Harpers Station Yorktown
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Feb 12, 2026Routine
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: 2/12/2026 8:30 am- 3:55 pm; 2/23/2026 10:00 am- 3:30 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: 77 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: 6 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 4 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 inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of these inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Refer to General Procedures and Information for Licensure, 22VAC40-80-260-B for information on requesting a problem solving conference. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on a review of facility documentation and interview, the facility failed to ensure that it obtained an annual inspection report from the Virginia Department of Health. Evidence: 1. During the on-site inspection of the facility on 2/12/2026, the most current health inspection provided by the facility was dated 7/8/2024. 2. Staff #1 acknowledged the 7/8/2024 inspection was the facility?s most recent inspection by the health department.
Based on record review, the facility failed to implement its written plan for medication management, specifically regarding its methods to ensure accurate counts of all controlled substances whenever assigned medication staff changes. Evidence: 1. The facility?s MAR
Based on observation, the facility failed to ensure medications to be administered no earlier than one hour before and no later than one hour after the facility?s standard dosing schedule, except for those drugs that are ordered for specific times. Evidence: 1. During the on-site inspection on 2/12/2026, the Licensing Inspector observed the following 8:00 am medications being administered more than an hour outside the standard dosing schedule. The following 9:00 am medications were administered by Staff #6: Resident #5 at 10:57 am: amlodipine 5 mg, Lisinopril 20 mg, Meloxicam 15mg, memantine Hcl 5mg Resident #6 at 11:09 am: amiodarone 200mg, aspirin 81mg, atorvastatin 20 mg, duloxetine 30 mg Resident #7 11:17 am: amlodipine 10 mg, prednisolone acetate 1%, Triamcinolon cre 0.1% 2. Staff # 6 acknowledged the medication was being administered outside of the standard dosing schedule.
Feb 3, 2025Routine
Type of inspection: Renewal An on-site mandated renewal inspection was conducted on 2-3-25 (Ar 07:47 a.m./Dep 16:00 p.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: 45 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Yes Number of resident records reviewed: 4 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 5 Observations by licensing inspector: medication pass (AL and SCU), first aid kit, water temperature, 96 hour emergency supplies, lunch meal 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. 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 (Willie Barnes), Licensing Inspector at (757) 439-6815 or by email at willie.barnes@dss.virginia.gov
Based on observation and staff interviewed, the facility failed to ensure resident?s record included an agreement as an option to have all meals in room. Evidence: 1. On 2-3-25, resident #4 acknowledged having all meals in room and not eating in the facility?s dining room. The resident?s record did not have documentation of this written agreement to this effect, signed and dated by both the resident and the licensee or administrator and filed in the resident?s record. 2. Staff #2 and #5 both when asked, acknowledged the resident eats all meals in room and does not dine in the facility?s dining room. 3. Staff #2 acknowledged the facility did not have a specific written agreement to eat meals in the room that was signed and dated by the licensee or administrator.
Based on observation and staff interviewed, the facility failed to ensure the menu for the snacks for the current week was dated and posted in an area conspicuous to residents. Evidence: 1. On 2-3-25, the menu on the safe, secure unit posted near the nurse?s station and activity room did not include snacks. 2. The menu on the assisted living unit near the elevator across from the dining room did not include snacks. 3. Staff #1 acknowledged the snacks for the current week was not dated and posted for the residents.
Based on record reviewed and staff interviewed, the facility failed to ensure when a valid written order for Do Not Resuscitate (DNR) is in the record it should be included in the individualized service plan ( ISP
Jan 16, 2025Routine
Type of inspection: Monitoring An on-site unannounced inspection conducted on 1-16-25. (Ar 1:23 p.m./Dep 3:15 p.m.) 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 12-26-24 regarding allegations in the area of resident care and related services. Number of residents present at the facility at the beginning of the inspection: 47 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: Number of interviews conducted with residents: Number of interviews conducted with staff: 4 Observations by licensing inspector: window resident exited on scu/ facility video Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact (Willie Barnes), Licensing Inspector at (757) 439-6815 or by email at willie.barnes@dss.virginia.gov
Based on self-report of a resident elopement received from the facility?s safe, secure unit, the facility failed to ensure that it shall provide supervision of resident schedules, care, and activities, including attention to specialized needs, such as prevention of falls and wandering from the premises. Evidence: 1. On 12-25-24, per the facility?s revised self-report, interviews with the facility administrator, and facility video recording at 7:37 p.m., resident #1, who reside in the facility safe, secure unit, was observed to be agitated, trying to exit the facility door near resident?s room on two occasions. Resident observed on video trying to use the facility keypad to exit the facility and pushing on the door. 2. Per the facility?s video, resident then enters another room (1009) on the safe, secure unit. The facility video at 8:01 p.m. shows resident #1 walking on the sidewalk/parking lot side of the Assisted Living (ALF) section of the facility. Resident enters the front entrance of the ALF through the automatic sliding door and goes toward the safe, secure unit area of the building. Resident exits the building again with staff following resident out the front entrance to the ALF building. 3. The facility contacts the local police for assistance. Resident runs into wooded area between the facility and a church. Staff continues to follow resident. Police report noted resident back in facility (20:24:39). Upon return to room, the resident was evaluated by staff #2, observed an abrasion on bridge of nose and skin tear on left hand above thumb, first aid provided.
