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Public Google reviewers rate this highly and often mention warm and welcoming staff. Schedule a visit to confirm the fit.
based on 54 Google reviews
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Public Google reviewers rate Harmony at Independence highly. Reviewers highlight: warm and welcoming staff, beautiful, well-maintained facility. Reviewer identity is not verified, and online reviews may not capture everything. Schedule a visit to assess the fit directly.
Harmony at Independence is widely praised for its warm, welcoming atmosphere and a highly attentive staff that excels at making new residents feel at home. While many families highlight the beautiful, hotel-like facility and engaging activities, one critical review raised serious concerns regarding medication delays and safety equipment availability during a hospice stay.
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Key Review Excerpts
“The team consistently demonstrates professionalism, thoughtful attention, and genuine care to make residents feel comfortable and connected.”
“The last dose of Morphine was given about 12:45 am. I went to the nurses' station to request his next dose and was told the med nurse was upstairs. His wife went to the nurses station at 2:16 am to request the pain medication. The nurse came into the room at 2:58am”
“It truly gives a luxury senior living vibe at an affordable (in these times) price!”
Source: VA State Licensing Agency
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: 10/02/2025 (arrival 11:25 a.m. / departure 3:55 p.m.) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 07/27/2025 regarding allegations in the area(s) of: Admission, Retention, and Discharge of Residents; Resident Care and Related Services; Building and Grounds Number of residents present at the facility at the beginning of the inspection: 79 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 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: Building and Grounds A violation notice was issued; any violation(s) not related to the complaint(s) but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Darunda Flint, Licensing Inspector at (757)807-9731 or by email at darunda.a.flint@dss.virginia.gov
Based on observation and staff interviewed, the facility failed to ensure the hot water at taps available to residents shall be maintained within a range of 105 degrees Fahrenheit (F) to 120 degrees F. Evidence: 1. During a tour of the building with staff #1 the hot water temperature was checked in resident #2?s room (temperature reading was 121.6 degrees F), and resident #4?s room (temperature reading was 123.3 degrees F). 2. Staff #1 acknowledged the water temperatures were not within the required temperature range.
Type of inspection: Other Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/02/2025 ( arrival 10:00 a.m. / departure 11:24 a.m.) 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: 79 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 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 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 Darunda Flint, Licensing Inspector at (757)807-9731 or by email at darunda.a.flint@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: 10/02/2025 (arrival 11:25 a.m. / 3:55 p.m. departure) 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 06/24/2025 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: 79 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of interviews conducted with 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) 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 Darunda Flint, Licensing Inspector at 757-807-9731 or by email at Darunda.a.flint@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: 05/12/2025 from 8:50 am to 5:15 pm and 05/13/2025 from 9:45 pm to 1:35 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 05/07/2025 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: 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: 4 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on record review and interview, the facility failed to review and update individualized service plans as needed for a significant change of a resident?s condition. Evidence: 1. Resident #1 was admitted to hospice on 02/10/2025; however, the ISP
Based on record review, the facility failed to ensure that for each resident with an inability to use the signaling device, in addition to any other services, once the resident has gone to bed each evening until the resident has arisen each morning, at a minimum, direct care staff make rounds no less often than every two hours, except that rounds may be made on a different frequency if requested by the resident and agreed to by the facility. Evidence: 1. During the onsite visit on 05/13/2025 in the safe, secure environment, the logs for two-hour rounding are not consistently completed to document rounds no less often than every two hours for each resident with an inability to use the signaling device each evening and early morning hours. 2. For May 2025, the following logs for the following residents do not document rounding during the following timeframes: Resident #1 and Resident #3 from 7p-7a on 05/01/2025-05/12/2025, Resident #2 from 7p-7a on 05/01/2025-05/03/2025 and 05/05/2025-05/12/2025 and 11p-7a on 05/04/2025, and Resident #4 from 7p-7a on 05/01/2025, 05/03/2025, 05/04/2025, 05/06/2025, 05/11/2025, and 05/12/2025 and 11p-7a on 05/02/2025, 05/05/2025, and 05/07/2025-05/10/2025.
Based on record review and interview, the facility failed to ensure a fall risk rating is completed when the condition of the resident changes and after a fall. Evidence: 1. Resident #1 fell per nursing notes on 03/19/2025, 04/21/2025, and 04/27/2025 and was admitted to hospice on 02/10/2025; however, Resident #1?s record did not include a completed fall risk rating. 2. Staff #1 confirmed Resident #1 did not have a completed fall risk rating in their resident record.
