Nans Pointe Rehabilitation and Nursing LLC
Families consistently rate this highly — reviewers highlight compassionate and attentive nursing staff. Schedule a visit to confirm the fit.
based on 57 Google reviews
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What this means for your family
This facility is an excellent choice for those prioritizing compassionate, person-centered nursing care and a clean environment. While recent reviews indicate a major turnaround under new management, you may want to inquire about staffing levels during shift changes or weekends to ensure consistent coverage.
Google Reviews
Google Reviews
57 reviews on Google“Families can expect highly compassionate nursing care, with many reviewers specifically praising the professionalism and attentiveness of the staff. The facility is noted for being clean, well-maintained, and recently improved under new management, though one reviewer noted concerns regarding staff training and response times.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
- Strong leadership and management
- Welcoming and professional environment
Concerns
- Staffing levels can be low at times (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 30 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is wonderful to see how much care you put into responding to every family member's feedback; how does that culture of communication extend to the daily care of the residents?
- 2With such a cozy community of 34 residents, how do you ensure each person receives personalized attention during busy shifts?
- 3The facility looks incredibly clean and well-maintained; what is your routine for ensuring the common areas stay comfortable for everyone?
- 4What kind of daily activities or social outings do you organize to help residents stay engaged with one another?
- 5How does the nursing team handle medical changes or emergencies during the overnight hours?
- 6How do you approach staffing and scheduling to ensure the high level of attentive care that your residents are known for?
Personalized based on this facility's data
Key Review Excerpts
“The facility is extremely clean and the staff is very professional. They are very caring and the DON is very very adamant on making sure the facility runs the way it’s supposed to love this place.”
“The new management team at this facility have completely revamped this facility into a top tier nursing home in Suffolk! They really make you and your family feel right at home.”
“I had a great experience with the staff at Nans Pointe. I'd like to thank Sabrina Thomas for going out her way to make sure I was well taken care of.”
State Inspection History
State Inspections
Source: VA State Licensing Agency
Jan 14, 2026ComplaintCleanReport
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 unannounced complaint inspection took place on 01/14/2026 at 9:45 am to 11:40 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 12/10/2025 regarding allegations in the area of: Resident Care and Related Services/ Number of residents present at the facility at the beginning of the inspection: The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of staff records reviewed: 0 Number of interviews conducted with residents:1 Number of interviews conducted with staff: 2 Observations by licensing inspector: Residents were observed in the dining area. Additional Comments/Discussion: None An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the (allegation(s) of non-compliance with standard(s) or law. 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 Donesia Peoples, Licensing Inspector at 757-353-0430or by email at donesia.peoples@dss.virginia.gov
Oct 2, 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 unannounced renewal inspection took place on 10/02/2025 at 8:15 am to 12:25 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: 16 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: 3 Number of interviews conducted with staff: 5 Observations by licensing inspector: An observation of breakfast was completed. A medication pass observation was completed with 2 residents. A review of the facility?s staffing schedule was completed. The call signaling system was monitored and the water temperature was measured. 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 Donesia Peoples, Licensing Inspector at (757) 353-0430 or by email at Donesia.peoples@dss.virginia.gov
Based on the staff record review and staff interview the facility failed to ensure health information required by these standards shall be maintained at the facility and be included in the staff record for each staff person. Initial tuberculosis (TB) examination and report and subsequent (TB) evaluations and reports. Evidence: 1. The record for staff #1, hire date 4/12/24, did not contain documentation of an initial and annual risk assessment for TB. 2. Upon request on 10/02/25, staff #4 was not able to provide documentation of an initial and annual risk assessment for TB completed for staff #1.
Based on observation and staff interviews the facility failed to ensure a listing of all staff who have current certification in first aid or CPR, in conformance with subsections A and B of this section, shall be posted in the facility so that the information is readily available to all staff at all times. The listing must indicate by staff person whether the certification is in first aid or CPR or both and must be kept up to date. Evidence: 1. During a tour of the facility on 10/02/2025 the Licensing Inspector (LI) did not observe a listing of all staff who have current certification in first aid or CPR posted in the facility. 2. During an interview on 10/02/2025 with staff #3 and staff #4, staff #3 and staff #4 confirmed a list of all staff certified in first aid or CPR was not posted in the facility.
Based on the record review and staff interview the facility failed to ensure within 30 days preceding admission, a person shall have a physical examination by an independent physician. The report of such examination shall be on file at the assisted living facility and shall contain the following: Results of a risk assessment documenting the absence of tuberculosis (TB) 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. The record for resident #1 admission date of 07/19/25, does not contain documentation of the results of a risk assessment for TB that was completed within 30 days prior to the resident?s admission. Resident #1?s risk assessment for TB is documented as being completed on 09/01/25. 2. During an interview on 10/02/25 with staff #4, staff #4 confirmed the record for resident #1 did not contain a risk assessment for TB completed within 30 days prior to the resident?s admission.
