Lakeside Alf Operations, LLC
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based on 117 Google reviews
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What this means for your family
This facility offers strong physical therapy services and some highly dedicated nursing staff. However, families must be extremely vigilant regarding hygiene standards and staff responsiveness, as multiple reports indicate significant lapses in basic personal care and sanitation.
Google Reviews
Google Reviews
117 reviews analyzed“Families should exercise extreme caution, as many reviewers report severe issues with hygiene, neglect, and unresponsive staff. While some patients praise the physical therapy and specific nursing staff for their kindness, there are frequent, serious allegations regarding poor personal care, lack of cleanliness, and inadequate monitoring of medical needs.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate physical and occupational therapy staff
- Dedicated individual CNAs and nurses
- Effective administration in recent months
Concerns
- Inadequate personal hygiene and cleanliness (mentioned by 4 reviewers)
- Unresponsive call lights and slow staff response (mentioned by 3 reviewers)
- Poor food quality and nutritional management (mentioned by 3 reviewers)
- Rude or unprofessional communication from staff (mentioned by 3 reviewers)
Rating Trends
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Distribution
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is wonderful to see how much care the management puts into responding to community feedback; how has the administration recently implemented changes to improve the resident experience?
- 2We have heard great things about your physical and occupational therapy teams; how do the therapists work with residents to help them maintain their independence?
- 3What specific protocols are in place to ensure that call lights are answered promptly and that staff are easily accessible to residents at all times?
- 4Could you tell us more about the daily dining experience, specifically how the menu is planned to ensure both variety and nutritional balance?
- 5What are your current processes for maintaining high standards of cleanliness and personal hygiene in the resident rooms and common areas?
- 6In the event of a medical emergency during the night, what is the immediate procedure for getting a nurse or doctor to a resident's side?
Personalized based on this facility's data
Key Review Excerpts
“Your staff was very helpful and kind to me. I especially learned a lot from the PT staff. Felt much better, especially in my shoulders.”
“I was going through some challenging times medically and leaving a recent hospital stay I joined the Lakeside Health & Rehabilitation family in December. I’ve visited and stayed at other rehab facilities but the Lakeside family had an immediate hands down life saving impact.”
“He was very dirty, extremely skinny, and it was clear that his hair had not been washed for a long time. His nails and hair were never cut, showing a serious lack of basic hygiene and personal care.”
State Inspection History
State Inspections
Source: VA State Licensing Agency
Jun 4, 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: An on-site renewal inspection was conducted on June 04, 2025, between approximately 1:00 PM and 2:45 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: 17 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 staff: 1 Observations by licensing inspector: Residents were observed interacting with each other and staff. Interactions were appropriate. Residents were appropriately dressed and groomed for the time of day, weather conditions, and activities they were engaged in. The residents were observed conducting a resident council meeting with staff observing but not interfering or attempting to take over the meeting. Additional Comments/Discussion: The facility has recently completed major renovations to the apartments and general areas of the facility. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Coy Stevenson, Licensing Inspector at (804) 972-4700 or by email at coy.stevenson@dss.virginia.gov.
The facility did not ensure that individual service plan for each resident was signed and dated by the licensee, administrator, or his designee, (i.e., the person who has developed the plan), and by the resident or their legal representative, as applicable. Evidence: 1) A review of the individualized service plan for Resident #2 was not signed by either the licensee, administrator, or their designee, or by the resident or their legal representative. 2) Staff #2 confirmed the required signatures were missing from the resident?s service plan.
Aug 15, 2024ComplaintCleanReport
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 08/15/2024 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A (complaint/self-reported incident) was received by VDSS Division of Licensing on 08/05/2024 regarding allegations in the area(s) of: Resident care; physical conditions of the facility The evidence gathered during the investigation did not support the allegations of non-compliance with standard(s) or law. The alleged violations were not occurring in the assisted living portion of the facility. The complainant was provided with the contact information for the responsible oversight agency. 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 Coy Stevenson, Licensing Inspector at 804-972-4700 or by email at coy.stevenson@dss.virginia.gov. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov
Jul 10, 2024RoutineCleanReport
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: 07/10/24 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: 1 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: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 4 Observations by licensing inspector: An inspection of the resident?s apartment and common areas of the facility were inspected. The licensing inspector observed the registered medication aide assist the resident with the self-administration of her medications. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Coy Stevenson, Licensing Inspector at (804) 972-4700 or by email at coy.stevenson@dss.virginia.gov.
