Riverside Assisted Living at Warwick Forest
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Apr 16, 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: 2/17/2026 9:15 am- 12:50 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 10/7/2025 regarding allegations in the area(s) of: Staffing and Supervision Buildings and Grounds (SSU) Number of residents present at the facility at the beginning of the inspection: 124 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: 4 Observations by licensing inspector: LI conducted an inspection of the safe, secure, unit (SSU). Both the SSU and AL units were inspected. LI observed meals, activities, staffing ratios, and resident care. Additional Comments/Discussion: n/a An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation(s) of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Alyshia Walker, Licensing Inspector at 757-680-0504 or by email at Alyshia.Walker@dss.virginia.gov
Feb 17, 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: 2/17/2026 9:15 am- 12:50 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 10/6/2025 regarding allegations in the area(s) of: Resident Care and Related Services Number of residents present at the facility at the beginning of the inspection: 124 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: 4 Number of interviews conducted with staff: 2 Observations by licensing inspector: LI observed lunch being delivered to residents and interviewed random residents regarding food and dining services. Additional Comments/Discussion: n/a An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation(s) of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Alyshia Walker, Licensing Inspector at 757-680-0504 or by email at Alyshia.Walker@dss.virginia.gov
Feb 17, 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: 2/17/2026 9:15 am- 12:50 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 10/7/2025 regarding allegations in the area(s) of: Staffing and Supervision Buildings and Grounds (SSU) Number of residents present at the facility at the beginning of the inspection: 124 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: LI conducted an inspection of the safe, secure, unit. Inspecting doors and windows. LI also reviewed staff schedules for both the safe, secure unit and assisted living unit. LI observed toured both the SSU and AL, observed the current staff schedule with the staff presently working. Additional Comments/Discussion: n/a An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation(s) of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Alyshia Walker, Licensing Inspector at 757-680-0504 or by email at Alyshia.Walker@dss.virginia.gov
Sep 4, 2025RoutineCleanReport
Type of inspection: Monitoring An on-site Modification Inspection of the facility?s safe secure environment on 9-4-25 by two inspectors from Region 1 Office. (Ar 09:04/ Dep 10:45 a.m.) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 95 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Safe, secure environment unit Number of resident records reviewed: N/A Number of staff records reviewed: N/A Number of interviews conducted with residents: N/A Number of interviews conducted with staff: 6 Observations by licensing inspector: Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact (Willie Barnes), Licensing Inspector at 757-439-6815 or by email at willie.barnes@dss.virginia.gov
May 28, 2025Routine
Type of inspection: Renewal An on-site unannounced renewal inspection was conducted on 5-5-25 (Ar. 07:32 a.m./Dep 17:00 p.m.) Day 2, Ar. 09:55 a.m./Dep 16:50 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: 116 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Yes Number of resident records reviewed: 8 Number of staff records reviewed: 4 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 14 Observations by licensing inspector: medication pass both AL and SCU, breakfast, emergency preparedness (first aid kit, emergency food) 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 Willie Barnes, Licensing Inspector at 757-439-6815 or by email at willie.barnes@dss.virginia.gov
Based on documents reviewed and staff interviewed, the facility failed to ensure the written work schedule included an indication of whomever is in charge at any given time. Evidence: 1. On 5-5-25, the nursing schedules provided by staff #1 did not include an indication of whomever is in charge at any given time. 2. Staff #1 acknowledged the facility?s schedule did not indicate whoever is in charge at any time.
Based on observation, document reviewed and interview, the facility failed to ensure it did not obtain and or retain individuals with any prohibitive conditions. Evidence: 1. On 5-6-25, resident #8 did not have a treatment plan for the following psychotropic medications: Haloperidol and Lorazepam. 2. Staff #1 acknowledged the resident?s record did not include a treatment plan for psychotropic medications.
Based on observation, document reviewed, and staff interviewed, the facility failed to ensure not medication, dietary supplement, diet, medical procedure, or treatment shall be started, changed, or discontinued by the facility without a valid order from a physician or other prescriber. Evidence: 1. On 5-6-25, the facility did not have a physician and or other prescriber?s orders for the twenty-three (23) medications observed in resident #8?s room. Ten (10) of the twenty-three medications were noted on the resident?s May 2025 Medication Administration Record ( MAR
Based on observation and interviews, the facility failed to ensure Schedule II drugs and other drugs subject to abuse was kept in a separate locked storage compartment (e.g., a locked cabinet within a locked storage area or a locked container within a locked cabinet or cart). Evidence: 1. On 5-6-25, resident #8?s Haloperidol and Lorazepam medications were not doubled locked, (locked in a cabinet/storage within a locked area/storage). The Haloperidol was in the refrigerator in the resident?s room. The Lorazepam was in a locked container in the refrigerator. Resident #8 self-administers medication and stated not locking the room when exiting the room. The resident does not utilize the facility?s pharmacy for medications. Facility Medication Management Plan, last revision dated 8-22-23, noted, ?Controlled Medications?all controlled medication must be kept in carts, double-locked?. 2. Staff #1 acknowledged the controlled medications in resident #8?s room were not double locked.
