter, which was most of the emergency food, was expired with an expiration date of 6/20/2021. 2. Staff #3 acknowledged the food was expired.
Based on observations made during a tour of the building, the facility failed to ensure the interior and exterior of all buildings shall be maintained in good repair and kept clean and free of rubbish. Evidence: 1. On 9/27/2024, during the inspection of the facility, the Licensing Inspector observed carpet that was worn and taped down throughout the building (hallways leading to resident bedrooms, dining room, and common rooms used by the residents). 2. Staff #3 acknowledged the carpet was worn.
Based on observations made during a tour of the building and interviews with residents and staff, the facility failed to ensure buildings shall be kept free of infestations of insects and vermin. Evidence: 1. The Licensing Inspector observed a live and crawling bed bug on the bedroom wall of resident #1 on the date of the inspection. 2. Staff # 1 acknowledged the facility has an on-going contract for pest control contract but there continue to be reports of bed bugs.
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