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Public Google reviewers rate this highly and often mention compassionate care for advanced alzheimer's. Schedule a visit to confirm the fit.
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Public Google reviewers rate Liza's Residential Care highly. Reviewers highlight: compassionate care for advanced alzheimer's, attentive one-on-one resident attention. Reviewer identity is not verified, and online reviews may not capture everything. Schedule a visit to assess the fit directly.
Families seeking specialized care for advanced dementia or Alzheimer's may find comfort in the high level of compassion and one-on-one attention provided by the staff. While the facility is praised for its devotion to residents with complex needs, there is a lack of detailed information regarding dining, cleanliness, or specific activities.
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Key Review Excerpts
“Liza and her staff were godsends. My wife had advanced Alzheimer’s. She needed every function attended to, well beyond what at-home care could provide. She was functionally blind and could not recognize her family or surroundings. With Liza she was so well cared for - with compassion and attention. She was as content as she could be. I didn’t know that people could be so devoted.”
“They took excellent care of my grandfather and he got wonderful one on one attention. This too such a load off my mom's mind.”
Source: VA State Licensing Agency
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: 04/01/2025 from 9:00 am to 11:15 am and 04/02/2025 from 6:25 am to 6:45 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: 8 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: 2 Observations by licensing inspector: Breakfast was observed. A medication pass observation was completed for 2 residents. The following were reviewed: resident and staff records, medication cart, and water temperatures. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on record review, the facility failed to ensure the MAR
Based on observation, the facility failed to keep schedule II drugs and any other drugs subject to abuse in a separate locked storage compartment (e.g., a locked cabinet within a locked storage area or a locked container within a locked cabinet or cart). Evidence: 1. The box within the medication cart for the narcotic medications did not have an operational lock.
Based on observation, the facility failed to ensure interior of all buildings be maintained in good repair and kept clean and free of rubbish. Evidence: 1. Upon entry into the facility on 04/01/2025, the hall bathroom utilized by residents had clothes and towels on the floor, in the sink, and hanging from the vanity doors. Additionally, the trash can was overflowing.
Based on record review, the facility failed to ensure the medication review include the items identified in the standard. Evidence: 1. The last medication review was completed on 10/17/2024; however, the review indicates a med room/station inspection to include its general appearance and observations, medication cart review, controlled drugs review, emergency kit review, and refrigerator/freezer review. The report did not include a review of the following: all medications that the resident is taking and medications that he could be taking if needed ( PRN
Based on observation, the facility failed to ensure that medications be administered in accordance with the physician's or other prescriber?s instructions. Evidence: 1. During a medication observation with Staff #2 on 04/02/2025, Resident #2 was unable to be administered their Aspirin 81 mg tab as the medication was expired on the medication cart.
Based on observation, the facility failed to implement their written plan for medication management which includes methods to prevent the use of outdated medications and plan for proper disposal of medication. Evidence: 1. The following expired medications were observed in the medication carts at the facility: Acetaminophen 325 mg tablets expired 03/09/2025 for Resident #1, 2 bottles of Aspirin 81 mg tablets expired 10/11/2024 and 1/2025 for Resident #2, and Acetaminophen 500 mg caplets expired 02/2025 for Resident #3.
Based on record review, the facility failed to ensure the written Do Not Resuscitate (DNR) order is included in the resident?s individualized service plan. Evidence: 1. Resident #1 and Resident #2 have a valid DNR order in their resident records; however, the written order is not included in their individualized service plans.
Based on record review and interview, the facility failed to ensure all direct care staff attend at least 18 hours of training annually. Direct care staff who are licensed health care professionals or certified nurse aides shall attend at least 12 hours of annual training. Evidence: 1. Staff #1 was unable to provide documentation of 2024 annual training for Staff #2.
Based on observation and interview, the facility failed to ensure that medications remain in the pharmacy issued container, with the prescription label or direction label attached, until administered to the resident. Evidence: 1. Upon entry into the facility on 04/01/2025 with Staff #2, the top of the medication cart had small cups labeled with resident names. 2. A cup labeled with Resident #4?s first name was observed to have pre-poured medications.
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 05/14/2024 from 8:05 am to 10:30 am and 05/15/2024 from 6:00 am to 6:15 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: 8 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: 2 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 2 Observations by licensing inspector: Breakfast was observed. A medication pass observation was completed for 2 residents. The following were reviewed: resident and staff records, medication cart, and water temperatures. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on record review, the facility failed to ensure the written Do Not Resuscitate (DNR) order is included in the resident?s individualized service plan. Evidence: 1. Resident #2 and Resident #3 have a valid DNR order in their resident records; however, the written order is not included in their individualized service plans.
Based on record review, the facility failed to ensure a fall risk rating is completed at least annually, when the condition of the resident changes, and after a fall. Evidence: 1. The fall risk ratings for Resident #1, Resident #2, and Resident #3 were not dated. 2. The last fall risk rating for Resident #4 was completed on 5/16/2020.
