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Assisted Living

Hillside Residential Living

Limited public data on Hillside Residential Living. Call, tour, and ask to meet current residents' families — your own impression matters most.

403 N. Coalter Street, Staunton, VA 2440153 bedsLicensed & Active
Google rating
3.3/5

based on 13 Google reviews

5
4
3
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1

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What this means for your family

The facility shows a clear upward trend in quality due to new ownership and physical renovations. However, because of past reports of inadequate staffing ratios and safety issues, families should specifically ask for current staffing numbers and how they manage resident-to-staff interactions.

Google Reviews

Google Reviews

13 reviews on Google
Families will find a facility currently undergoing significant positive transformations under new ownership, with many noting recent improvements to the physical environment and atmosphere. However, serious historical concerns regarding staffing ratios, resident safety, and communication must be addressed through direct inquiry.

Quality Themes

Tap a score for details
FoodN/AStaff4.0CleanN/AActivities5.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Dedicated and kind ownership
  • Ongoing facility improvements and remodeling
  • Friendly and helpful staff members

Concerns

  • High resident-to-staff ratio
  • Issues with resident safety and communication

Rating Trends

Tap a year to see what changed

2343.22020(5)4.52021(2)1.02022(1)1.02023(2)5.02024(2)5.02025(1)

Distribution · 13 analyzed

5
5
4
3
3
0
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4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1It's wonderful to see the ongoing remodeling and improvements happening around the facility; what other upgrades are planned for the residents' comfort?
  • 2The ownership seems very dedicated to the community, so how do the owners personally stay involved in the day-to-day care of the residents?
  • 3With 53 residents living here, how do you ensure that every person receives timely, personalized attention during busy shifts?
  • 4What specific protocols are in place to ensure resident safety and to keep families updated on any changes in a loved one's health?
  • 5How does the staff communicate important daily updates or medical changes to family members to ensure we are always in the loop?
  • 6What kind of daily activities or social outings are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The new owner is doing a wonderful job at making positive changes for the facility. Walking in the front door you can see that the new owner is really wanting to turn this facility around and the improvements are helping.

Resident/Visitor · 2021★★★★★

The owner is the kindest hearted person and really cares about her residents. She takes it upon herself to make sure they all are taken care of and makes sure holidays are fun for them.

Resident/Visitor · 2025★★★★★

The staff to residents ratio, 55 resident's to 1!!! Staff is terrifying. I'm scared for everyone involved

Visitor · 2023☆☆☆☆
Source: 13 Google reviews

State Inspection History

State Inspections

Source: VA State Licensing Agency

15total
43deficiencies
Sep 18, 2025Routine
CleanReport

Type of inspection: Monitoring A self-reported incident was received by VDSS Division of Licensing on 08/27/2025 regarding allegations in the area(s) of: Resident Care and Related Services Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 9/18/2025 1:30 p.m. - 2:15 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: 49 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 0 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: The licensing inspector reviewed incident reports, staff communication logs, and the resident records. Additional Comments/Discussion: None An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the self-report of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jessica Gale, Licensing Inspector at 540-571-0358 or by email at Jessica.Gale@dss.virginia.gov

Jul 17, 2025Routine

Type of inspection: Monitoring Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7/17/2025 9:40 a.m. ? 3:07 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: 48 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: 3 Observations by licensing inspector: The Licensing Inspector observed the residents during activities and meals. The Licensing Inspector reviewed the following at the time of inspection: fire drills, emergency drills, resident council reports, pharmacy review, healthcare oversight, menus, activity calendars and dietician report. Additional Comments/Discussion: None 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 Jessica Gale, Licensing Inspector at (540) 571-0358 or by email at Jessica.Gale@dss.virginia.gov

22VAC40-73-250-D

Based on record review, the facility failed to ensure on or within seven days prior to the first day of work at the facility, staff submitted 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. Record review for staff 7 hired 10/7/2024 had a risk assessment documenting the absence of tuberculosis dated 1/28/2025. 2. Upon request the facility did not provide a tuberculosis risk assessment completed on or within seven days of hire.

22VAC40-73-310-D

Based on record review, the facility failed to provide written assurance to the resident that the facility had the appropriate license to meet the care needs at the time of admission. Evidence: 1. Resident 1 admitted 3/27/2025 had a written assurance dated 3/27/2025 that was signed by staff 1 but was not signed by the resident or responsible party. 2. Resident 3 admitted 3/13/2025 had a written assurance dated 3/6/2025 that was signed by staff 1 but was not signed by the resident or responsible party. 3. Resident 4 admitted 3/26/2025 had a written assurance in the resident record that was not signed or dated by the administrator or designee, or the resident or responsible party. 4. Upon request the facility did not provide a written assurance that was signed by the resident or responsible party for residents 1 or 3, or a complete written assurance for resident 4.

