Karolwood Gardens at Norfolk
Limited public data on Karolwood Gardens at Norfolk. Call, tour, and ask to meet current residents' families — your own impression matters most.
based on 19 Google reviews
Watch Karolwood Gardens at Norfolk
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
What this means for your family
While this facility has a history of compassionate staff and great activity programming, recent reviews indicate a severe decline in facility maintenance, specifically regarding pests and heating. If you choose this facility, you should insist on a physical inspection of the room for cleanliness and pest control before move-in.
Google Reviews
Google Reviews
19 reviews on Google“Families should exercise significant caution due to recent reports of severe facility maintenance issues, including bedbugs, roaches, and lack of heating. While some long-term reviews praise the compassionate staff and activity programs, very recent feedback indicates a decline in management quality and facility cleanliness.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive care staff
- Engaging activity programs and directors
- Helpful marketing and admissions process
- Timely medication administration
Concerns
- Presence of bedbugs and pests (mentioned by 2 reviewers)
- Inadequate climate control (lack of heat/AC) (mentioned by 2 reviewers)
- Decline in cleanliness and hygiene (mentioned by 2 reviewers)
- Disrespectful communication from staff (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 19 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about your activity programs; could you tell us more about what a typical week looks like for residents here?
- 2Since medication administration is a strength of your team, how do you ensure accuracy and timeliness for residents with complex schedules?
- 3How does the facility manage temperature control and climate consistency in the resident rooms throughout the different seasons?
- 4What specific protocols are in place to ensure the highest standards of cleanliness and hygiene are maintained in the common areas and private rooms?
- 5Can you walk us through the process for handling medical emergencies or urgent care needs during the overnight hours?
- 6How does the communication between the care staff and family members work to ensure we are always kept up to date on our loved one's well-being?
Personalized based on this facility's data
Key Review Excerpts
“The activity director, Bree, is an angel who keeps the residents alert with interesting and creative activities. The staff in memory care do care for the residents.”
“Karolwood Gardens has a welcoming, friendly staff. When I visit my friend’s mom, I can see that her individual needs are taken care of with care and compassion.”
“All summer the residents had no air conditioning. Today it was 45 and I found my mom in a freezing cold room.”
State Inspection History
State Inspections
Source: VA State Licensing Agency
Dec 23, 2025Routine
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: 12/13/2025 (arrival 9:25 a.m. / departure 4:29 p.m.) and 01/16/2026 (arrival 9:26 a.m. / departure 1:20 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: 38 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: 3 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 3 Observations by licensing inspector: A medication pass observation was completed for 3 residents. The following were reviewed: call bells, water temperatures, emergency preparedness, and water temperatures. 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 Darunda Flint, Licensing Inspector at (757) 807-9731 or by email at darunda.a.flint@dss.virginia.gov
Based on the information gathered during the inspections, the facility failed to have the minimum amount of liability insurance coverage required to be maintained by an assisted living facility. Evidence: 1. During the 01/14/2026 inspection, the licensing inspector asked staff #1 to show the facility was covered by the required liability insurance coverage. 2. Staff #1 confirmed the facility did not have the appropriate insurance coverage.
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 #4 (hired 12/02/2025) work?s as direct care staff and did not have a current certification in first aid. 2.Staff #1 acknowledged staff #4 did not have a current certification in first aid.
Based on observation and staff interviewed, the facility failed to ensure that the activity noted on the schedule was provided. Evidence: 1. On 12/23/2025, the activity calendar posted noted, Sweating to the Oldies scheduled for 10:00 a.m. The substitution for the activity provided was Christmas Painting. The substitution was not noted on the posted activity calendar. 2. Staff #1 acknowledged the aforementioned substituted activity was not posted on the activity calendar.
Based upon observation, the facility failed to ensure that the interior and exterior of all buildings shall be maintained in good repair and kept clean and free of rubbish. Evidence: 1. A broken window was noted on the front of the building on the first floor. 2. Carpet stains throughout the facility. 3. Ceiling tiles in Room #1135 had brown circular stain on it. 4. Scuff marks to doors and damaged walls throughout the facility. 5.Staff #1 acknowledged the aforementioned items were in need of repair.