Based on record review, the facility failed to ensure the medication review include the items identified in the standard. Evidence: 1. The last medication review was completed on 3/21/2024; however, the review indicates a med room/station inspection to include its general appearance and observations, medication cart review, controlled drugs review, emergency kit review, and refrigerator/freezer review. The report did not include a review of the following: all medications that the resident is taking and medications that he could be taking if needed ( PRN
Based on record review, the facility failed to annually complete a risk assessment for tuberculosis on each resident as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. Evidence: 1. The last TB risk assessment for Resident #4 was completed on 1/16/2023. There was an additional TB risk assessment in their record; however, it was not dated.
Based on observation, the facility failed to implement their written plan for medication management which includes methods to prevent the use of outdated medications and plan for proper disposal of medication. Evidence: 1. There was a bottle of Centrum multivitamin tablets for Resident #5 expired 03/2024 observed on the medication cart.
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: 03/07/2024 from 11:30 am to 12:00 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 02/16/2024 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: 8 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: 3 Number of interviews conducted with staff: 2 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation(s) of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 04/18/2023 from 8:30 am to 11:40 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: 8 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 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.
Based on observation, the facility failed to implement their written plan for medication management which includes methods to prevent the use of outdated medications and plan for proper disposal of medication. Evidence: 1. There were 5 prefilled syringes of Morphine Sulfate 20 mg/1 ml solution for Resident #1 expired 5/25/2022 observed on the medication cart.
Based on record review, the facility failed to ensure the medication review include the items identified in the standard. Evidence: 1. The last medication review was completed on 1/27/23; however, the review indicates a med room/station inspection to include its general appearance and observations, medication cart review, controlled drugs review, emergency kit review, and refrigerator/freezer review. The report did not include a review of the following: all medications that the resident is taking and medications that he could be taking if needed ( PRN
Based on record review, the facility failed to ensure the written Do Not Resuscitate (DNR) order is included in the resident?s individualized service plan. Evidence: 1. Resident #1, Resident #2, Resident #3, and Resident #4 have a valid DNR order in their resident records; however, the written order is not included in their individualized service plans.
Based on record review, the facility failed to annually complete a risk assessment for tuberculosis on each resident as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. Evidence: 1. The last TB risk assessment for Resident #2 (dated 10/26/22), Resident #3 (dated 1/16/23), and Resident #4 (dated 10/18/22) was not completed as they did not indicate a review of the risks or recommendation on if TB testing is indicated at this time.
Based on record review, the facility failed to ensure the MAR
Based on observation, the facility failed to keep schedule II drugs and any other drugs subject to abuse in a separate locked storage compartment (e.g., a locked cabinet within a locked storage area or a locked container within a locked cabinet or cart). Evidence: 1. There were 5 prefilled syringes of Morphine Sulfate 20 mg/1 ml solution and a bottle of Morphine Sulfate solution for Resident #1 in the medication cart; however, the items were not withing a separate locked storage compartment.
An unannounced monitoring inspection was conducted by two Licensing Inspectors (LI) on 04-07-2022 from 8:30 AM to 11:22 AM. There were 3 residents in care at the time of the inspection. A tour of the facility was conducted, breakfast meal observed, medication cart inspected, and first aid kit reviewed. There have not been any new hires since the last inspection. LIs reviewed 3 staff records and 3 resident records. All morning medications were administered prior to the start of the inspection. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the facility. The areas of noncompliance were discussed with the Administrator throughout the inspection and during the exit interview.
Based on observation and interview, the facility failed to medications be in a locked area. Evidence: 1. While touring the facility on 4/9/22, medications were observed on a bedside table in a licensed bedroom of the facility. The room was unoccupied by a resident; however, the room and its contents were accessible to residents in the facility. 2. Staff #1 and Staff #2 acknowledged the medications were on a bedside table in a licensed bedroom of the facility.
Based on record review and interview, the facility failed to ensure medications be administered in accordance with the physician's or other prescriber?s instructions. Evidence: 1. Resident #2?s medication order for Carvedilol 3.125 mg tablet included a parameter that states hold if SBP <110, HR <60; however, there is no evidence that the resident?s blood pressure or heart rate was taken prior to the administration of the medication. 2. Staff #1 acknowledged the physician?s or other prescriber?s instructions on the aforementioned medications that were not reflected on the MAR
Based on record review, the facility failed to ensure the Individualized Service Plan ( ISP
Based on observation, the facility failed to ensure a first aid kit for the building contain items as identified in the standard. Evidence: 1. The building first aid kit did not include a small flashlight and extra batteries. Two items were also noted as expired: antiseptic ointment expired 2/2021 and hand cleaner expired 10/2020.
Based on observation, the facility failed to post the menus for meals and snacks for the current week in an area conspicuous to residents. Evidence: 1. A menu posted for April 5, 2022 was posted in the dining room. There was also a menu for a week to include the menus for meals and snacks; however, it did not indicate the current month or day.
Based on record review and interview, the facility failed to ensure in a facility licensed for both residential and assisted living care, all direct care staff attend at least 18 hours of training annually. Evidence: 1. The records for Staff #1, Staff #2, and Staff #3 did not have any documentation of training annually. 2. Staff #1 and Staff #2 also do not have documentation of continuing education required by the Virginia Board of Nursing for medication aides. 3. Staff #1 acknowledged Staff #1, Staff #2, and Staff #3 do not have any documentation of training annually.