Based on record review and interview, the facility failed to complete a resident?s UAI
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: 05/12/2025 from 8:50 am to 5:30 pm and 05/13/2025 from 9:45 am to 1:35 pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 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: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 4 Number of interviews conducted with staff: 3 Observations by licensing inspector: Lunch and an activity were observed. A medication pass observation was completed for 3 residents. The following were reviewed: resident and staff records, medication carts, call bells, and water temperatures. 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on record review and interview, the facility failed to ensure each staff person on or within seven days prior to the first day of work at the facility and each household member prior to coming in contact with residents submit 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. The risk assessment shall be no older than 30 days. Additionally, each staff person or household member required to be evaluated are to annually submit the results of a risk assessment, documenting that the individual is free 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 #5 confirmed Staff #1 was hired on 04/28/2025; however, the TB risk assessment for Staff #1 was completed on 05/12/2025. 2. Staff #5 was unable to provide a TB risk assessment for Staff #3 in 2024.
Based on observation and record review, the facility failed to ensure medications be administered not earlier than one hour before and not later than one hour after the facility's standard dosing schedule, except those drugs that are ordered for specific times, such as before, after, or with meals. Evidence: 1. During a medication observation with Staff #1 around 9:15 am, Resident #1 was not administered their Metoprolol 50 mg tablet as it was scheduled for 8 am administration. 2. During a medication observation with Staff #2 around 9:35 am, Resident #2 was administered 3 of their scheduled 8 am medications (Allegro eye drops, Calcium 600-D3 20 mcg tablet, and Metoprolol 25 mg tablet).
Based on observation, the facility failed to ensure a first aid kit for the building contain items as identified in the standard. Items with expiration dates must not have dates that have already passed. Evidence: 1. The building first aid kit included antiseptic ointment expired 12/2024 and hand cleaner expired 1/2025. The building first aid kit also did not have a disposable single-use breathing barrier or shield for use with rescue breathing or CPR.
Based on record review and interview, the facility failed to ensure for residents who meet the criteria for assisted living care, by the time the comprehensive ISP
Based on record review and interview, the facility failed to ensure six months after placement of the resident in the safe, secure environment and annually thereafter, the licensee, administrator, or designee perform a review of the appropriateness of each resident's continued residence in the special care unit. Evidence: 1. Staff #4 confirmed the last annual review of appropriateness for continued residence in the special care unit for Resident #5 was completed on 06/30/2023.
Based on record review and interview, the facility failed to ensure the criminal history record report be obtained on or prior to the 30th day of employment for each employee. Evidence: 1. Staff #6 was hired on 10/10/2024; however, the criminal history record report for Staff #6 was completed 05/12/2025. 2. Staff #7 was hired on 07/31/2024; however, the criminal history record report for Staff #7 was completed 10/13/2024. 3. Staff #5 confirmed the hire dates and dates of their completed criminal history record report for Staff #6 and Staff #7.
Based on record review, the facility failed to comply with the Virginia Statewide Fire Prevention Code (13VAC5-51) as determined by at least an annual inspection by the appropriate fire official. Evidence: 1. The last inspection by the appropriate fire official was completed on 09/06/2023.
Based on record review and interview, the facility failed to ensure on or within seven days prior to the day of admission, a preliminary plan of care be developed to address the basic needs of the resident that adequately protects his health, safety, and welfare. Evidence: 1. Resident #3 was admitted to the facility on 02/27/2025; however, the ISP
Based on record review, the facility failed to ensure fire and emergency evacuation drill frequency and participation 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. The facility did not conduct a fire and emergency evacuation drill in March 2025 or April 2025.
Based on record review and interview, the facility failed to ensure the individualized service plan be signed and dated by the licensee, administrator, or his designee, (i.e., the person who has developed the plan), and by the resident or their legal representative when reviews and updates of the plan have been made. Evidence: 1. Staff #4 confirmed the ISP
Based on record review, the facility failed to retain written acknowledgment of the receipt of the disclosure by the resident or his legal representative. Evidence: 1. There was no written acknowledgment of the receipt of the full disclosure by the residents or their legal representatives for Resident #4 (admitted 04/03/2025) prior to 05/13/2025.