22VAC40-73-320-A

Based on record review, the facility failed to ensure that within the 30 days preceding admission, a person had a physical examination by an independent physician. Evidence: 1. Resident 1 admitted 3/27/2025 had a physical exam and report completed 12/2/2024. 2. Upon request the facility did not provide a physical exam and report for resident 1 completed within the 30 days prior to admission.

22VAC40-73-390-A

Based on record review, the facility failed to ensure at or prior to the time of admission, there was a written agreement or acknowledgment of notification dated and signed by the resident or applicant for admission or the appropriate legal representative. Evidence: 1. Resident 1 admitted 3/27/2025, had a resident agreement dated 3/27/2025 that was signed by staff 1 but was not signed by the resident or responsible party. 2. Resident 4 admitted 3/26/2025, had a resident agreement dated 3/26/2025 that was signed by staff 1 but was not signed by the resident or responsible party. 3. Upon request the facility did not provide a resident agreement signed by the resident or responsible party for residents 1 or 4.

22VAC40-73-440-F

Based on record review the facility failed to ensure that the Uniform Assessment Instrument ( UAI

22VAC40-73-450-C

Based on record review the facility failed to ensure that the comprehensive individualized service plan included all assessed needs. Evidence: 1. Resident 1 admitted 3/27/2025, had a UAI

22VAC40-73-640-A

Based on record review and staff interview, the facility failed to implement the written plan for medication management. Evidence: 1. Review of residents 1, 2, 3, and 4, June medication administration record indicated that on 6/7/2025 and 6/15/2025 there is no documentation of the 8:00 p.m. medications being administered. 2. During an interview with staff 1 when asked if the medications were administered on 6/7/2025 and 6/15/2025 staff 1 stated ?I am sure the medications were administered but there were issues with the computer syncing on a few nights.? 3. The facility medication management plan states on page two, number three, section f. ?weekly review of the MAR

22VAC40-73-680-B

Based on direct observation and staff interview, the facility failed to ensure medications remained in the pharmacy issued container, with the prescription label or direction label attached, until administered to the resident. Evidence: 1. During the medication administration observation, the licensing inspector observed resident 4 receiving Novolog from an insulin pen that was not labeled. 2. During an interview with staff 4, when asked if the insulin pen was labeled, staff 4 stated ?it was but it must have fallen off.? 3. Photo evidence taken.

22VAC40-73-970-A

Based on record review, the facility failed to ensure fire and emergency evacuation drill frequency and participation was completed in accordance with the current edition of the Virginia Statewide Fire Prevention Code. Evidence: 1. Record review of facility fire drills included the following, 1/10/2025 at 3:05 p.m., 2/12/2025 at 10:00 a.m., 3/20/2025 at 2:30 p.m., 4/4/2025 at 5:10 p.m., 5/21/2025 at 9:30 a.m., and 6/9/2025 at 6:40 p.m. 2. During an interview with staff 1 when asked what the shifts were for the facility staff 1 stated 6:00 a.m. to 6:00 p.m. and 6:00 p.m. to 6:00 a.m. 3. Fire drills completed January 2025 through March of 2025 were all completed on the first shift of 6:00 a.m. ? 6:00 p.m.

22VAC40-73-990-C

Based on record review and staff interview, the facility failed to ensure at least once every six months, all staff on duty on each shift participated in an exercise in which the procedures for resident emergencies were practiced. Evidence: 1. Upon request the facility did not provide documentation of the completion of the six-month exercise in which the procedures for resident emergencies are practiced. 2. During an interview with staff 3, when asked if the exercises in which the procedures for resident emergencies are practiced were completed staff 3 stated ?no, we haven?t done those.?

63.2-1720-F

Based on record review, the facility failed to ensure that the criminal history record report was obtained on or prior to the 30th day of employment for each employee. Evidence: 1. Record review for staff 6 hired 10/23/2025 had a criminal history record report completed 12/10/2024. 2. Record review for staff 7 hired 10/7/2024 had a criminal history record report completed 12/10/2024.

