Pinecrest Assisted Living Facility, LLC
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Dec 11, 2025ComplaintCleanReport
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 12/11/2025 10:20 to 11:20 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 11/15/2025 regarding allegations in the area(s) of: Resident Care and Related Services Number of resident records reviewed: 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 A Marie Swink, Licensing Inspector at 276-623-6575 or by email at angela.swink@dss.virginia.gov
Nov 6, 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: 11/6/2025 09:15 to 11:35 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 10/21/2025 regarding allegations in the area(s) of: Admission, Retention, and Discharge of Residents Number of resident records reviewed: 1 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 of non-compliance with standard(s) or law. However, violation(s) not related to the complaint but identified during the course of the investigation can 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 A Marie Swink, Licensing Inspector at 276-623-6575 or by email at angela.swink@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to ensure that a copy of the written discharge statement shall be retained in the resident's record. EVIDENCE: 1. Resident 1 record did not contain the discharge statement, dated 10/18/2025, at the time of the request to be reviewed by the licensing inspector (LI). 2. Interview with Staff 1 confirmed that the discharge statement, dated 10/18/2025, was not retained in Resident 1 record.
Based on facility record review and staff interview, the facility failed to ensure within 60 days of the date of discharge, each resident or his legal representative shall be given a final statement of account, any refunds due, and return of any money, property, or things of value held in trust or custody by the facility. EVIDENCE: 1. Facility communication with their contracted pharmacy, dated 11/6/2025, contained documentation that Resident 1 medications, Glipizide 10mg Tab #60, Trazodone 100mg Tab #60, Venlafaxine ER 150mg Cap #30, Lisinopril 30mg Tab #30, Eliquis 5mg tab #60, Metoprolol Tartrate 25mg Tab #60, Atorvastatin 10mg Tab #30, Meclizine 25mg Tab #30, Spironolactone 25mg Tab #30, Levothyroxine 100mcg tab #30, and Jardiance 10mg Tab 30#, were returned to the pharmacy. 2. Interview with Staff 1 confirmed that the facility had returned all of Resident 1 medications at their facility to the pharmacy after Resident 1 was discharged therefore the facility did not return the property or things of value held in trust and custody by the facility to Resident 1 or their legal representative.
Jul 8, 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: 7/8/2025 08:00 to 15:00 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 38 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of staff records reviewed: 3 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 7 Observations by licensing inspector: Medication Pass, Breakfast and Lunch meals, 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 A Marie Swink, Licensing Inspector at 276-623-6575 or by email at angela.swink@dss.virginia.gov
Based on staff record review and staff interview, the facility failed to ensure that each staff person, on or within seven days prior to the first day of work at the facility and each household member prior to coming in contact with residents, shall submit the results of a risk assessment that is no older than 30 days, documenting the absence of tuberculosis (TB) in a communicable form as evidenced by the Virginia Department of Health or a form consistent with it. EVIDENCE: 1. Staff 4 record, date of hire 4/8/2025, contained documentation of a TB risk assessment dated 12/2/2024. This is the only TB assessment on record. 2. During an interview with the licensing inspector and Staff 1, Staff 1 revealed that it was the most current TB risk assessment for Staff 4.
Based on resident record review, resident interview, and staff interviews, the facility failed to ensure that no resident shall be admitted or retained who requires a level of care or service or type of service for which the facility is not licensed or which the facility does not provide. EVIDENCE: 1. The facility has a stipulation on the facility license that indicates that all residents must be ambulatory. 2. During an interview with the licensing inspector and staff 2 on the day of inspection, staff 2 revealed that Resident 1 had a diagnosis of dementia. Staff 2 also revealed that Resident 1 was not able to use their signaling device due to their cognition and not being able to remember to use it. 3. During an interview with the licensing inspector and Staff 1, Staff 1 revealed that Resident 1 had a Serious Cognitive Impairment. Staff 1 confirmed that the resident was not able to use their signaling device due to their memory. 4. During an interview with the Licensing Inspector and Staff 2, Staff 2 revealed that the resident may or may not acknowledge a fire alarm when they heard it and exit the facility. 5. During an interview with the Licensing Inspector, Resident 1, and Staff 2, Resident 1 was not able to recall the month, year, the season, their current location, or the president. Resident 1 reported they did not know what they would do if they needed help or their roommate needed help. Resident 1 was not able to recall the purpose of the signaling device. 6. Resident 1 record contained a Uniform Assessment Instrument, dated 8/13/2024, with documentation that the resident is Disorientated, some spheres, all of the time and has a diagnosis of Dementia. 8. Resident 1 record contained a physician?s progress note, dated 5/21/2025, with documentation that the resident has a diagnosis of dementia and confusion was noted.
