Green Acres
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Feb 27, 2026RoutineCleanReport
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: 02/27/2026 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 01/22/2026 regarding allegations in the area(s) of: Resident care and related services Number of residents present at the facility at the beginning of the inspection: 68 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: n/a Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the self-report of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Becky Berry, Licensing Inspector at 276-608-3514 or by email at rebecca.berry@dss.virginia.gov.
Feb 13, 2026ComplaintCleanReport
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 02/13/2026, 12:49pm to 1:05pm 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 01/30/2026 regarding allegations in the area(s) of: Emergency preparedness 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: n/a Number of staff records reviewed: n/a Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation(s) of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Becky Berry, Licensing Inspector at 276-608-3514 or by email at rebecca.berry@dss.virginia.gov.
Jan 29, 2026Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 01/29/2026, 2:40pm to 3:05pm 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 01/21/2026 regarding allegations in the area(s) of: Resident care and related services Number of residents present at the facility at the beginning of the inspection: 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: 2 Number of staff records reviewed: n/a Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: 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 Becky Berry, Licensing Inspector at 276-608-3514 or by email at rebecca.berry@dss.virginia.gov.
Based on interviews with resident and staff, the facility failed to ensure that medications shall be administered in accordance with the physician's or other prescriber?s instructions. EVIDENCE: 1. According to facility self-report by staff #1 received on 01/21/2026, a registered medication aide (RMA) provided incorrect medication to resident #1. 2. According to staff #2, the resident stayed out of the facility overnight from 01/19/2026 to 01/20/2026 and requested his medications for the morning of 01/20/2026 be given to him in advance so he could take them the morning of 01/20/2026. He is able to safely self-administer medications per physician documentation. 3. According to staff #2, on the evening of 01/19/2026, staff #3 provided resident #1 his own regularly scheduled medications for the morning of 01/20/2026 per his request. At the same time, she unintentionally provided one blister pack of morning medications for resident #2, including Duloxetine Hcl 30mg cap, Metformin Hcl 1,000mg tablet, Pantoprazole Sod Dr 20mg tab, Senna Plus 8.6-50mg tablet and Vitamin D-3 1,000 unit tablet. 4. Resident #1 reports he took his own regularly scheduled medications the morning of 01/20/2026, and two of the medications in the blister pack for resident #2. He states he took the Metformin tablet, as well as one other medication that was a capsule, prior to realizing it was the incorrect medication. Staff #2 reports the only capsule in the pack was the Duloxetine.
Jan 29, 2026RoutineCleanReport
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: 01/29/2026, 1:12pm to 1:59pm 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 12/13/2025 regarding allegations in the area(s) of: Resident care and related services Number of residents present at the facility at the beginning of the inspection: 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: 1 Number of staff records reviewed: n/a Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the self-report of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Becky Berry, Licensing Inspector at 276-608-3514 or by email at rebecca.berry@dss.virginia.gov.
Jan 29, 2026Routine
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: 01/29/2026, 12:33 to 1:11pm 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 12/02/2025 regarding allegations in the area(s) of: Resident care and related services Number of residents present at the facility at the beginning of the inspection: 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: 1 Number of staff records reviewed: n/a Number of interviews conducted with residents: n/a Number of interviews conducted with staff: 2 Observations by licensing inspector: Staff training Additional Comments/Discussion: 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. 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 Becky Berry, Licensing Inspector at 276-608-3514 or by email at rebecca.berry@dss.virginia.gov.
Based on a review of resident records, the facility failed to ensure that at the time the medication is administered, the facility shall document on a medication administration record ( MAR
Jan 29, 2026RoutineCleanReport
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: 01/29/2026, 11:58am to 12:32pm 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 01/09/2026 regarding allegations in the area(s) of: Resident care and related services Number of residents present at the facility at the beginning of the inspection: 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: 1 Number of staff records reviewed: n/a Number of interviews conducted with residents: n/a Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the self-report of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Becky Berry, Licensing Inspector at 276-608-3514 or by email at rebecca.berry@dss.virginia.gov.
