Hairston Home for Adults
Reviewer concerns include severe hygiene and sanitation issues — investigate before committing.
based on 9 Google reviews
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What this means for your family
The presence of highly specific, severe allegations regarding sanitation and resident safety is a major red flag. If you choose to visit, you must personally inspect the cleanliness of the facility and ask detailed questions regarding their recent safety records and staffing oversight.
Google Reviews
Google Reviews
9 reviews on Google“Families should approach this facility with extreme caution due to severe allegations of neglect, unsanitary conditions, and historical reports of mistreatment. While one family praised the kind staff and social atmosphere during a transition period, other reviewers describe appalling levels of filth and serious safety concerns.”
Quality Themes
Tap a score for detailsStrengths
- Kind and caring staff members
- Friendly resident community
- Welcoming atmosphere for visitors
Concerns
- Severe hygiene and sanitation issues
- Allegations of resident mistreatment and abuse
Rating Trends
Tap a year to see what changed
Distribution · 9 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard such wonderful things about the kindness of your staff and the welcoming atmosphere here; how do you foster that sense of community among the residents?
- 2Could you walk us through your daily cleaning and sanitation protocols to ensure the living spaces and common areas are kept pristine?
- 3What is the current meal plan like, and how do you ensure the dining experience is both nutritious and enjoyable for the residents?
- 4How is the nursing staff structured to handle medical emergencies or sudden changes in a resident's health during the night?
- 5What kind of daily activities or social outings are available to help residents stay engaged with the friendly community here?
- 6How does the management team address and resolve any resident or family concerns to ensure everyone feels safe and well-cared for?
Personalized based on this facility's data
Key Review Excerpts
“The staff are all truly kind and caring and worked hard to help him adjust. The residents are very friendly too and we enjoyed socializing with them.”
“The place is so nasty and unsanitary! The bathrooms were covered in urine and feces it turned my stomach.”
State Inspection History
State Inspections
Source: VA State Licensing Agency
Dec 10, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 12/10/2025 09:30 to 12:00 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 11/12/2025 regarding allegations in the area(s) of: Staffing and Supervision, Admission, Retention, and Discharge of Residents, 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: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 5 Observations by licensing inspector: Medication Cart Audit 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 were: Administration and Administrative Services, Admission, Retention, and Discharge of Residents, Resident Care and Related Services A violation notice was issued; any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact A Marie Swink, Licensing Inspector at 276-623-6575 or by email at angela.swink@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to ensure that each facility shall report to the regional licensing office within 24 hours any major incident that has negatively affected or that threatens the life, health, safety, or welfare of any resident. EVIDENCE: 1. Resident 1 record contained documentation of a fall on 10/22/2025 that was unwitnessed, resulting in an injury and resident was sent to the local emergency room for evaluation. 2. Resident 2 record contained documentation on the Controlled Drug Record for Clonzepam 1mg Tablet, Take 1 Tablet By Mouth 3 Times a Day for anxiety with a handwritten note on the form that on 12/5/2025 three of the controlled narcotic pills were missing from the bubble pack with no indication on why the narcotics were missing after an investigation had been completed. 3. Interview with Staff 1 confirmed that the facility did not send in a self report for either incident with Resident 1 or Resident 2 that affected or threatened the life, health, safety, or welfare of the residents.
Based on resident record review and staff interviews, the facility failed to ensure that no resident shall be admitted or retained who requires a level of care or service or type of service for which the facility is not licensed or which the facility does not provide. EVIDENCE: 1. The facility has a stipulation on the facility license that indicates that all residents must be ambulatory. 2. Interview with Staff 1 confirmed Resident 1 had a serious cognitive impairment and was non ambulatory. Staff 1 advised the life saver project bracelet was for GPS location on the resident. Staff 1 stated that the facility staffed an extra direct care staff during the evenings due to the needs of Resident 1. 3. Resident 1 record contained an Individual Service Plan, with an update on 5/2025, that the resident had a treatment need for a life saver project bracelet and was to wear the bracelet all the time. Resident 1 record contained a Encounter for routine adult health examination with abnormal findings, signed by the physician on 7/31/2025, with documentation that the resident was disoriented to time, date, and place, decreased concentrating ability, memory lapses or loss, and forgetting words and has a diagnosis of Alzheimer?s Disease. Resident 1 record contained an Encounter for routine adult health examination with abnormal findings, dated 10/22/2025, with documentation that the resident was disorientated to person, time and purpose, recent memory impaired, and a diagnosis of Severe Late onset Alzheimer?s dementia with agitation.