Based on physical plant observation, the facility failed to ensure that the current month's schedule shall be posted in a conspicuous location in the facility or otherwise be made available to residents and their families. EVIDENCE: 1. During the physical plant observation on the day of inspection, the licensing inspector (LI) observed the posted activity calendar to be dated June 2025 on the bulletin board in the dining room. 2. During an interview with the licensing inspector and Staff 1, Staff 1 revealed that the July 2025 calendar had not been posted until the day of the inspection, and it was located in a binder prior to the day of inspection that was not available to the residents and their families.
Based on resident record review and staff interview, the facility failed to ensure that medications shall be administered in accordance with the physician's or other prescriber?s instructions. EVIDENCE: 1. Resident 2 record contained a signed physician?s order dated 6/12/2025 with documentation for Acetaminophen 325mg Tablet, Take 2 tablets (650mg) by mouth three times daily for pain. The frequency on the order notes 2x a day. 2. Resident 2 record contained a June 2025 Medication Administration Record ( MAR
Based on medication cart audit, resident record review, and staff interviews, the facility failed to ensure that medications ordered for PRN
Based on resident record review and staff interview, the facility failed to ensure that Do Not Resuscitate (DNR) Orders for withholding cardiopulmonary resuscitation from a resident in the event of cardiac or respiratory arrest may only be carried out in a licensed assisted living facility when all requirements are met. EVIDENCE: 1. Resident 1 record contained a DNR order dated 3/7/2024. 2. Resident 1 record contained an Individualized Service Plan ( ISP
Based on physical plant observation and staff interviews, the facility failed to ensure that the interior and exterior of all buildings shall be maintained in good repair and kept clean and free of rubbish. EVIDENCE: 1. During the physical plant observation on the day of inspection, the Licensing Inspector (LI) observed black tape holding the seams of the floor together transitioning from the dining room to the hallway for rooms 14-19 and the hallway into Wing B. The LI observed black tape holding the seams together for approximately 4 of the vinyl planks in the dining room and approximately 3 of the vinyl planks in Wing B. 2. During an interview on the day of the inspection with the licensing inspector and Staff 1 and Staff 5, Staff 1 revealed that the floor had been in the current condition for approximately 60 days due to a water issue. Staff 5 revealed that the facility would fix the flooring in the Fall of 2025.
Based on resident record review and staff interviews, the facility failed to ensure that for each resident with an inability to use the signaling device, in addition to any other services, it shall be included in the resident's individualized service plan. EVIDENCE: 1. During an interview with the Licensing Inspector and Staff 3, Staff 3 revealed that Resident 1 was not able to use their signaling device due to their memory loss. 2. Resident 1 record contained an Individualized Service Plan ( ISP
May 13, 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: 05/13/2025 9am until 12;30pm 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 05/07/2025 regarding allegations in the area(s) of: General provisions, admission, retention and discharge of residents and resident care and related services. The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 5 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegations; area(s) of non-compliance with standard(s) or law were: admission, retention and discharge or residents. A violation notice was issued; any violation(s) not related to the complaint(s) but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Cynthia Ball-Beckner, Licensing Inspector at 540-309-2968 or by email at cynthia.ball@dss.virginia.gov
Based on resident record review and staff interview, the facility failed to ensure that all requirements or rules to be imposed regarding resident conduct and other restrictions or special conditions were included in the facility agreement. EVIDENCE: 1. The Personal Funds Tracking Sheet for resident 1 has documentation that a fee of $60.00 dollars was charged to resident 1 on 02/04/2025 for Contraband (Cigarette)-1st offense. In an interview with staff persons 1 and 2 it was expressed that the facility is no smoking on the entire premises and that smoking supplies (cigarettes/lighters) are also not allowed. 2. The facility agreement dated and signed by the resident and facility Administrator on 01/02/2025 contains the facility policy for no smoking in the facility or on the premises but does not include information that smoking supplies (cigarettes/lighters) are not allowed on the facility premises.