Feb 24, 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: 2/24/2025 2:19pm-5:30pm 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 1/24/2025 regarding allegations in the area(s) of: Direct care staff qualifications and medication administration. Number of residents present at the facility at the beginning of the inspection: 46 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 0 Number of staff records reviewed: 3 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 4 Observations by licensing inspector: The Licensing Inspector observed staff and resident interactions, medication administration, the staff schedule and staff time sheets. Additional Comments/Discussion: None 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 Jessica Gale, Licensing Inspector at 540-571-0358 or by email at Jessica.gale@dss.virginia.gov

22VAC40-73-70-A

Based on record review and staff interview the facility failed to 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. Record review completed on 2/24/2025, included an incident report dated 1/23/2025, stating ?res was walking up the steps from downstairs, [they] tripped on the last step went to catch [themselves] with [their] hands and put [their] hand through the glass door. [they] cut [their] arm really bad, we applied pressure and called 911 res was sent to ER.? 2. During an interview with staff 1 on 2/24/2025, when asked if the incident with resident 1 was reported to the regional licensing office, staff 1 replied ?no, I didn?t know I had to?.

22VAC40-73-250-C

Based on record review, the facility failed to maintain personal and social data as required for all staff and included in the staff record. Evidence: 1. Record review completed on 2/24/2025 for staff 2 and staff 3 did not contain the required personal and social data. 2. Upon request, the facility did not provide the personal and social data for staff 2 and staff 3.

22VAC40-73-290-A

Based on record review, the facility failed to maintain a written work schedule that included any absences, substitutions, or other changes. Evidence: 1. The staff schedule reviewed on 3/5/2025, dated ?Jan-25? indicated staff 2 worked on 1/10/2025 and 1/20/2025. The timecard for staff 2 does not have any scheduled hours for those dates. 2. The timecard for staff 2 for dates 1/1/2025 through 02/29/2025, indicated staff 2 worked 1/1/2025 and 2/17/2025 but was not listed on the staff schedule as working.

22VAC40-90-40-B

Based on record review the facility failed to ensure that the criminal history record report (CHRR) was obtained on or prior to the 30th day of employment for each employee. Evidence: 1. Staff 3 hired 1/14/2025 did not have a CHRR completed.

Nov 25, 2024Routine

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: 11/25/2024 9:15 a.m. to 3:55 p.m., 11/26/2024 10:24 a.m. to 11:18 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: 49 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: 3 Number of interviews conducted with staff: 2 Observations by licensing inspector: Licensing inspector observed residents in common areas and in their rooms, meals, and medication administration. The Licensing Inspector reviewed fire drills, emergency preparedness training, Pharmacy Review and Healthcare Oversight. Additional Comments/Discussion: None 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 Jessica Gale, Licensing Inspector at 540-571-0358 or by email at Jessica.gale@dss.virginia.gov

22VAC40-73-200-A

Based on record reviews and staff interview, the facility failed to ensure direct care staff were at least 18 years of age unless certified in Virginia as a nurse aide. Evidence: 1.During the record reviews on11/25/2024, staff 1 provided a list of all employees with positions noted. Staff 4 (hired 7/28/2024) and staff 5 (hired 10/21/2024) were both listed as a Direct Care Aide (DCA). 2.Record reviews for staff 4 and staff 5 indicated both direct care aides were under the age of 18. 3.During an interview with staff 1 on 11/25/2024, staff 1 confirmed staff 4 and staff 5 were not 18 years of age and were not certified as a nurse aide

22VAC40-73-260-A

Based on record reviews and staff interview, the facility failed to ensure each direct care staff member who does not have current certification in first aid as specified in subdivision 1 shall receive certification in first aid within 60 days of employment. Evidence: 1. During the record reviews on 11/25/2024, staff 5, a DCA hired 10/21/2024, staff 2 an RMA, hired 10/26/2021, and staff 3 an RMA hired 1/6/2020 did not have a current certification in first aid. 2. When asked to provide the current first aid certification for staff 2, 3, and 5, staff 1 confirmed that there was not a current certification for each employee.

22VAC40-73-260-C

Based on direct observation and staff interview, the facility failed to ensure a listing of all staff who had current certification in first aid or CPR was posted in the facility so that the information was readily available to all staff at all times. Evidence: 1. During the facility tour on 11/25/2024, the listing of first aid or CPR was not present. 2. When asked if there was a list of all staff with current first aid or CPR, staff 2 stated ?No, we don?t have that?.