Based on observations made during the tour of the building, the facility failed to have adequate provisions for the collection of garbage and waste material. Evidence: 1. During a tour of the facility with staff #1, the inspector observed in the rear of the facility a wooden headboard, mattresses, and multiple recliner chairs that need to be collected.
Based on interviews with staff and review of facility documentation, the facility failed to ensure that a signaling device that terminates at a central location that is continuously staffed and permits staff to determine the origin of the signal or is audible and visible in a manner that permits staff to determine the origin of the signal was operable. Evidence: 1. An interview conducted with staff #1 on 12/23/2025 indicated that room #1117 signaling device was inoperable.
Based on the employee record review, the facility failed to ensure no employee was permitted to work in a position that involves direct contact with a resident until a background check was received as required in the Regulation for Background Checks for Assisted Living Facilities and Adult Day Care Centers (22VAC40-90), unless such persons works under the direct supervision of another employee for whom a background check has been completed in accordance with the requirements of the background check regulation (22VAC40-90). Evidence: 1. Staff #5?s date of hire date was noted as 01/01/2025. Staff #1?s background check was dated 06/16/2025. 2.Staff #1 acknowledged staff #5?s background check was completed on 06/16/2025.
Dec 23, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 12/23/2025 (arrival 9:25 a.m. / departure 4:29 p.m.) and 01/26/2026 (arrival 9:26 a.m. / departure 1:35 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 11/26/2925 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: 38 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: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation(s) of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint(s) but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. 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 document reviewed and staff interviewed, the facility failed to report the regional licensing office within 24 hours any major incident that has negatively affected or threatens the life, health, safety or welfare of any resident. Evidence: 1. Facility progress notes for resident #1 which were dated 08/11/2025 and entered by staff #3 indicated that the resident fell over the weekend and was sent to the emergency department due to a laceration to head and received staples. This situation was not reported to the licensing office. 2. Staff # 1 acknowledged not reporting the incident to the licensing office.
Based on record reviewed and staff interviewed, the facility failed to ensure a fall risk rating was completed after a fall for resident. Evidence: 1. On 01/16/2026, resident #1, record documented falls on the following dates with no fall risk rating: 08/18/2025, 09/02/2025, 09/12/2025, 09/17/2025, and 09/19/2025. 2. Staff #1 acknowledged the resident #1?s record did not include a fall risk rating following each fall as required.
Based on a review of records, the facility failed to notify the next of kin, legal representative, designated contact person, or, if applicable, any responsible social agency of any incident of a resident falling or wandering from the premises, whether or not it results in injury. This notification shall occur as soon as possible but no later than 24 hours from the time of initial discovery or knowledge of the incident. The resident's record shall include documentation of the notification, including date, time, caller, and person or agency notified. Evidence: 1. Facility progress notes for resident #1 which were dated 09/29/2025 and entered by staff #2 indicated that the resident reported to nursing staff that her foley was out and that the resident reported to nursing staff the aforementioned on 09/28/2025. 2. On 10/01/2025 facility progress notes entered by staff #3 indicated that the incident was reported to the responsible social agency. 3. Staff #1 acknowledged the incident was not reported to the responsible social agency 24 hours from the time of initial discovery or knowledge of the incident.
Based on record reviewed and staff interviewed, the facility failed to ensure, either directly or indirectly, health care services need of a resident is met. Evidence: 1. Facility progress notes for resident #1 which were dated 09/29/2025 and entered by staff #2 indicated that the resident reported to nursing staff that her foley was out and that the resident reported to nursing staff the aforementioned on 09/28/2025; however, an appointment was for resident #1 to see their urologist until 09/29/2025. 2. Staff #1 acknowledged an appointment was not made for the aforementioned until 09/29/2025.
Jul 2, 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: 07/02/2025 (9:28 am arrival / departure 3:37 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 06/24/2025 regarding allegations in the area(s) of: Building and Grounds Number of residents present at the facility at the beginning of the inspection: 44 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation(s) of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint(s) but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. 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 interview, the facility failed to ensure that temperatures in all areas used by residents did not exceed 80 degrees Fahrenheit. Evidence: During an on-site inspection on 07/02/2025 at approximately 10:00 a.m. through 10:15 a.m. it was noted by the licensing inspector and staff #1 that the activity room on the second floor displayed the temperature as 81.0 degrees Fahrenheit. The room was being used by residents for an activity at the time the temperature was measured.
