Mission House
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Aug 1, 2025Routine20Report
Type of inspection: Monitoring Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 8/1/2025 from 8:45 a.m. until 1:30 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: 15 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: 2 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 5 Observations by licensing inspector: The Licensing Inspector toured the community and observed the residents during activities and meals. The Licensing Inspector reviewed the following at the time of inspection: sample of resident and employee records, medication administration, fire drills, emergency drills, pharmacy review, menus, activity calendars, and dietician report. Additional Comments/Discussion: None An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Angela Via, Licensing Inspector at (540) 682-1729 or by email at Angela.Via@dss.virginia.gov
Based on resident record review and staff interviews, the facility failed to provide a statement to the prospective resident and the prospective resident?s legal representative, if any, that disclosed information about the facility. Evidence: 1. Record for resident 3, admitted 7/21/2025, did not contain disclosure statement. 2. Staff 4 acknowledged that resident 3?s paperwork had not been completed.
Based on resident record review and staff interviews, the facility failed to ensure written acknowledgment of the receipt of the disclosure by the resident or the resident?s legal representative was retained in the resident's record. Evidence: 1. Record for resident 3, admitted 7/21/2025, did not contain written acknowledgement of receipt of the disclosure statement. 2. Staff 4 acknowledged that resident 3?s paperwork had not been completed.
Based on staff record review and staff interviews, the facility failed to ensure the required orientation and training occurred within the first seven working days of employment. Evidence: 1. Employee record for staff 6, hired 7/9/25, contained a blank, unsigned orientation form. 2. Staff 5 reviewed the record for staff 6 and confirmed the orientation form was not completed. 3. Staff 4 searched through additional files of paperwork and record for staff 6 and confirmed it was not completed or signed by employee or trainer. 4. Photo evidence taken.
Based on staff record review and staff interviews, the facility failed to ensure all direct care staff attended at least 14 hours of training annually. Evidence: 1. Record for staff 3, hired 2/1/2018, contained a total of 4.5 hours of annual training from 2/1/2024 to 2/1/2025. 2. Staff 4 verbalized being unaware of this standard to licensing inspectors. 3. Staff 5 was aware of the standard but acknowledged that the required number of annual training hours had not been completed for staff 3.
Based on staff record review and staff interview, the facility failed to ensure each staff person on or within seven days prior to the first day of work at the facility and annually thereafter submitted the results of a risk assessment, documenting the absence of tuberculosis in a communicable form as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. Evidence: 1. Record for staff 3, hired 2/1/2018, did not contain an annual tuberculosis risk assessment. The last documented risk assessment for staff 3 was dated 8/30/2023. 2. Record for staff 6, hired 7/9/2025, did not contain a tuberculosis risk assessment. 3. Staff 5 acknowledged that annual tuberculosis risk assessments were past due for staff.
Based on resident record review and staff interview, the facility failed to ensure a documented interview was completed between the administrator or a designee responsible for admission and retention decisions, the individual, and his legal representative, if any. Evidence: 1. Record for resident 3, admitted 7/21/2025, did not contain a documented interview between the administrator and individual. 2. Staff 5 acknowledged to licensing inspectors that the documented interview for resident 3 had not been completed.
Based on resident record review and staff interview, the facility failed to provide written assurance to the resident that the facility had the appropriate license to meet his care needs at the time of admission with a signed copy of the written assurance retained in the resident?s record. Evidence: 1. Record for resident 3, admit date 7/21/2025, did not contain a written assurance that was signed by the resident or his legal representative. 2. Staff 4 acknowledged that the written assurance for resident 3 had not been completed.
Based on resident record review and staff interview, the facility failed to ensure a risk assessment for tuberculosis was completed annually 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. Record for resident 1, admitted 9/1/2015, did not contain an annual tuberculosis risk assessment. The last documented risk assessment was dated 8/3/2023. 2. Staff 5 acknowledged that annual tuberculosis risk assessments were behind in being completed for residents.
Based on resident record review and staff interview, the facility failed to ascertain, prior to admission, whether a potential resident was a registered sex offender if the facility anticipated the potential resident would have a length of stay greater than three days or in fact stayed longer than three days with documentation in the resident's record that this was ascertained and the date the information was obtained. Evidence: 1. Record for resident 3, admit date 7/21/2025, did not contain evidence of a registered sex offender search. 2. Staff 4 acknowledged to licensing inspectors that the registered sex offender search had not been completed for resident 3 prior to admission.
Based on resident record review and staff interview, the facility failed to ensure at or prior to the time of admission, a written resident agreement or acknowledgment of notification was dated and signed by the resident or applicant for admission or the appropriate legal representative and by the licensee or administrator. Evidence: 1. Record for resident 3, admit date 7/21/2025, did not contain an admission resident agreement. 2. Staff 4 acknowledged to licensing inspectors that the admission resident agreement had not been completed.