22VAC40-73-350-B

Based on record reviews and staff interview, the facility failed to ensure direct care staff were at least 18 years of age unless certified in Virginia as a nurse aide. Evidence: 1.During the record reviews on11/25/2024, staff 1 provided a list of all employees with positions noted. Staff 4 (hired 7/28/2024) and staff 5 (hired 10/21/2024) were both listed as a Direct Care Aide (DCA). 2.Record reviews for staff 4 and staff 5 indicated both direct care aides were under the age of 18. 3.During an interview with staff 1 on 11/25/2024, staff 1 confirmed staff 4 and staff 5 were not 18 years of age and were not certified as a nurse aide

22VAC40-73-450-A

Based on record review and staff interview, the facility failed to ensure the Individualized Service Plan ( ISP

22VAC40-73-450-C

Based on record review, the facility failed to ensure the Individualized Service Plan ( ISP

22VAC40-73-490-A

Based on record review, the facility failed to ensure the health care oversight was completed at least every six months, or more often if indicated, based on the health care professional?s professional judgment of the seriousness of a resident's needs or the stability of a resident's condition. Evidence: 1. Upon request on 11/25/2024, the facility did not provide a current health care oversight (September 2024) completed for the facility. 2. The last health care oversight for the facility was completed March 2024.

22VAC40-73-520-I

Based on direct observation and staff interview, the facility failed to ensure that there was a written schedule of activities. Evidence: 1. The facility did not provide a written activity schedule during the inspection on 11/25/2024. 2. When asked if there was a written activity schedule staff 2 answered, ?No, they aren?t very interested in activities?.

22VAC40-73-560-E

Based on direct observation, the facility failed to ensure all resident records were kept in a locked area. Evidence: 1. Upon entrance to the facility on 11/25/2024, the resident records were observed in the medication room, next to a resident area, with the door open. 2. On several occasions during the inspection on 11/25/2024 and 11/26/2024, the door to the medication room containing the resident records was left open leaving the records and medication room unattended. 3. Photo evidence taken.

22VAC40-73-610-B

Based on direct observation and staff interview, the facility failed to ensure menus for meals and snacks for the current week were dated and posted in an area conspicuous to residents. Evidence: 1. During the facility tour on 11/25/2024, the weekly menu was not observed in the facility. 2. A white board was observed in the dining room containing the menu of the day for 11/25/2024 for breakfast, lunch, and dinner. 3. When asked if the weekly menu was posted in the facility, staff 2 stated ?No, we write the daily menu on the board?.

22VAC40-73-680-C

Based on direct observation, the facility failed to ensure medications were not administered earlier than one hour before and not later than one hour after the facility's standard dosing schedule. Evidence: 1. During a medication pass observation resident 5 was administered Furosemide and Ondansetron at 11:21 a.m. Both medications were ordered to be administered at 2:00 p.m. 2. While observing the medication administration, staff 2 administered the medication prior to the licensing inspectors? verification of administration time. 3. When asked why the medication was administered at 11:21 a.m. as opposed to the ordered time of 2:00 p.m., staff 2 stated ?I didn?t look at the time?.

22VAC40-73-700-2

Based on record review and observation, the facility failed to post "No Smoking-Oxygen in Use" signs in any room of the building where oxygen was in use. Evidence: 1. Resident 6 had a physician?s order for oxygen therapy and oxygen was observed in place and in use in the resident?s apartment. 2. During the facility tour on 11/25/2024, there were no ?No Smoking-Oxygen in Use" signs in place. 3. Photo evidence taken.

22VAC40-73-860-I

Based on direct observation, the facility failed to ensure cleaning supplies and other hazardous materials were stored in a locked area. Evidence: 1. During the facility tour on 11/25/2024, the following were observed: a. The first-floor laundry room was unlocked and contained two (2) housekeeping carts which had a container of comet cleaner, a container of all purpose cleaner with bleach, glass cleaner, and a gallon jug of bleach. b. A shelf next to the dining room contained a spray bottle of disinfectant and a container of Clorox wipes. 2. Photo evidence taken.

22VAC40-90-30-B

Based on record reviews, the facility failed to ensure a sworn statement or affirmation was completed for each applicant upon hire. Evidence: 1. During a record review on 11/25/2024, the facility did not provide a sworn statement or affirmation for staff 5 hired 10/21/2024, staff 2 hired 10/26/2021, or staff 3 hired 1/6/2020.