Sep 21, 2024Routine
Type of inspection: Monitoring An on-site monitoring inspection conducted on 10-21-24. Ar 07:30 a.m./ Dep 16:25 p.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: 12 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Yes Number of resident records reviewed: 3 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 5 Observations by licensing inspector: Breakfast meal, emergency preparedness supply, first aid kit, water temperature 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. 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 (Willie Barnes), Licensing Inspector at (757) 439-6815 or by email at willie.barnes@dss.virginia.gov
Based on observation and staff interviewed, the facility failed to ensure blood glucose monitoring practices that are consistent with CDC recommendations were followed. Evidence: 1. On 10-21-24 during the medication pass observation with staff #3, resident #2?s blood glucose instrument (glucometer) was not labeled as required. 2. Staff #1 and #3 acknowledged the resident?s blood glucose instrument (glucometer) was not labeled.
Based on document reviewed and staff interviewed, the facility failed to ensure that any document required by the standard to be posted was in at least 12-point type or equivalent size, unless otherwise specified. Evidence: 1. On 10-21-24, the facility assisted living activities calendar posted on the bulletin board located near the mailboxes was observed to be in less than 12-point type. 2. Staff #1 acknowledged the posted schedule?s font was not at least 12-point type.
Based on documents reviewed and staff interviewed, the facility failed to ensure that facility written work schedule included the names, and job classification of all staff working each shift, with an indication of whomever is in charge at any given time. Evidence: 1. On 10-21-24, the management, maintenance, dietary, activity schedule neither the clinical schedule indicated whoever is in charge at any given time. The management, maintenance, dietary, and activity schedules did not include the names of the staff person. The activity calendar provided did not include the job classification of the staff noted. 2. Staff #1 and #2 acknowledged the written schedules provided did not include all of the required information.
Based on record reviewed and staff interviewed, the facility failed to have documentation acknowledging having received orientation to the facility for two of three records reviewed. Evidence: 1. On 10-21-24, resident #2?s record did not have documentation of having received orientation to the facility. The resident?s date of admit noted as 10-1-24. 2. Resident #3?s record did not have documentation of having received orientation to the facility. The resident?s date of admit noted as 9-28-24. 3. Staff #1 and #2 acknowledged residents #2 and #3?s record did not have documentation of acknowledgement of receiving orientation to the facility.
Based on records reviewed and staff interviewed, the facility failed to ensure the individualized service plan ( ISP
Based on observation and staff interviewed, the facility failed to ensure the menu for meals and snacks for the current week was dated and posted in an area conspicuous to residents. Evidence: 1. On 10-21-24, the facility?s menu for meals and snacks for the current week was not posted in the facility. 2. Staff #1 acknowledged the posted menu and snack for the current week was not posted in the facility on the morning of 10-21-24.
Based on staff interviewed, the facility failed to ensure a copy of a diet manual containing acceptable practices and standards for nutrition was kept current and readily available to personnel responsible for food preparation. Evidence: 1. On 10-21-24, during a tour of the kitchen with staff #1, staff #6 was not able to provide the inspector a copy of the diet manual. 2. Staff #1 and #6 acknowledged the facility did not have a copy of the diet manual as required.
Based on record reviewed, staff interviewed and observation, the facility failed to ensure that medications ordered for PRN
Aug 22, 2024Routine
Type of inspection: Initial An announced on-site mandated visit was conducted on 8-22-24 by two inspectors from the Peninsula Licensing Office (PLO). (Ar 09:22 a.m./ Dep 13:35 p.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: N/A The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Yes Number of resident records reviewed: N/A 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 initial inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The applicant has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to maintain future compliance with applicable standard(s) or law. If the applicant 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 should the facility be issued a license to operate. 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 a licensed facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact (Willie Barnes), Licensing Inspector at (757) 439-6815 or by email at willie.barnes@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. On 8-22-24 during a tour of the facility with staff #2, the water temperature in the memory care rooms were 122.4 degrees in room #1010 and 124.9 degrees in room #1009. 2. Staff #2 acknowledged the water temperature in the rooms were not within the required range 105 to 120 degrees F.
Based on observation and staff interviewed, the facility failed to ensure the interior and exterior of all buildings, was maintained in good repair and kept clean and free of rubbish. Evidence: 1. On 8-22-23 during a tour of the facility with staff #1 and #2, the wall to the right of the entrance was observed to have a hole. The wall in the bathroom of room # 1016 was observed to have a hole above the bathroom lights. 2. The fenced grass area outside of the safe, secure unit was observed to have a low drain resembling a hole in the ground. Also observed was a board that stood approximately 2 feet tall with nails in it ground near the drain. 3. Staff #1 acknowledged the buildings and grounds items were in need of repair.
Based on observation and staff interviewed, the facility failed to ensure it had toilet tissue accessible to each commode and soap accessible to each face/hand washing sink and each bathtub or shower. Evidence: 1. On 8-22-24, during a tour of the facility with staff #1 and #2, the sampled rooms observed did not have toilet tissue and soap accessible in the bathrooms. 2. Staff #1 stated facility did not supply these items.
Based on observation and staff interviewed, the facility failed to ensure the fire and emergency evacuation drawing included all required information. Evidence: 1. On 8-22-24 during a tour of the facility with staff #1 and #2, the fire and emergency evacuation postings show the primary and secondary escape routes, telephones, fire alarm boxes, and fire extinguishers. 2. Staff #1 acknowledged the fire and emergency evacuation postings in the facility did not include all requirements.
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