Based on record review and interview, the facility admitted and retained individuals with prohibited conditions or care needs. Evidence: 1. Resident #2 admitted to the facility on 05-25-2021. The physical examination and report for Resident #2 (dated on 5/14/21) indicates the resident has gastric tubes and states the resident is not capable of independently feeding themselves and caring for the tube. 2. The disclosure statement signed by the POA for Resident #2 under the criteria for admission to the facility and restrictions on admission states ?no peg tube, sores, combative residents.? 3. Staff #1 acknowledged Resident #2 admitted and continues to remain at the facility with a gastric tube that Resident #2 is not capable of independently feeding themselves and caring for the tube.
Based on observation, the facility failed to ensure the interior and exterior of all buildings be maintained in good repair and kept clean and free of rubbish. Evidence: 1. The outdoor deck has uneven boards and raised nail heads. The yard is scattered with items not currently in use such as clothing racks and gas cans. 2. Inside the facility, there is a grey substance in the hallway ceiling vent. Additionally, the shower floor in one of the rooms has peeling paint.
Based on record review, 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 #3 works as direct care staff and does not have a current certification in first aid.
Based on record review and interview, the facility failed to ensure registered medication aides (RMAs) be prohibited from administering medications via gastric tubes and medications may only be administered by licensed personnel (e.g., a licensed practical nurse (LPN) or RN). Evidence: 1. Resident #2 admitted to the facility on 05-25-2021 with a gastric tube. Based on the resident record and March MAR
This inspection was conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor or Virginia. A renewal inspection was initiated on 4/22/2021 and concluded on 4/23/2021. The Administrator was contacted by telephone to initiate the inspection. The Administrator reported that the current census was 5. The inspector emailed the Administrator a list of items required to complete the inspection. The inspector reviewed 2 resident records, 2 staff records, staff schedules, health care oversight, fire and emergency evacuation drills, and health inspection report submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance (s) with applicable standards or law, and violations were documented on the violation notice issued to the facility.
Based on record review and discussion the facility failed to conduct fire and emergency evacuation drills as required during each shift in a quarter. Evidence: 1. Fire and emergency evacuation drills conducted were dated 1/21/21 at 10am (7am-3pm 1st shift); 2/21/21 at 2pm (7am-3pm 1st shift); and 3/20/21 at 5am (11pm-7am 3rd shift). 2. During January-March 2021 (first quarter); no fire and emergency evacuation drill was conducted on the 3pm-11pm 2nd shift. 3. Staff #3 acknowledged there was no fire and emergency evacuation drill conducted on the 3pm-11pm 2nd shift for the first quarter.
Based on record review and discussion, the facility failed to ensure the licensed heath care professional identified the specific residents for whom the oversight was provided. Evidence: 1. Health Care Oversight dated 12/1/20 to 3/20/21, did not document the names of the residents for whom the oversight was provided. 2. Staff #3 acknowledged that the health care oversight review did not identify the specific residents that were reviewed.
Based on record review and discussion the facility failed to ensure the physical examination report documented the description of the person?s reaction to a known allergy. Evidence: 1. Resident #2?s physical examination report dated 2/10/21 documented a known allergy to Lisinopril; however did not document a description of the reaction. 2. Staff #3 acknowledged Resident #2?s physical examination report dated 2/10/21 did not include the aforementioned information. Based on record review and discussion the facility failed to ensure tuberculosis risk assessment form was obtained within 30 days preceding admission. Evidence: 1. Resident #2?s admission date was 2/17/21; however tuberculosis risk assessment was completed after admission on 2/25/21. 2. Staff #3 acknowledged Resident #2?s tuberculosis risk assessment was not completed within 30 days prior to admission date. Based on record review and discussion the failed to ensure the physical examination report documented a statement that specified whether the individual is or is not capable of self-administering medication. Evidence: 1. Resident #1?s physical examination report dated 1/22/21 did not indicate whether the resident is or is not capable of self-administering medication. 2. Staff #3 acknowledged Resident #1?s physical examination report dated 1/22/21 did not indicate if the resident is or is not capable of self-administering medication.
Based on record review and discussion the facility failed to ensure direct care staff receive at least two of the required hours of training focus on infection control and prevention annually. Evidence: 1. Staff #1?s date of hire is 10/1/10 and annual training period is 10/1/19-10/1/2020 and Staff #2?s date of hire is 10/29/12 and annual training period is 10/29/19-10/20/20. 2. Staff #1 and Staff #2 did not have at least two hours of training on infection control and prevention annually. 3. Staff #3 acknowledged that the aforementioned staff did not receive at least 2 hours of training on infection control and prevention annually.
Based on record review and discussion the facility failed to ascertain, prior to admission, whether a potential resident is a registered sex offender. Evidence: 1. Resident #1?s admission date is 1/27/21 and the sex offender registry inquiry was completed after admission on 2/2/21. 2. Staff #3 acknowledged Resident #2?s sex offender registry inquiry was not completed prior to the admission date
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