Based upon staff interviews the facility failed to ensure if a facility employs a licensed health care professional, who is onsite on a full time basis, a licensed health care professional, practicing within the scope of the health care professional?s profession, shall provide health care oversight at least every six months. Evidence: 1. Upon request and during an interview on 10/02/2025 with staff #4, staff #4 was not able to provide documentation of a health care oversight completed at least every six months. 2. During an interview on 10/02/2025 with staff #6, staff #6 confirmed the facility has employed a licensed health care professional during the current licensure period and confirmed a health care oversight has not been completed at least every six months.
Based on observation and staff interview the facility failed to ensure over-the-counter medication shall remain in the original container, labeled with the resident's name, or in a pharmacy-issued container, until administered. Evidence: 1. During the medication cart observation with staff #1, the following over the counter medications were observed to not be labeled with the resident?s name and staff #2 confirmed the medications were not labeled with the resident?s name: ? Collagen Peptides 2500mg ? Tylenol 325mg tablets ? Bayer 81 mg tablets ? PreserVision Soft gels
Based on review of the facility?s fire inspection report and staff interview the facility failed to ensure the facility shall comply with the Virginia Statewide Fire Prevention Code (13VAC5-51) as determined by at least an annual inspection by the appropriate fire official. Evidence: 1. Upon request, and during an interview on 10/02/25 with staff #5, staff #5 provided a fire inspection report completed on 12/12/23. Staff #5 confirmed the facility did not have record of a fire inspection completed at least annually after the date of 12/12/23.
Mar 31, 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: An unannounced monitoring inspection took place on 03/31/2025 at 1:40 pm to 4:15 pm and 04/22/2025 at 9:14 am to 11:25 am. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-report was received by VDSS Division of Licensing on 03/14/2025 regarding allegations in the area of: Personnel and Resident Care and Related Services. 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: 1 Number of staff records reviewed: 2 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: Residents were observed in the common and dining areas. Additional Comments/Discussion: None An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegations; area(s) of non-compliance with standard(s) or law were: Personnel A violation notice was issued; any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Donesia Peoples, Licensing Inspector at 757-353-0430 or by email at donesia.peoples@dss.virginia.gov
Based on the record review and staff interview the facility failed to ensure all staff shall be considerate and respectful of the rights, dignity, and sensitivities of persons who are aged or infirm or who have disabilities. Evidence: 1. Resident?s #1 incident report dated 03/14/25 documents alleged abusive behavior by staff #1 towards resident #1. 2. The facility?s final investigation report dated 04/10/25 for resident?s #1 incident report dated 03/14/25 documents ?the community has substantiated the allegation of verbal abuse. The employee has been terminated.? 3. Resident?s #1 audio recording dated 01/10/25 includes the following: Staff #1 tells resident #1 to ?stop ringing the call bell all night, it?s not time to get up,? and uses a curse word when communicating to the resident. 4. Resident?s #1 audio recording dated 01/28/25 includes the following: Resident #1 asks for assistance from staff #1 to use the bathroom, staff #1 responds by saying, ?no? and ?I don?t care.? 5. Resident?s #1 audio recording dated 03/12/2025 includes the following: Staff #1 telling resident #1 to ?stop grabbing?, and staff #1 using a curse word when communicating to resident #1. 6. During an interview on 04/22/25 with staff #5, staff #5 acknowledged that staff #1 is the staff person heard verbally abusing resident #1 on the audio recordings dated 01/10/25, 01/28/25, and 03/12/25.
Based on the record review and staff interview the facility failed to ensure the fall risk rating shall be reviewed and updated after a fall. Evidence: 1. Resident?s #1 progress notes documents the resident experienced a fall on the following dates: 01/12/25, 01/29/25, 02/18/25, 03/08/25, 03/10/25. The resident?s record did not contain a fall risk rating completed after the documented falls. The last fall risk rating in the record is dated 09/26/24. 2. Upon request on 03/31/25, staff # 3 acknowledged the record for resident #1 did not contain a fall risk rating completed after the documented falls on 01/12/25, 01/29/25, 02/18/25, 03/08/25, 03/10/25.