Based on resident record review and staff interview, the facility failed to ensure that all residents of and applicants to assisted living facilities shall be assessed face to face using the uniform assessment instrument ( UAI
Based on facility record review and staff interviews, the facility failed to follow their medication management plan in regards to methods to ensure accurate counts of all controlled substances whenever assigned medication administration staff changes. EVIDENCE: 1. The facility?s Medication Management Policy, last reviewed in 1/2024, contained documentation that controlled substances must be kept under a double lock and shall be counted at the end of each shift by the staff going off duty and staff coming on duty. 2. The December 2025 Narcotic Release and Accept Form contained documentation that oncoming staff were counting the controlled substances, but the off going staff, for the same shift change, did not count the controlled substances from 12/1/2025 to 12/9/2025. 3. Interview with Staff 1 and Staff 2 confirmed the staff responsible for medication administration were only counting the controlled medications when their shift began.
Feb 4, 2025Routine
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: 2/4/2025 08:50 to 14:00 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: 34 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of staff records reviewed: 3 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 4 Observations by licensing inspector: Medication Pass, Medication Cart Audit, Breakfast Meal 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 A Marie Swink, Licensing Inspector at 276-623-6575 or by email at angela.swink @dss.virginia.gov
Based on staff record review and staff interview, the facility failed to ensure that all required personal and social data are maintained on staff and included in the staff record. EVIDENCE: 1. Staff 1 Record did not contain documentation for verification that the staff person has received a copy of his current job description, an original criminal record report and a sworn disclosure statement, and documentation of orientation training. 2. During an interview with the licensing inspector and staff 2, staff 2 revealed that staff 1 had all the required documents in their possession and had not returned the items to staff 2.
Based on staff record review and staff interview, the facility failed to ensure that each staff person on or within seven days prior to the first day of work at the facility submits the results of a risk assessment, documenting the absence of tuberculosis in a communicable form 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. Staff 1 record, date of hire 11/21/2024, did not contain a risk assessment documenting the absence of tuberculosis. 2. During an interview with the licensing inspector and staff 2, staff 2 revealed that staff 1 had not had a risk assessment completed documenting the absence of tuberculosis.
Based on staff record review and staff 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. The certification must either be in adult first aid or include adult first aid. To be considered current, first aid certification from community colleges, hospitals, volunteer rescue squads, or fire departments shall have been issued within the past three years. EVIDENCE: 1. Staff 3 record contained a NSC First Aid, CPR, and AED Couse certificate with documentation of an expiration date of 7/9/2024. 2. Staff 4 record contained a NSC First Aid, CPR, and AED Couse certificate with documentation of an expiration date of 7/9/2024. 3. During an interview with the licensing inspector and staff 2, staff 2 confirmed staff 3 and staff 4 records to be current, and that their First Aid certificates had expired.
Based on staff record review, staff interview, and physical plant observation, the facility failed to ensure that there is at least one staff person in each building at all times who has current certification in CPR from the American Red Cross, American Heart Association, National Safety Council, or American Safety and Health Institute, or who has current CPR certification issued within the past two years by a community college, hospital, volunteer rescue squad, or fire department. The certification must either be in adult CPR or include adult CPR. EVIDENCE: 1. Staff 3 record contained a NSC First Aide, CPR, and AED Course certificate with documentation of an expiration date of 7/9/2024. 2. During the physical plant observation at approximately 9:00am on the date of inspection, the licensing inspector observed the board that acknowledges which direct care staff were working on this date and shift to be staff 1, staff 3, staff 5, and staff 6. 3. During an interview with the licensing inspector and staff 2, staff 2 revealed that staff 1, staff 3, staff 5, and staff 6 all had expired CPR certifications, and so there was no one in the building at the time of the physical plant observation that was currently certified in CPR.