Based on resident record review and staff interview, the facility failed to ensure that residents monthly statements of charges and payments only contained itemized charges made by the facility. EVIDENCE: 1. The Personal Funds Tracking Sheet from 01/01/2025 through 05/13/2025 for resident 2 has documentation of a charge for $5.00 dollars for a missed appointment fee-PALF Group on 01/09/2025, 01/23/2025 and 04/14/2025. 2. The Personal Funds Tracking Sheet from 01/01/2025 through 05/13/2025 for resident 3 has documentation of a charge for $5.00 dollars for a missed appointment fee-PALF Group on 01/08/2025. 3.The Personal Funds Tracking Sheet from 01/01/2025 through 05/13/2025 for resident 4 has documentation of a charge for $5.00 dollars for a missed appointment fee-PALF Group on 04/03/2025. 4. The Personal Funds Tracking Sheet from 01/01/2025 through 05/13/2025 for resident 5 has documentation of a charge for $5.00 dollars for a missed appointment fee-PALF Group on 02/13/2025. 5. In an interview with staff persons 1 and 2 on the day of the on-site inspection it was expressed that these fees are for a group counseling service that is provided at the facility by an outside 3rd party vendor. Staff person 2 also confirmed that residents 2, 3, 4 and 5 manage their own personal funds or have a legal representative who manages their personal funds, and that the facility does not handle personal funds for these residents.
Sep 23, 2024RoutineCleanReport
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: 09/23/2024 11:40am to 12:10pm 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: 36 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 staff: 2 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact A Marie Swink, Licensing Inspector at 276-623-6575 or by email at angela.swink@dss.virginia.gov
Jul 17, 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: 7/17/2024 08:25 to 13:45 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 38 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 5 Number of staff records reviewed: 3 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 5 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 A Marie Swink, Licensing Inspector at 276-623-6575 or by email at angela.swink@dss.virginia.gov
Based on staff record review and staff interview, the facility failed to ensure that prior to being placed in charge, the staff member was informed of and received training on their duties and responsibilities and provided written documentation of such duties and responsibilities. EVIDENCE: 1. Staff 6 record did not contain written documentation of duties and responsibilities prior to being placed in charge. 4. On the day of inspection during an interview with the licensing inspector and staff 2, staff 2 confirmed staff 6 has been the staff in charge at times at the facility. Staff 2 confirmed staff 6 record to be current.
Based on resident record review, staff record review and staff interview, the facility failed for direct care staff to be trained in methods of dealing with residents who have a history of aggressive behavior prior to being involved in the care of such residents. EVIDENCE: 1. Resident 5 record contained documentation from Resident Notes of the resident being aggressive as documented by the resident attempting to push and hit staff, and spitting on staff on 5/28/2024. 2.Staff 3 record, date of hire 2/5/2024, did not contain documentation of training in methods of dealing with residents who have a history of aggressive behavior. 4. On the day of inspection, during an interview with the licensing inspector and staff 2, staff 2 confirmed staff 3 record was current. Staff 2 confirmed that staff 3 did provide care for resident 5.
Based on resident record review and staff interview, the facility failed to ensure that a physical examination with all required information was obtained within 30 days preceding admission for a resident. EVIDENCE: 1. Resident 3 record, admitted to the facility on 6/20/2024, has documentation of a physical examination dated for 6/13/2024. The physical examination does not have documentation of the required information that includes a statement that the individual does not have any conditions or care needs prohibited by 22VAC40-73-310H and a statement that specifies whether the individual is or is not capable of self-administering medication. 2. On the day of inspection during an interview with the licensing inspector and staff 2, staff 2 confirmed resident 3 record to be current.
Jun 12, 2024ComplaintCleanReport
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 6/12/2024 10:15am to 11:15am 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 6/5/2024 regarding allegations in the area(s) of: Buildings and Grounds Number of residents present at the facility at the beginning of the inspection: 40 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 6 Number of interviews conducted with staff: 3 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the complaint 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 A Marie Swink, Licensing Inspector 276-635-6575 or by email at angela.swink@dss.virginia.gov
Mar 6, 2024ComplaintCleanReport
Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 3.6.2024 08:40am to 10:45am 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 1.31.2024 regarding allegations in the area of: Resident Care and Related Services Number of residents present at the facility at the beginning of the inspection: 42 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 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 of non-compliance with standards 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 A Marie Swink, Licensing Inspector at 276-635-6575 or by email at angela.swink@dss.virginia.gov
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