Based on the record review and staff interview the facility failed to ensure the comprehensive individualized service plan ( ISP
Feb 11, 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: An unannounced complaint inspection took place on 02/11/25 at 9:18 am to 12:30 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 of: Resident Care and Related Services. 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: 0 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 4 Observations by licensing inspector: Residents were observed eating breakfast in the dining area. Additional Comments/Discussion: None An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegations; area(s) of non-compliance with standard(s) or law were: Resident Care and Related Services and Staffing and Supervision. A violation notice was issued; any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Donesia Peoples, Licensing Inspector at 757-353-0430 or by email at donesia.peoples@dss.virginia.gov
Based on the record review and the staff interview the facility failed to ensure a method of written communication shall be utilized as a means of keeping direct care staff on all shifts informed of significant happenings or problems experienced by residents, including complaints and incidents or injuries related to physical or mental conditions. Evidence: 1. During an interview with staff #1, and staff #2, Staff #1 and staff #2 stated during the month of Dec. 2024 resident #1 used his call bell alert system to notify the staff that resident #2 was in resident?s #1 room unannounced and uninvited. The incident was not documented in the records for resident #1 and resident #2. 2. During an interview with staff #1, staff #1 stated the physician for resident #1 informed staff #1 that during a physician visit in December 2024, resident #1 reported to the physician concerns of resident #2 entering the room of resident #1 unannounced and uninvited. Resident?s #1 complaints of resident #2 entering the room of resident #1 was not documented in the records of resident #1 and resident #2.
Based on the record review the facility failed to ensure the facility shall regularly observe each resident for changes in physical, mental, emotional, and social functioning. Any notable change in a resident?s condition or functioning, including illness, injury, or altered behavior, and any corresponding action taken shall be documented in the resident?s record. Evidence: 1. The record for resident #2 contains a progress note dated 9/28/24 that documents the following: ?resident was confused the entire shift. Resident kept walking up and down the hallway looking for her truck. Resident is also forgetting how to feed herself.? Resident?s #2 record did not include documentation of any corresponding action taken by the facility to address the resident?s behaviors included in the progress note dated 9/28/24. 2. The record for resident #2 contains a progress note dated 12/21/24 that documents the following: ?Resident continues to be confused and says she don?t know how to walk. 4:30 this morning during rounds, resident was laying in dining room on activity table. Resident was taking back to her room.? Resident?s #2 record did not include documentation of any corresponding action taken by the facility to address the resident?s behaviors included in the progress note dated 12/21/24.
Oct 1, 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: An unannounced renewal inspection took place on 10/01/2024 at 8:37 am to 2:09 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: 19 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: An observation of breakfast was completed. A medication pass observation was completed with 2 residents. A review of the facility?s staffing schedule was completed. 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 Donesia Peoples, Licensing Inspector at (757) 353-0430 or by email at Donesia.peoples@dss.virginia.gov
Based on the onsite record review, the facility failed to ensure health information required by these standards shall be maintained at the facility and shall be included in the staff record for each staff person. Subsequent tuberculosis (TB) evaluations and reports. Evidence: 1. The record for staff #2, hire date 5/24/19 and 5/31/24, does not contain a current annual risk assessment for TB. The record for staff #2 contains a risk assessment for TB dated 2/07/2020.
Based on the record review the facility failed to ensure on or within 7 days prior to the day of admission, a preliminary plan of care shall be developed to address the basic needs of the resident that adequately protects his health, safety, and welfare. Exception: A Preliminary plan of care is not necessary if a comprehensive individualized service plan ( ISP
Based on the record review the facility failed to ensure the individualized service plan ( ISP
Based on observation the facility failed to ensure medications shall be stored in a manner consistent with current standards of practice. The storage area shall be locked. Evidence: 1. During the onsite inspection on, 10/01/24, the Licensing Inspector (LI) observed medications in a plastic bag in an unlocked office. 2. Staff #3 stated the medications located in the unlocked office room, were removed from the medication cart the day prior and the medications will be returned to the pharmacy.
Based on the record review the facility failed to ensure the Medication Administration Record ( MAR
Jun 26, 2024Routine
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: An unannounced monitoring inspection took place on 06/26/24 at 8:38 am to 3:10 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: 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: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 3 Observations by licensing inspector: An observation of breakfast was completed. A medication pass observation was completed with 2 residents. A review of the facility?s staffing schedule was completed. 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 Donesia Peoples, Licensing Inspector at (757) 353-0430 or by email at Donesia.peoples@dss.virginia.gov
Based on the onsite record review the facility failed to ensure the assisted living facility shall prepare and provide a statement to the prospective resident and his legal representation. The statement shall disclose the following information which shall be kept current: The name of the facility; the name of the licensee. Evidence: 1. Residents #1, #2, #3, #4, #5, and #6 disclosure statements did not include the name of the facility and the name of the licensee. 2. Staff #2 confirmed the disclosure statements for residents #1, #2, #3, #4, #5, and #6 did not include the new name of the facility and the licensee. 3. A change in ownership for the facility occurred on 05/01/24. The facility was notified on 04/02/24 via email to update the disclosure statement for all residents to include the new name of the facility and licensee effective 05/01/24.