Based on resident record review and staff interview, the facility failed to ensure that for residents who meet the criteria for assisted living care, by the time the comprehensive Individual Service Plan ( ISP
Based on resident record review and staff interview, the facility failed to ensure that for each resident assessed for assisted living care, except for those who self- administer all of their medications, a licensed health care professional, practicing within the scope of his profession, shall perform a review every six months of all the medications of the resident. EVIDENCE: 1. Resident 2 record, who is assessed for assisted living care and does not administer their own medications, contains the most current review of all the medications of the resident dated 5/2/2024. 2. During an interview with the licensing inspector and staff 2, staff 2 confirmed resident 2 record to be current.
Based on facility record review and staff interview, the facility failed to ensure that fire and emergency evacuation drill frequency and participation shall be in accordance with the current edition of the Virginia Statewide Fire Prevention Code (13VAC5-51). The drills required for each shift in a quarter shall not be conducted in the same month. EVIDENCE: 1. Facility record contains a Record of Required Fire and Emergency Evacuation Drills with documentation of the most recent drill being completed on 9/26/2024. 2. During an interview with the licensing inspector and staff 2, staff 2 confirmed the most recent fire and emergency evacuation drill was completed on 9/26/2024.
Aug 6, 2024ComplaintCleanReport
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: 8/6/2024 10:25AM to 11:15AM 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 7/25/2024 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: 33 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation 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 A Marie Swink, Licensing Inspector at 276-623-6575 or by email at angela.swink@dss.virginia.gov
Feb 22, 2024Routine
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 2.22.2024 8:30am to 2:15pm 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: 31 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed:3 Number of interviews conducted with residents: 4 Number of interviews conducted with staff: 3 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 A Marie Swink, Licensing Inspector at 276-635-6575 or by email at marie.swink@dss.virginia.gov
1.The record for staff 1, date of hire 3/7/2022 as direct care staff, did not contain a certification in first aid. 2.The record for staff 2, date of hire 4/29/2019 as direct care staff, contained an American Heart Association Basic Life Support certificate that had a renew by date of August 2023. The record did not contain a current certification in first aid. 3.During the on-site inspection on 2/22/2024, an interview conducted with one Licensing Inspector and staff person 3, staff person 3 revealed the record for staff 1 and staff 2 was current.
Based on resident record review and staff interview, the facility failed to ensure a documented interview between the administrator, the individual, and his legal representative was completed to determination that the facility can meet the needs of the individual. EVIDENCE: 1.The record for resident 1, admitted on 1/17/2024, did not contain a documented interview. 2.During the on-site inspection on 2/22/2024, an interview conducted with one Licensing Inspector and staff person 3, staff person 3 revealed a documented interview was not completed for resident 1.
Based on physical plant observation and staff interview, the facility failed to ensure menus for meals and snacks for the current week are posted in an area conspicuous to residents. EVIDENCE: 1.One licensing inspector did not observe a posted menu for meals and snacks for the current week. 2.During the on-site inspection on 2/22/2024, an interview conducted with one Licensing Inspector and staff person 4, staff person 4, staff person 4 revealed the menu was not posted.