Based on record review, the facility failed to ensure, within the 30 days preceding admission, the physical examination including 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 #4 was unable to provide Resident #3?s TB risk assessment as part of their admitting physical examination (dated 02/10/2025). 2. Staff #4 was unable to provide the completed TB risk assessment and page 3 of Resident #4?s physical examination (dated 03/28/2025).
Based on record review, the facility failed to ensure upon admission, the assisted living facility provide an orientation for new residents and their legal representatives, including emergency response procedures, mealtimes, and use of the call system. Acknowledgment of having received the orientation shall be signed and dated by the resident and, as appropriate, his legal representative, and such documentation shall be kept in the resident's record. Evidence: 1. Resident #1 (admitted 04/25/2025) did not have evidence of receiving orientation in their resident records.
Based on record review and interview, the facility failed to ensure prior to admission to a safe, secure environment, residents are assessed by an independent clinical psychologist licensed to practice in the Commonwealth or by an independent physician as having a serious cognitive impairment due to a primary psychiatric diagnosis of dementia with an inability to recognize danger or protect his own safety and welfare. Evidence: 1. Staff #4 confirmed Resident #1 did not have a complete serious cognitive assessment as page 2 of the assessment was unable to be located at the time of the inspection.
Based on record review and interview, the facility failed to ensure a fall risk rating is completed at least annually, when the condition of the resident changes, and after a fall. Evidence: 1. Staff #4 confirmed the last fall risk rating for Resident #5 was completed on 05/23/2023. 2. Staff #4 confirmed Resident #6 admitted to hospice on 02/26/2025 and fell per nursing notes on 04/12/2025 and 05/11/2025; however, the last fall risk rating in the record of Resident #6 was completed on 04/26/2024.
Based on record review and interview, the facility failed to ensure a valid written Do Not Resuscitate (DNR) order has been issued by the resident's attending physician; and that the written order is included in the individualized service plan. Evidence: 1. Staff #4 confirmed Resident #1, Resident #2, and Resident #6 have a DNR order; however, the written order is not documented in their ISP
Based on record review and interview, the facility failed to annually review the rights and responsibilities of residents with each resident or their legal representative or responsible individual as stipulated in subsection H of this section and each staff person. Evidence: 1. Staff #5 confirmed the last review of resident rights and responsibilities for Staff #3 was completed on 02/15/2024. 2. Staff #4 confirmed there has not been a review of resident rights and responsibilities for Resident #4 within the past 12 months.
Based on observation, the facility failed to implement their written plan for medication management which includes methods to prevent the use of outdated medications and plan for proper disposal of medication. Evidence: 1. The following expired medications were observed in the medication carts at the facility: PRN
Based on record review and interview, the facility failed to ensure each direct care staff member maintain current certification in first aid from the American Red Cross, American Heart Association, National Safety Council, American Safety and Health Institute, community college, hospital, volunteer rescue squad, or fire department. Evidence: 1. Staff #5 confirmed Staff #3 works as direct care staff and does not have documentation of a current certification in first aid in their staff record.
Based on record review and interview, the facility failed to ensure first aid kits be checked at least monthly to ensure that all items are present and items with expiration dates are not past their expiration date. Evidence: 1. Staff #4 was unable to provide documentation of monthly checks of the first aid kit for 10/2024 to 4/2025.
Based on record review and interview, the facility failed to annually complete a risk assessment for tuberculosis 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. Staff #4 confirmed the last TB risk assessment for Resident #5 was completed on 02/21/2024. 2. Staff #4 confirmed the last TB risk assessment for Resident #6 was completed on 02/25/2024.
Based on record review, the facility failed to ensure medications be administered in accordance with the physician's or other prescriber?s instructions. Evidence: 1. Resident #2 has an order for Midodrine 2.5 mg tablet to be administered 3 times a day with a parameter to hold for SBP>120. 2. Resident #2?s May 2025 MAR
Based on record review, the facility failed to ascertain, prior to admission, whether a potential resident was a registered sex offender and failed to document that this was ascertained and the date the information was obtained. Evidence: 1. Resident #1 (admitted 04/25/2025) and Resident #4 (admitted 04/03/2025) did not have a completed sex offender screening in their record prior to 05/12/2025.