Based upon review of the UAI
Based on the record review the facility failed to ensure within the 30 days preceding admission, a person shall have a physical examination by an independent physician. The report of such examination shall be on file at the assisted living facility and shall contain the following as listed in the subsection. Evidence: 1. The record for resident #1, admission date 05/08/24, did not contain documentation of a physical examination completed within 30 days preceding admission. 2. Staff #2 confirmed the record for resident #1 did not contain documentation of a physician exam completed within 30 days prior to the resident?s admission date.
Based on the record review the facility failed to ensure at or prior to the time of admission, there shall be a written agreement/acknowledgement of notification dated and signed by the resident or applicant for admission or the appropriate legal representative, and by the licensee or administrator. Evidence: 1. Resident?s #1 admission agreement dated 05/08/24 did not include the licensee or administrator?s signature.
Based on the record review the facility failed to ensure the original agreement/ acknowledgement shall be updated whenever there are changes to any of the policies or information referenced or identified in the agreement/acknowledgement and dated and signed by the licensee or administrator and the resident or his legal representative. Evidence: 1. Resident?s #2 original agreement dated 10/14/23 was not updated to reflect the new name of the facility and licensee for the change in ownership effective 05/01/24. 2. Resident?s #3 original agreement dated 03/16/24 was not updated to reflect the new name of the facility and licensee for the change in ownership effective 05/01/24. 3. Resident?s #4 original agreement dated 04/01/24 was not updated to reflect the new name of the facility and licensee for the change in ownership effective 05/01/24. 4. Resident?s #5 original agreement dated 2/24/22 was not updated to reflect the new name of the facility and licensee for the change in ownership effective 05/01/24. 5. Resident?s #6 original agreement dated 01/09/23 was not updated to reflect the new name of the facility and licensee for the change in ownership effective 05/01/24. 6. A change in ownership for the facility occurred on 05/01/24. The facility was notified via email on 04/02/24 to provide a new resident agreement to all residents when the new license became effective 05/01/24.
Based on the record review the facility failed to ensure upon admission, the assisted living facility shall provide an orientation for new residents and their legal guardian including emergency response procedures, mealtimes, and use of the call system. Acknowledgement of receiving the orientation shall be signed and dated by the resident and, as appropriate his legal guardian, and such documentation shall be kept in the resident?s record. Evidence: 1. The record for resident #1, admission date 05/08/24, did not contain documentation the facility provided an orientation to the resident and/ or their legal guardian. 2. Resident?s #2, #3, #4, #5, and #6 resided at the facility prior to the change in ownership eff. 05/01/24. The residents? records did not include documentation the facility provided an orientation to the resident and/ or their legal guardian. 3. A change in ownership for the facility occurred on 05/01/24. The facility was notified via email on 04/02/24 to provide an orientation for all residents when the new license became effective 05/01/24. 4. Staff #2 confirmed the records for residents #1, #2, #3, #4, #5, and #6 did not contain documentation the facility provided an orientation to the residents.
Based on the record review and staff interview the facility failed to ensure the facility shall implement a written plan for medication management to include methods to ensure each resident?s prescription medication and any over the counter drugs and supplements ordered for the resident are filled and refilled in a timely manner to avoid missed dosages. Evidence: 1. During the medication pass observation on 06/26/24 with staff #4, the following medication was not located and available to administer to resident # 4: Physician order dated 04/12/24 ?Magnesium Oxide-Supplement 400 (240mg) take 0.5 tablet by mouth once daily for anemia.? 2. Resident?s #4 medication administration record ( MAR
Apr 2, 2024RoutineCleanReport
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: An announced mandated inspection took place on 04/02/2024 at 8:50 am to 9:12 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: 16 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: 2 Observations by licensing inspector: Resident rooms and floor plans was observed and confirmed. Additional Comments/Discussion: None 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 Donesia Peoples, Licensing Inspector at 757-353-0430 or by email at Donesia.peoples@dss.virginia.gov
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1.9 miAssisted Living · Suffolk, VA
Autumn Care of Suffolk
1.9 miNursing Home · Suffolk, VA
Lake Prince Woods, INC
3.8 miNursing Home · Suffolk, VA
Lake Prince Woods
3.8 miAssisted Living · Suffolk, VA
Harmony at Harbour View
12.4 miAssisted Living · Suffolk, VA