Mar 4, 2024ComplaintCleanReport
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: An onsite inspection occurred on March 04, 2024. 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 November 08, 2023 regarding allegations in the area(s) of: Medication/Medical Issues Housekeeping/Sanitation Number of residents present at the facility at the beginning of the inspection: Nine The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: Zero Number of staff records reviewed: Zero Number of interviews conducted with residents: Zero Number of interviews conducted with staff: Two Observations by licensing inspector: Medication pass; storage of medications; resident rooms; dining areas; common areas of the facility Additional Comments/Discussion: N/A An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation(s) of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Coy Stevenson, Licensing Inspector at (804) or by email at coy.stevenson@dss.virginia.gov.
Jul 27, 2023Routine
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7-27-2023, 9:00 ? 11:15 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: 10 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility, medication pass observation, interview with staff, record review, and emergency supplies. Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the 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 Alexandra Poulter, Licensing Inspector at (804)662-9771 or by email at alex.poulter@dss.virginia.gov
Based on record review, the facility failed to ensure that if a resident chooses to stay when a facility is sold, there must be a new resident agreement between the resident and the new licensee that meets the specifications of 22VAC40-73-390. Evidence: The following six out of six residents reviewed had resident agreements dated as their previous admission date (under the previous licensee) and did not have a new resident agreement with the new licensee that met the specific requirements of 22VAC40-73-390: 1. Resident #1 admitted 4-05-2018; 2. Resident #2 admitted 11-25-2020; 3. Resident #3 admitted 10-23-2021; 4. Resident #4 admitted 9-01-2022; 5. Resident #5 admitted 1-17-2017; and 6. Resident #6 admitted 4-01-2021.
Based on record review and interview with staff, the facility failed to ensure the interior of the building was maintained in good repair and kept clean. Evidence: 1. The following are descriptions of the interior of the building (all on the first floor of the facility): A. Water stains on the ceiling with varying darkness of stains; B. Water stains around a circular speaker on the ceiling; C. Dark gray/black circular stain on the carpeting; D. Additional water stains on the ceiling accompanied by black spots on the ceiling; E. Black paint or other similar substance streaked on the carpeting; and F. Rust-colored spots on the ceiling in the hallway. 2. Staff #1 was present throughout the tour and observed and confirmed the aforementioned areas were not maintained in good repair and kept clean. Photographic evidence was obtained.
Based on observation and interview with staff, the facility failed to ensure a complete first aid kit was on hand at the facility. Evidence: 1. The first aid kit onsite did not have a blanket, cold pack, or first aid instruction manual located in it. 2. Staff #1 was present and observed these items were not in the first aid kit during inspection.
May 12, 2023Routine
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 5-12-2023, 9:53 ? 10:48 am 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 3-07-2023 regarding allegations in the areas of Resident Care and Related Services. 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. Number of resident records reviewed: 1 Number of interviews conducted with staff: 1 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported 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 Alexandra Poulter, Licensing Inspector at (804)662-9771 or by email at alex.poulter@dss.virginia.gov
Based on record review and interview, the facility failed to ensure a dated discharge statement signed by the licensee or administrator contained the date on which the resident, his legal representative, or designated contact person was notified of the planned discharge and the name of the legal representative or designated contact person who was notified; and the date of the actual discharge from the facility. Evidence: Resident #1?s ?Discharge Notification and Statement? did not contain: The date or signature of the licensee or administrator; The date on which the resident, his legal representative, or designated contact person was notified of the planned discharge and the name of the legal representative or designated contact person who was notified; nor the date of the actual discharge from the facility.