Jan 10, 2024ComplaintCleanReport
Type of inspection: Complaint 58679 Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 01/10/2024 from 08:30 AM until 12:00 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 01/03/2024 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: 30 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: 0 Number of interviews conducted with staff: 3 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 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 Holly Copeland, Licensing Inspector at 540-309-5982 or by email at holly.copeland@dss.virginia.gov
Jan 10, 2024Complaint
Type of inspection: Complaint 58678 Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 01/10/2024 from 08:30 AM until 12:00 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 12/14/2023 regarding allegations in the area(s) of: Building and Grounds and Resident Care and Related Services. Number of residents present at the facility at the beginning of the inspection: 30 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: N/A Number of interviews conducted with residents: N/A Number of interviews conducted with staff: 3 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 did not support the allegation(s) of non-compliance with standard(s) or law. However, violation(s) not related to the complaint(s) 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 Holly Copeland, Licensing Inspector, at 540-309-5982 or by email at holly.copeland@dss.virginia.gov
Based on resident record review and staff interview, all residents of assisted living facilities shall be assessed face to face using the uniform assessment instrument in accordance with Assessment in Assisted Living Facilities (22VAC30-110-30-B.2) which includes the identification of functional status of public pay individuals. EVIDENCE: 1. During an on-site inspection on 1/10/2024, the Individual Service Plan ( ISP
Based on resident record review and staff interview, the facility failed to ensure the comprehensive Individualized Service Plan ( ISP
Based on resident record review and staff interview, the facility failed to ensure the Individualized Service Plan ( ISP
Mar 23, 2023Routine
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 03/23/2023 from 09:00 AM until 02:30 PM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. 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 Holly Copeland, Licensing Inspector at 540-309-5982 or by email at holly.copeland@dss.virginia.gov
Based on record review, the facility failed to ensure that in a facility licensed for both residential and assisted living care, all direct care staff shall attend at least 18 hours of training annually. EVIDENCE: The record for staff 1, hired 04/26/2019, did not contain documentation of having had 18 annual training hours during staff 1?s most recent annual training period of 04/26/2021 through 04/25/2022.
Based on resident record review and staff interview, the facility failed to ascertain prior to admission whether a potential resident is a registered sex offender. EVIDENCE: 1. The record for resident 4 contained the results of a Virginia State Police sex offender registry search that was performed on 03/13/2023; however, the resident?s record indicates that she was admitted to the facility on 03/07/2023. 2. Interview with staff 4 confirmed that the sex offender registry search was not completed until after resident 4 was admitted to the facility.
Based on resident record review and staff interview, the facility failed to ensure that individualized service plans ( ISP
Based on resident record review, the facility failed to ensure that individualized service plans ( ISP
Based on observation during a tour of the building, the facility failed to ensure a menu for meals and snacks for the current week was posted in an area conspicuous to residents. EVIDENCE: At approximately 09:57 AM, collateral 1 noted that the menu for meals and snacks that was posted in the facility?s dining room was not for the current week.
Based on physical plant observation, the facility failed to store cleaning and other hazardous materials in a locked area. EVIDENCE: At approximately 09:06 AM, collateral 1 noted that the door to the small closet outside of the dining room was unlocked. Inside of the unlocked closet there was a container of floor cleaner and a container of Betco thermoplastic spray buff. This was also observed by staff 5.
Jan 31, 2023Routine
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: 01/31/2023 from 09:30 AM until 12:30 PM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. 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 Holly Copeland, Licensing Inspector at 540-309-5982 or by email at holly.copeland@dss.virginia.gov
Based on record review, the facility failed to ensure that all new staff shall receive facility orientation and training as required in subsections B and C of this standard within the first seven working days of employment. EVIDENCE: 1. The record for staff 3, hired 07/22/2022, did not contain the required new staff orientation and training. 2. Interview with staff 4 indicated that the documented training for staff 3 still does not exist.
Based on record review, the facility failed to ensure that personal and social data shall be maintained on staff and included in the staff record. EVIDENCE: 1. The records for staff 1, 2, and 3 still did not contain documentation of having received a job description. 2. The records for staff 2 and 3 still did not contain verification of completion of a required approved direct care training course. 3. Interview with staff 4 confirmed that this documentation was not maintained in the staff records.
Based on record review, the facility failed to ensure that each direct care staff member who does not have current certification in first aid shall receive certification in first aid within 60 days of employment and shall maintain current first aid certification. EVIDENCE: 1. The record for staff 3, hired 07/22/2022, did not contain documentation of having received first aid certification. 2. Interview with staff 4 confirmed that staff 3 still had not yet received first aid certification since her hire date.
Based on observation, the facility failed to ensure that 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: A blue overstuffed interior chair with a hole in the arm was observed sitting on the outside porch at the back of the facility.
Based on observation, the facility failed to ensure that all inside and outside steps, stairways, and ramps shall have non-slip surfaces. EVIDENCE: The stairs on the back exterior of the building had a black rug on approximately four of the steps which created a slip/trip hazard.
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