Based on record review and interview, the facility failed to obtain the written approval of one of the following persons listed in the standard of placing a resident with a serious cognitive impairment due to a primary psychiatric diagnosis of dementia in a safe, secure environment. Evidence: 1. Staff #4 confirmed Resident #6 admitted to the safe, secure environment on 04/13/2025 and did not have documentation of approval for placement in a special care unit in their record.
Based on record review and interview, the facility failed to ensure the licensee, administrator, or designee determine whether placement in the special care unit is appropriate for a resident with a serious cognitive impairment due to a primary psychiatric diagnosis of dementia to a safe, secure environment. Evidence: 1. Staff #4 confirmed Resident #4 (admitted 04/03/2025) and Resident #6 (admitted 04/13/2025) did not have documentation of the determination and justification on whether placement in the special care unit is appropriate by the licensee, administrator, or designee in their record.
Based on observation, the facility failed to ensure the availability of a 96-hour supply of emergency drinking water with at least 48 hours of the supply on site. Evidence: 1. Upon review of the facility?s emergency food and water supply, there was no emergency drinking water supply available onsite at the time of inspection.
Based on record review and interview, the facility failed to ensure the administrator or the administrator's designated representative approves and then signs the completed UAI
Based on record review and interview, the facility failed to ensure the orientation and training required in subsections B and C of this section occur within the first seven working days of employment. Evidence: 1. Staff #5 confirmed the record of Staff #1 (hired 04/28/2025) did not complete their staff orientation and initial training within the first seven working days of employment.
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: 05/12/2025 from 8:50 am to 5:15 pm and 05/13/2025 from 9:45 pm to 1:35 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 05/08/2025 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: 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: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on record review and interview, the facility failed to ensure a fall risk rating is completed at least annually, when the condition of the resident changes, and after a fall. Evidence: 1. Resident #1 fell per nursing notes on 05/05/2025 and was admitted to hospice on 03/05/2025. 2. Staff #1 confirmed the most current fall risk rating for Resident #1 was completed on 10/24/2024.
Based on record review and interview, the facility failed to complete a resident?s UAI
Based on record review and interview, the facility failed to review and update individualized service plans at least once every 12 months and as needed for a significant change of a resident?s condition. Evidence: 1. Resident #1 was admitted to hospice on 03/05/2025. 2. Staff #1 confirmed the most current ISP
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: 05/12/2025 from 8:50 am to 5:15 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 05/08/2025 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: 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: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@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: 04/10/2025 from 1:15 pm to 2:50 pm and 04/17/2025 from 12:00 pm to 12:34 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 04/09/2025 regarding allegations in the area(s) of: Personnel, Resident Care and Related Services, and Buildings and Ground. Number of residents present at the facility at the beginning of the inspection: 86 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: 1 Number of interviews conducted with residents: 3 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 some, but not all of the allegation(s); area(s) of non-compliance with standard(s) or law were: Resident Care and Related Services and Buildings and Ground. 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on record review, the facility failed to ensure that personal assistance and care are provided to each resident as necessary so that the needs of the resident are met. Evidence: 1. On 04/10/2025, the laundry hamper in Resident #1?s apartment was noted to be overflowing. There were also dirty rags noted in Resident #1?s shower.
Based on record review and interview, the facility failed to ensure the individualized service plan be signed and dated by the resident or their legal representative when reviews and updates of the plan have been made. Evidence: 1. Resident #1?s ISP
Based on record review, the facility failed to ensure care provision and service delivery be resident-centered to the maximum extent possible and include prompt response by staff to resident needs as reasonable to the circumstances. Evidence: 1. The facility?s call bell system policy indicates ?failure to answer alerts in a customary period of time (approximately 4 minutes) could result in disciplinary action.? 2. From 03/01/2025-04/10/2025, there were 48 instances the response time for Resident #1?s pendant exceeded over 15 minutes. 3. From 03/01/2025-04/10/2025, there were 8 instances the response time for Resident #2?s pendant exceeded over 15 minutes.
Based on observation, the facility failed to ensure medications and dietary supplements prescribed for residents to be administered by the facility are stored in a medicine cabinet, container, or compartment. Evidence: 1. Resident #1 has an order for staff to administer Nystatin 2 times daily to feet. 2. A tube of Nystatin cream was noted at Resident #1?s bedside on 04/10/2025.
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