Based on resident record review and staff interview, the facility failed to provide an orientation, upon admission, for new residents and their legal representatives, which included emergency response procedures, mealtimes, and use of the call system. Acknowledgment of having received the orientation should be signed and dated by the resident and, as appropriate, his legal representative, with documentation kept in the resident's record. Evidence: 1. Record for resident 3, admit date 7/21/2025, did not contain a signed acknowledgement of having received orientation. 2. Staff 4 acknowledged to licensing inspectors a signed orientation for resident 3 had not been completed.
Based on resident record review and staff interview, the facility failed to ensure a preliminary plan of care was developed, on or within seven days prior to the day of admission, which addressed the basic needs of the resident to ensure his health, safety, and welfare were adequately protected. Evidence: 1. Record for resident 3, admitted 7/21/2025, did not contain a preliminary plan of care. 2. Staff 5 acknowledged to licensing inspectors that preliminary plan of care had not been completed for resident 3 and was not in his record.
Based on resident record review and staff interview, the facility failed to ensure the rights and responsibilities of residents in assisted living facilities were reviewed annually with each resident or his legal representative or responsible individual and each staff person with written acknowledgement of having been so informed, along with the date of the review, filed in the resident?s or staff?s record. Evidence: 1. Record for resident 3, admitted 7/21/2025, did not contain a signed acknowledgement that the rights and responsibilities of residents had been reviewed. 2. Staff 5 acknowledged to licensing inspectors that the review of rights and responsibilities of residents had not been completed.
Based on facility record review and staff interviews, the facility failed to ensure compliance with annual kitchen inspection by the Virginia Department of Health (VDH) with annual reports retained at the facility for at least two years. Evidence: 1. Last annual report of the kitchen inspection provided by the facility was dated 4/10/2024. 2. Staff 4 was unaware that the facility needed to contact VDH annually if inspection was not completed. 3. Staff 5 stated that VDH was unable to send an inspector due to staffing but did not have written correspondence with VDH of contact to schedule the inspection.
Based on resident record review and staff interview, the facility failed to administer medications not earlier than one hour before and not later than one hour after the facility's standard dosing schedule, except for drugs ordered for specific times, such as before, after, or with meals. Evidence: 1. Staff 3 administered hydralazine 25 mg tablet to resident 1 at noon however the Medication Administration Record ( MAR
Based on observation and staff interview, the facility failed to store cleaning supplies and other hazardous materials in a locked area. Evidence: 1. During a tour of the facility on 8/1/2025, licensing inspectors observed cleaning supplies, including bleach and ammonia, laundry detergent, and bug spray in an unlocked laundry room. 2. Staff 5 acknowledged that door to laundry room was unlocked. 3. Photo evidence taken.
Based on resident record review and staff interviews, the facility failed to ensure buildings were kept free of infestations of insects. Evidence: 1. During a tour of the facility on 8/1/2025, licensing inspections observed fly strips hanging from the ceilings in three rooms. The kitchen contained 3 fly strips. The living room contained 4 fly strips. The laundry room contained 2 fly strips. All strips had visible dead flies attached. 2. Staff 1 stated that fly strips were hung in the kitchen due to ?flies being everywhere?. 3. Staff 4 and 5 acknowledged the presence of the fly strips. 4. Photo evidence taken.
Based on facility record review, resident record review, and staff interviews, the facility failed to implement an orientation and semi-annual review on the emergency preparedness and response plan for all staff, residents, and volunteers, with emphasis placed on an individual's respective responsibilities. The review must be documented by signing and dating. Evidence: 1. Licensing Inspector requested the semi-annual review of the emergency preparedness and response plan for staff, residents and volunteers. 2. Staff 4 and 5 stated that staff and resident emergency preparedness and response plans had not been reviewed since 2023.
Based on resident record review and staff interview, the facility failed to ensure a complete first aid kit was on hand at the facility and contained all of the required items as listed in the subsection. Evidence: 1. The first aid kit was missing blankets, disposable single-use breathing barriers or shields for use with rescue breathing or CPR, gauze pads, hand cleaner, plastic bags, small flashlight and extra batteries, triangular bandages, and a first aid manual. 2. Staff 5 stated that items had been used out of kit and not replenished.
Based on observation and staff interview, the facility failed to ensure the availability of a 96-hour supply of emergency drinking water with at least 48 hours of the supply on site at any given time. Evidence: 1. During a tour of the facility on 8/1/2025, licensing inspectors did not observe a supply of emergency drinking water. 2. Staff 5 stated that there was not an emergency water supply at the facility.