Jul 2, 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: 07/02/2025 arrival 9:28 a.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 06/09/2025 regarding allegations in the area(s) of: Resident Care and Related Services/ Administration and Administrative Services/ and Resident Accommodations and Related Provisions Number of residents present at the facility at the beginning of the inspection: 44 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 5 Number of interviews conducted with staff: 4 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/ Administration and Administrative Services/ and Resident Accommodations and Related Provisions 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) 807-9731or by email at Darunda,a.flint@dss.virginia.gov
Based on staff interviewed and observations made during the medication cart audits, the facility failed to ensure proper procedures were implemented and followed regarding the infection control program. Evidence: 1. A medication cart observation was conducted with staff #4. Resident#3, resident #4, and resident #5 glucometer instruments were not labeled. 2. Staff #4 acknowledged the aforementioned resident?s glucometer instruments were not labeled.
Based on record reviewed and staff interviewed, the facility failed to ensure the individualized service plan ( ISP
Based on records reviewed and staff interviewed, the facility failed to follow its medication management plan to ensure resident?s prescription medications, and any over-the-counter drugs and supplements ordered are filled and refilled in a timely manner to avoid missed dosages. Evidence: 1. The following Prodigy Safety Lancets were not available during the medication cart audit with staff #4 for resident #3 and resident #5. Staff #4 acknowledged the aforementioned residents? lancets were not available. 2. The following medications were not available during the medication cart audit with staff #5 for Resident #2: Chest Conges Syp Rel DM, Guaiasorb DM Liq 100-10/5, Haloperidol Con 2mg/ml, Lorazepam Con 2mg/ml, Onelax Sup 10mg. Staff #5 acknowledged the aforementioned residents? medications were not available. 3. Resident #5?s June 2025 medication administration record ( MAR
Based on interviews and observation of the facility physical plant, the facility failed to ensure that residents.have sufficient bed and bath linens in good repair so that residents always have clean: towels Evidence: 1. Staff#1 advised the LI that the facility does not provide towels for the residents. 2. During a tour to the facility with staff # 5 the LI was shown two bath towels stored in a common area cabinet used for residents.
May 6, 2025ComplaintCleanReport
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: 05/06/2025 from 9:35 am to 10:05 am. 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 04/24/2025 regarding allegations in the area(s) of: Administration and Administrative Services, Personnel, Staffing and Supervision, and Buildings and Ground. Number of residents present at the facility at the beginning of the inspection: 44 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: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 4 Additional Comments/Discussion: PPE supply and staff schedule were reviewed. 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.
Mar 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: 03/24/2025 from 12:20 pm to 1:35 pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Two complaints were received by VDSS Division of Licensing on 03/14/2025 and 03/19/2025 regarding allegations in the area(s) of: Personnel, Staffing and Supervision, and Resident Care and Related Services. Number of residents present at the facility at the beginning of the inspection: 40 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: 3 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. 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 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 implement their written plan for medication management to include methods to ensure accurate counts of all controlled substances whenever assigned medication administration staff changes. Evidence: 1. Resident #1 has an order for 10 mg (1/2 tab of 20 mg) of Hydromorphone to be administered every 6 hours. The narcotic count sheet indicated there were 14 tablets remaining; however, there were 15 tablets of the medication on the cart at the time of inspection. Additionally, the narcotic count sheet does not indicate who administered the dose documented on 03/13/2025 at 12pm ( MAR
Based on record review, the facility failed to ensure, at the time the medication is administered, all medications administered to residents, including over-the- counter medications and dietary supplements is documented on a medication administration record ( MAR
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: 02/24/2025 from 12:00 pm to 12:50 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 02/07/2025 regarding allegations in the area(s) of: Admission, Retention, and Discharge of Residents and Resident Care and Related Services. Number of residents present at the facility at the beginning of the inspection: 40 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: 0 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 the allegation(s) of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint(s) but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. 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 a fall risk rating is completed when the condition of the resident changes and after a fall. Evidence: 1. Resident #1 (admitted on 12/29/2023) fell per their record on 3/19/2024 and 5/24/2024 and admitted to hospice on 5/7/2024; however, there was only 1 fall risk rating without a date completed in Resident #1?s record. 2. Resident #2 (admitted on 12/30/2023) fell per their record on 1/5/2024, 1/8/2024, 3/16/2024, and 4/9/2024; however, there was only 1 fall risk rating without a date completed in Resident #2?s record.