Jan 28, 2026Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 01/28/2026, 11:30am to 1:12pm 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 01/20/2026 regarding allegations in the area(s) of: Building and grounds 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: n/a Number of staff records reviewed: n/a Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: 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 Becky Berry, Licensing Inspector at 276-608-3514 or by email at rebecca.berry@dss.virginia.gov.
Based on a tour of the building, the facility failed to ensure buildings shall be kept free of infestations of insects and vermin. EVIDENCE: 1. The licensing inspector (LI) observed one live bedbug on the bed closest to the door in resident room #30. 2. The LI observed a cluster of several live bed bugs on the lower right corner of the bed by the door in resident room #33. 3. Resident #1 reported she has observed bed bugs in her bed, near the window in resident room #33. 4. The LI observed one live bed bug on the bed by the window in resident room #34.
Jan 28, 2026Routine13Report
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: 01/28/2026, 10:39am to 3:45pm and 01/29/2026, 9:38am to 4:59pm 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: 10 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 5 Observations by licensing inspector: 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 Becky Berry, Licensing Inspector at 276-608-3514 or by email at rebecca.berry@dss.virginia.gov.
Based on a review of staff records, the facility failed to ensure that a record shall be established for each staff person. EVIDENCE: 1. During the on-site inspection, a record for staff #7 could not be found. 2. Staff #11 confirmed the record could not be located at the facility.
Based on a review of staff records, the facility failed to ensure all required personal and social data is contained in the staff record, including an original criminal record report. EVIDENCE: 1. According to 22VAC40-90-10, "Criminal history record report" means either the criminal record clearance or the criminal history record issued by the Central Criminal Records Exchange, Department of State Police. 2. According to 22VAC40-90-40-B, the criminal history record report shall be obtained within 30 days of employment for each employee. 3. The start date of employment for staff #7 was 05/10/2025. A criminal history record report issued by the State Police was not found at the facility for staff #7 on the date of the inspection (01/29/2026). 4. Staff #11 confirmed the criminal history record report could not be located at the facility for staff #7.
Based on a review of resident records, the facility failed to ensure that for public pay individuals, the uniform assessment instrument ( UAI
Based on a review of facility documentation, the facility failed to ensure that all residents shall be included at least annually in health care oversight. EVIDENCE: 1. The health care oversight occurring from 12/01/2025 through 12/05/2025 indicates oversight was provided for 12 residents. 2. The health care oversight occurring from 11/01/2024 through 11/08/2024 indicates oversight was provided for 11 residents. 3. Staff #11 confirmed she typically uses a sampling of residents for the health care oversight. 4. At the time of inspection, 70 residents were in care at the facility.
Based on a review of resident records, the facility failed to ensure that when a diet is prescribed for a resident by his physician or other prescriber, it shall be prepared and served according to the physician's or other prescriber's orders. EVIDENCE: 1. The report of physical examination dated 04/21/2023 for resident #6 contains an order for a chopped regular diet. 2. The individualized service plan ( ISP
Based on a review of facility documentation, the facility failed to implement its medication management plan, including methods to ensure accurate counts of all controlled substances whenever assigned medication administration staff changes. EVIDENCE: 1. The signature page for all incoming/outgoing RMAs/nurse(s) states the following: By signing this form you are acknowledging that the count for all scheduled controlled medications are accurate. 2. There was no outgoing RMA/nurse(s) signature on the signature page referenced above 96 times in January 2026, across all medication carts.
Based on a review or resident records, the facility failed to ensure medications shall be administered in accordance with the physician's or other prescriber?s instructions. EVIDENCE: 1. The record for resident #9 contained the following order: Levothyroxine 175mcg tablet, take 1 tablet by mouth every day for hypothyroidism. 2. The January medication administration record ( MAR
Based on a review of resident records, the facility failed to have a valid physician's or other prescriber's order for oxygen therapy. EVIDENCE: 1. The individualized service plan ( ISP
Based on a tour of the building, the facility failed to ensure bedrooms contain all required items. EVIDENCE: 1. In resident room #1, the bedside light over the bed by the door was not operable. Two residents were assigned to the room and there was only one sturdy chair observed in the room. 2. In resident room #9, there were no bulbs observed in the bedside lights. 3. In resident room #11, the bedside light over the bed by the door was not operable. 4. In resident room #13, the bedside lights were not operable. 5. Two residents were assigned to room #17 and only one sturdy chair was observed. 6. In resident room #20, the bedside light over the bed by the window was not operable. 7. The bedside lights in resident room #28 were not operable.