Aug 2, 2024Routine
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: 8/2/2024 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 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: 3 Number of staff records reviewed: 2 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: Licensing Inspector observed resident inside and outside on the porch, participating in activity programs and also eating lunch. This LI observed medication being administered to residents. 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 Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to describe the identified needs of the resident on the Individualized Service Plan. Evidence: 1. Resident 1 and 2?s Individualized Service Plan did not include any information regarding the resident being assessed as a high risk for falls. 2. Resident 1 was assessed as being a high risk for falls on 3/25/2024 and the individualized Service Plan dated 3/26/2024 did not provide any information to prevent falls. 3. Resident 2 was assessed as being a high risk for falls on 12/14/2023 and Individualized Service Plan dated 6/4/2024 did not provide any information to prevent falls.
Based on staff record review and staff interview, the facility failed to develop and implement an orientation and semi-annual review on the emergency preparedness and response plan for all staff, residents an volunteers. Evidence: 1. There was no current emergency preparedness plan review with the staff on record. 2. Staff 2 stated ?I didn?t do that?.
Based on observation and staff interview, the facility failed to ensure the availability of emergency food and drinking water. At least 48 hours of the supply must be on site at any given time. Evidence: Staff 2 stated there was not a 48 hour supply of water on site.
Jul 18, 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: 7/18/23 The Acknowledgement of Inspection form was signed and left at the facility on the date of the inspection. Number of residents present at the facility at the beginning of the inspection: 15. The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. The facility recently received a grant and now have central heat and air throughout the entire building. They have elected to keep the baseboard heaters in place and have been painting them. The building was clean and odor free. Number of resident records reviewed: 10 Number of staff records reviewed: 6 Number of interviews conducted with residents: 6 Number of interviews conducted with staff: 13 Observations by licensing inspector: The facility has no special diets. Postings were as required. Many of the facility activities are provided by outside individuals or groups which the residents indicated they really enjoy. Medication cart was organized, count correct and med pass met Board of Nursing guidelines. Additional Comments/Discussion: Fire ? 6/22/23 Health ? 4/20/23 An exit meeting was 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 had 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. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. Thank you to residents and staff for your cooperation during this monitoring inspection process. Should you have any questions, please contact Sharae Henderson, Licensing Administrator at (804) 726-7833 or by email at sharae.henderson@dss.virginia.gov
Based on a review of six staff records none of the six were complete as per the standard requirements. Missing items included incomplete orientation documentation, annual TB screenings, annual resident rights, job descriptions and updated CPR/First aid documentation.
There was no documentation that sex offender status had been ascertained on residents A and B prior to their move to the facility.
Based on a review of 10 resident records, full or partial, two residents (A and B) recently admitted did not have an initial service plan. Residents G and I had plans that expired 5/23. All the residents who did not have plans are independent in all ADL
The facility did not have documentation of four background checks being completed within thirty days of hire. There was documentation of references being checked in the files.
Jul 22, 2022RoutineCleanReport
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: 7/22/2022 8am 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: 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: All outside inspections current and postings as required. Emergency drills completed. Buildings and grounds have been improved thanks to area of churches. The facility also replaced the roof and can begin some additional cosmetics inside. Fire: 6/30/22 Health:4/29/22 Additional Comments/Discussion: The facility , despite all efforts, continues to have difficulty securing mental health services for the individuals who reside there. They are maintaining documentation of their efforts. An exit meeting was 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 Sharon DeBoever, Licensing Inspector at (540) 292-5930 or by email at sharon.deboever@dss.virginia.gov
Jul 6, 2021Routine
A renewal inspection was initiated on July 6, 2021 and concluded on July 14, 2021. The administrator was contacted by telephone and email to initiate the inspection. The administrator reported that the current census was 15. The inspector emailed the administrator a list of items required to complete the remote documentation review portion of the inspection. The inspector, based on the facility census as per the hybrid protocol, reviewed two resident records, two staff records, fire inspection, health inspection, health care oversight, fire drills and emergency drills and staff schedule submitted by the facility to ensure documentation was complete. The inspector conducted the on-site portion of the inspection on July 12, 2021 and reviewed required postings related activities, emergency food supply, general building and grounds and medication cart. An exit interview was conducted with administrator and owner on the date of inspection, where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and a violation was documented on the violation notice issued to the facility. Thank you to staff and residents for your cooperation during this hybrid inspection process. Should you have additional questions or concerns please call (540) 332-2330 or email this inspector at sharon.deboever@dss.virginia.gov. The facility will be notified by mail regarding their renewal status.
Based on an interview with the administrator (7/12/21) and follow up with facility owner(7/14/21), the facility no longer has a vendor capable of providing the facility with an emergency generator for the provision of electricity during an interruption of the normal electric power supply. They have a contract with a local church to move residents in the event of a power outage but the church does not have an emergency generator as per the owner.
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