Based on record review, the facility failed to ensure if a resident's individualized service plan [ ISP
Based on observation, record review and interview with staff, the facility failed to store cleaning supplies and other hazardous materials in a locked area. Evidence: Resident #1 admitted 7-28-2021. A ?Psychiatric Periodic Evaluation? dated 3-02-2023 documented the resident?s diagnoses as ?Depression, anxiety, and a history of psychosis.? A facsimile note to Resident #1?s physician documented on 3-01-2023, ?Resident [#1] attempted suicide yesterday by drinking chemicals.? ?Interdisciplinary Progress Notes? by Staff #1 following the 2-28-2023 incident involving Resident #1 documented, ?Called placed to hospital to check on status of resident. Told resident has been transferred to [hospital] ?Resident [#1] now has a PEG tube? willing to voluntarily accept psych care.? A facility tour on 5-12-2023 by the licensing inspector showed an unlocked door with accessible chemicals located in a housekeeping closet, as well as accessible chemicals in the laundry room unlocked and accessible to residents, both on the second floor of the facility. Photographic evidence was obtained.
Based on record review and interview with staff, the facility failed to ensure a resident may be permitted to keep his own cleaning supplies or other hazardous materials in an out-of-sight place in his room if the resident does not have a serious cognitive impairment. The cleaning supplies or other hazardous materials shall be stored so that they are not accessible to other residents. Evidence: ?Interdisciplinary Progress Notes? for Resident #1 dated 2-28-2023 documented, ?Received call from receptionist. Asked if we had @ [sic]resident by the name [Resident #1]. [Resident #1] has called 911? Resident [#1] found sitting in chair vomiting. Juice bottle found sitting by her chair [with a] strong odor. Smell of some type of chemical? Resident [#1] [was] asked if [resident] drank any from juice bottle, resident stated, ?I?m ready to be [with] the Lord?? Room checked [after] resident left. Multiple bottles of cleaning fluids found locked in wood box multiple suitcases. Most bottles wrapped as much as 2 inches thick [with] duct tape. 1 bottle of pine sol found open. Resident [#1] would not allow staff to go in [resident?s] room. Only came out for meds + immediately returned to room.? A previous note dated 2-06-2023 to the resident?s physician by Staff #1 documented, ?Off all psych meds. Very paranoid?? Staff #1 acknowledged staff had not been going in Resident #1?s room ?for months? and were not aware of chemicals present in the resident?s room. Photographic evidence obtained of accessible chemicals to resident as seen on 5-12-2023 during inspection, including bleach, detergent, stain lifter detergent, disinfectant cleaner, glass cleaner, and non-acid bathroom cleaner.
May 12, 2023Routine
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: May 12, 2023, 10:49 -11:45 am 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 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 Alex Poulter, Licensing Inspector at (804)662-9771 or by email at alex.poulter@dss.virginia.gov
Based on record review and interview with staff, the facility failed to ensure the physical examination contained a description of the person?s reactions to any known allergies. Evidence: Resident #1 admitted 3-15-2023. Resident #1?s Report of Resident Physical Examination dated 3-14-2023 documented allergy reactions to Azithromycin, Gabapentin, and Tramadol; however, no description of reactions to the allergies were documented.
Based on interview with staff, the facility failed to ensure fire and emergency evacuation drill frequency and participation was in accordance with the current edition of the Virginia Statewide Fire Prevention Code (13VAC5-51). Evidence: There were no documented fire and emergency evacuation drills, as confirmed by Staff #1on 5-12-2023.
Based on observation, the facility failed to operate within the terms of the license including using the operating name of the facility. Evidence: The facility?s outdoor signage on 5-12-2023 contained the formerly operating name of the facility instead of the current facility?s name from the months of February 2023 to the inspection in May. Photographic evidence was obtained.
Jan 27, 2023RoutineCleanReport
Type of inspection: Initial Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 1-27-2023, 10:45 a.m. ? 11:30 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: N/A 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: 3 Observations by licensing inspector: Buildings and Grounds inspection for the initial inspection. Additional Comments/Discussion: N/A An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website 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 Alexandra Poulter, Licensing Inspector at (804)662-9771 or by email at alex.poulter@dss.virginia.gov
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