22VAC40-90-40-B

Based on record reviews and staff interview, the facility failed to ensure the criminal history report for each employee was obtained on or prior to the 30th day of employment for each employee. Evidence: 1. Staff 5 hired 10/21/2024 and staff 4 hired 07/28/2024, did not have a criminal history report completed. 2. During an interview on 11/25/2024, staff 1 stated a criminal history report was not obtained on staff 4 or staff 5 because they were under the age of 18.

Aug 2, 2024Complaint

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: 08/02/2024 11:00am-11:45am, 08/06/2024 11:00am-11:46am. 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 07/30/2024 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: 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: 1 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Additional Comments/Discussion: None 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: 22VAC40-73-530-A 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 Jessica Gale, Licensing Inspector at 540-571-0358 or by email at Jessica.gale@dss.virginia.gov

22VAC40-73-530-A

Based on resident and staff interview, the facility failed to ensure any resident who does not have a serious cognitive impairment shall be allowed to freely leave the facility. Evidence: 1. Resident 1 stated `[staff 1] hasn?t been letting me out for a long period of time and is punishing me for stuff? 2. When staff 2 was asked if there are specific guidelines that they are to follow with staff 1, staff 2 responded ?[resident 1] is not allowed to leave until [staff 1] returns from vacation. 3. Staff 1 stated a behavior plan was developed by staff 1, resident 1, guardian of resident 1, and case worker in order to keep [resident 1] safe. 4. The typed behavior plan dated 7/01/2024 states the following, ?[resident 1] will be placed on a behavioral plan due to recent behaviors at Hillside. This is the plan that [resident 1] and myself [staff 1] came up with. In order to go out of the facility on walks, to the library or just to get out for some fresh air [resident 1] needs to follow the following rules in order to due so!?. ?You can not have as much freedom as you want as you have to follow the rules of Hillside Residential Living.?

Jul 8, 2024Complaint

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: 07/08/2024, 9:15am ? 10:44am 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 6/24/2024 regarding allegations in the areas of physical abuse. Number of residents present at the facility at the beginning of the inspection: 50 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: 1 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 4 Additional Comments/Discussion: none An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Jessica Gale, Licensing Inspector at 540-571-0358 or by email at Jessica.gale@dss.virginia.gov

22VAC40-73-70-A

Based on record review and staff interview, the facility failed to 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. A report of a physical altercation between a staff person and a resident was received by the regional licensing office from another local agency on 6/24/2024. 2. Staff 1 stated during an interview ?No, I only reported to (state agency)? when asked if the incident was reported to the regional licensing office.

22VAC40-73-310-A

Based on record review and staff interview, the facility failed to ensure that no resident be retained who requires a level of care or service or type of service for which the facility is not licensed. Evidence: 1. The facility is currently licensed as a residential only, ambulatory only facility. 2. Staff 3 stated during an interview that resident 1 required physical assistance with transferring, dressing, bathing, toileting, and physical and mechanical assistance with ambulation. 3. Staff 1 stated when asked in an interview when the change in condition occurred, that the resident had a fall at the end of may and [resident 1] needed total assistance with Activities of Daily Living ( ADL

22VAC40-73-440-H

Based on record review and staff interview, the facility failed to ensure that annual reassessments and reassessments due to a significant change in the resident's condition, using the UAI

22VAC40-73-450-F

Based on record review and staff interview, the facility failed to ensure that Individualized Service Plan ( ISP

Mar 25, 2024Complaint

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: 03/25/2024 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: 50 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: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: LI observed residents sitting outside listening to music and residents sitting in the kitchen eating snacks. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegations; area(s) of non-compliance with standard(s) or law were: Personnel and Resident Care and Related Services. A violation notice was issued. 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 Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov

22VAC40-73-120-A

Based on staff record review, the facility failed document the orientation and training required for staff within the first seven working days of employment. Evidence: There was no record of required orientation and training in the staff files for Staff A or B.

22VAC40-73-680-D

Based on resident record review, the facility failed to administer medications in accordance with the physician?s or other prescriber?s instructions. Evidence: Evidence: 3 out of 3 resident?s Medication Administration Records ( MAR

Dec 19, 2023Complaint
CleanReport

Type of inspection: Complaint Date(s) of inspection: 12/19/2023 A complaint was received by VDSS Division of Licensing on 10/25/2023 regarding allegations in the area(s) of resident care and related services. Number of resident records reviewed: 2 Number of staff records reviewed: 1 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegations 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 Jamie Eddy, Licensing Inspector at (703) 479-5247 or by email at jamie.eddy1@dss.virginia.gov

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