Based on a tour of the building, the facility failed to ensure that any operable window (i.e., a window that may be opened) shall be effectively screened. EVIDENCE: 1. In resident room #14, tape and cardboard were used around the window a/c unit. There was a gap under the cardboard allowing cool air to enter. 2. Plexiglass and tape were used around the window a/c unit in resident room #17. 3. Tape was used around the window a/c unit in resident room #20, and dead insects were observed in the windowsill in front of the a/c unit. 4. Cardboard and tape were used around the window a/c unit in resident room #23. 5. Tape and plexiglass were used around the window a/c unit in resident room #28, and cool air was entering underneath the a/c unit.
Based on a tour of the building, the facility failed to ensure that hot water at taps available to residents shall be maintained within a range of 105?F to 120?F. EVIDENCE: 1. The water at the sink in resident bathroom #2 reached a temperature of only 93 degrees Fahrenheit. 2. The water at the sink in resident bathroom #3 reached a temperature of 138 degrees Fahrenheit. 3. The water at the sink in resident bathroom #4 reached a temperature of 135 degrees Fahrenheit.
Based on a tour of the building, the facility failed to ensure that the interior and exterior of all buildings shall be maintained in good repair and kept clean and free of rubbish. EVIDENCE: 1. In resident bathroom #3, a piece of corner tile was missing at the base of the wall between the sink and the shower. The paint was peeling and there were dark spots on the wall above the paper towel dispenser, the wall across from the toilet, and the ceiling. 2. In resident room #13, spiderwebs were observed in the corner above the bed by the door, and above the entrance door. Water stains were observed on the ceiling, and the ceiling was sagging. 3. In resident bathroom #4, there were dark spots on the wall by the toilet, a dark substance on the floor in front of the toilet and lighter brown streaks on the wall under the light switch. 4. In resident room #14, streaks of a substance light brown in color was observed on the wall by the bed near the door. 5. In resident room #17, spiderwebs and dust were observed on the bedside light fixtures and spiderwebs were observed in the corner above the bed by the door. 6. In resident bathroom #5, pieces of corner tile at the base of the wall between the toilet and shower were missing, a portion of the tile floor under the handrail by the toilet was damaged, the area around the base of the toilet and behind the toilet was soiled with a dark substance and the paint on the wall between the toilet and shower was peeling and soiled. 7. In resident bathroom #6, the baseboards were dusty, the walls by the sink and the toilet were soiled, and there was a dark substance on the floor around the base of the toilet. 8. In resident room #20, spiderwebs and dust were observed around the overhead light fixture, and spiderwebs were found in the corner above the bed by the window. Dust was observed in the windowsill. 9. Spider webs were observed above the window in resident room #22. 10. Spider webs were observed in the corners above the beds in resident room #23. 11. In resident bathroom #8, the tile baseboards were dusty and soiled and the lower portion of the walls throughout the room were dirty/soiled. 12. In resident restroom #10, the walls behind and beside the toilet were soiled and the paint was peeling. There was a dark substance around the base of the toilet and around the sink.
Based on a tour of the building, the facility failed to ensure all furnishings, fixtures, and equipment, including furniture, window coverings, sinks, toilets, bathtubs, and showers, shall be kept clean and in good repair and condition. EVIDENCE: 1. In resident bathroom #3, the lowest level of shower tiles under the shower head were stained/soiled with an orange substance. The vent fan was very dusty. 2. The overhead light fixture in resident room #11 contained several dead insects. 3. The vent fan in resident bathroom #4 was very dusty. 4. The vent fan in resident bathroom #5 was very dusty. 5. The vent fan in resident bathroom #6 was very dusty. 6. The vent fan in resident bathroom #8 was attached only on one side and was coming apart from the ceiling. 7. The vent fan in resident restroom #12 was very dusty. 8. The vent fan in resident restroom #16 was very dusty.
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