Based on record review, the facility failed to ensure a discharge statement was completed and retained in the resident?s record. Evidence: 1. The record for Resident #2 did not contain a written discharge statement.
Based on record review and interview, the facility failed to ensure within 60 days of the date of discharge, each resident or their legal representative be given any refunds due. Evidence: 1. Resident #1?s written agreement (signed on 12/29/2023) includes cancellation and refund of monthly fee for transfer, discharge, or death. It indicates the facility shall provide a refund within 60 days after transfer, discharge, or death if applicable. 2. Resident #1?s record also includes a monthly statement dated 7/1/2024 with a credit due to the resident. 3. Staff #3 confirmed Resident #1 did have a credit due that has not been refunded to their knowledge at the time of the inspection (2/24/2025).
Based on record review and interview, the facility failed to complete a resident?s UAI
Based on record review, the facility failed to ensure the comprehensive individualized service plan be completed within 30 days after admission. Evidence: 1. Resident #1 admitted to the facility on 12/29/2023; however, Resident #1?s record did not include a comprehensive ISP
Based on record review, 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 admitted to hospice on 5/7/2024; however, the ISP
Based on record review, the facility failed to notify the next of kin, legal representative, designated contact person, or, if applicable, any responsible social agency of any incident of a resident falling, whether or not it results in injury. This notification shall occur as soon as possible but no later than 24 hours from the time of initial discovery or knowledge of the incident. The resident's record shall include documentation of the notification, including date, time, caller, and person or agency notified. Evidence: 1.Resident #1 fell per their record on 5/24/2024; however, there was no documentation Resident #1?s designated contact person was notified of the fall. 2. Resident #2 fell per their record on 1/8/2024, 3/16/2024, and 4/9/2024; however, there was no documentation Resident #2?s designated contact person was notified of the fall.
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. The following medications were not available and or administered to Resident #1 on the following days per the May 2024 MAR
Feb 7, 2025Routine
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 02/07/2025 from 12:15 pm to 1:25 pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Two self-reported incidents were received by VDSS Division of Licensing on 01/16/2025 and 02/06/2025 regarding allegations in the area(s) of: Personnel, Resident Care and Related Services, and Additional Requirements for Facilities that Care for Adults with Serious Cognitive Impairments. Number of residents present at the facility at the beginning of the inspection: 42 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: 2 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 4 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 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 within four months of the starting date of employment in the safe, secure environment, direct care staff attend at least 10 hours of training in cognitive impairment that meets the requirements of subsection C of this section. Evidence: 1. Staff #2 (hired 07/16/2024) did not have at least 10 hours of training in cognitive impairment within four months of their hire date.
Based on discussion, the facility failed to ensure there be protective devices on the bedroom and bathroom windows of residents and on windows in common areas accessible to residents to prevent the windows from being opened wide enough for a resident to crawl through. Evidence: 1. On 02/05/2025, Resident #1 exited the safe, secure environment through an unsecured window.
Based on record review and interview, the facility failed to ensure all direct care staff attend at least 18 hours of training annually. Evidence: 1. Staff #1 was unable to provide documentation of 2023 annual training for Staff #3.
Based on interview and record review, the facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs. Evidence: 1. On 02/05/2025, Resident #1 exited the safe, secure environment through an unsecured window and wandered from the premises.
Based on record review, the facility failed ensure the rights and responsibilities of residents in assisted living facilities be reviewed annually with each staff person. Evidence: 1. Staff #3?s record did not include an annual review of resident rights and responsibilities.
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Google Maps
Photos, directions & neighborhood info
Google Reviews
19 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Nearby Alternatives
Commonwealth Senior Living at the Ballentine
< 1 miAssisted Living · Norfolk, VA
Ghent Health and Rehabilitation
1.3 miNursing Home · Norfolk, VA
Norview Heights Rehabilitation and Nursing
1.6 miNursing Home · Norfolk, VA
Madonna Home INC.
1.7 miAssisted Living · Norfolk, VA
Hope Haven Homes LLC
4.6 miAssisted Living · Norfolk, VA
Lake Taylor Hosp
4.7 miNursing Home · Norfolk, VA