Based on observation and staff interviewed, the facility failed to ensure all items were present in the first aid kit for the vehicle. Evidence: 1. On 5-5-25, a check of the vehicle first aid kit was conducted with staff #7. The kit did not have gauze pads and roller gauze in assorted sizes. The gauze pads were only size 4 X 4 pads. The kit did not have roller gauzes. 2. Staff #7 acknowledged kit did not include all required items.
Jan 13, 2025Complaint
Type of inspection: Complaint An onsite complaint/self-report inspection conducted on 1-13-25. (Ar. 10:11 a.m./Dep 14:50 p.m.) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint/self-report was received by VDSS Division of Licensing on 1-6-25 regarding allegations in the resident care. Number of residents present at the facility at the beginning of the inspection: 99 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: Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 7 Observations by licensing inspector: community area where resident was located Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint/self-report but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact (Willie Barnes), Licensing Inspector at (757) 439-6815 or by email at willie.barnes@dss.virginia.gov
Based on record reviewed and staff interviewed, the facility failed to ensure the individualized service plan ( ISP
Based on record reviewed and interviews, the facility failed to provide for the supervision of resident schedules, care, and activities, including attention to specialized needs, such as prevention of falls and wandering from premises. Evidence: 1. On 1-13-25, a self-report/complaint inspection was conducted for resident #1, who eloped from the facility on the early morning of 1-6-25. Resident?s record noted resident has a diagnosis of Alzheimer?s disease with late onset and is prescribed Memantine 10mg two times a day. According to interview with staff #4 and progress note dated 1-6-25 written by staff, resident #1 was missing at 06:30 a.m. After 15-minute search for the resident by staff #4, #5, #6 and #7 the facility security was made aware of the missing resident. The local police department was called to assist in the search for resident #1. The resident was located by police outside the campus and returned to the facility. Resident stated going for a walk and became confused. 2. The police report noted the resident was located outside the facility campus in a neighborhood following a call from an individual who observed resident #1 on caller?s doorstep and observed through the caller?s door camera. This notification was reported at 08:06 a.m. Interview with CC-2, the resident was observed on front doorstep on the morning of 1-6-25. Resident observed to have on ?a pair of pants, a shirt and shoes but did not have a coat/jacket nor hat for the type of weather conditions on the morning of 1-6-25?. The resident was taken into the caller?s apartment, and a towel was used to dry resident?s hair. Resident was also wrapped in caller?s pink robe when police arrived and transported resident back to the facility. According to CC-2, resident was not able to state where resident lived but was able to provide tell CC-2 resident?s name. The distance from the facility address to area where resident was located was 0.5 mile per map quest. 3. On 1-6-25, staff #6 went to check resident?s glucose at approximately 06:00 a.m. and resident was not in room. Staff #5 informed staff resident was in room at 05:15. Staff members began searching for the resident. During interview staff stated resident would go say resident was looking for resident?s car or resident stated resident needed to go work. Staff stated resident would sometimes wander. 4. The note dated 1-6-25, in the resident?s record by the facility physician noted, ?resident was initially mildly hypothermic on oral temperature assessment but was later found to be normal. Resident did not recall the event. ?Resident does have a history of advanced dementia and has had elopement issues previously?. 5. The weather on the morning of 1-6-25 when resident #1 eloped from the facility campus per ACCU Weather check was wet and rainy and snowy. This confirmed CC-1 and CC-2?s description of the weather when resident #1 was located at 08:06 a.m. 6. The resident?s record included documentation of resident exit seeking a
Jan 13, 2025Complaint
Type of inspection: Complaint An on-site complaint inspection conducted on 1-13-25 (Ar 14:50 p.m./Dep 17:10 p.m) 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 (11-26-24) regarding allegations in the area of resident care. 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: 1 Number of staff records reviewed: Number of interviews conducted with residents: Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: 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 cited. 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 (Willie Barnes), Licensing Inspector at (757) 439-6815 or by email at willie.barnes@dss.virginia.gov
Based on record reviewed and staff interviewed, the facility failed to ensure the individualizes service plan ( ISP
Based on document reviewed and staff interviewed, the facility failed to ensure the individualized service plan ( ISP
Apr 16, 2024Routine10Report
Type of inspection: Monitoring An on-site mandated monitoring inspection conducted on 4-16-24 (Ar 07:15/dep 5:40 p.m.); 4-17-24 (Ar 08:39/dep 15:43) and 4-25-24 (Ar 08:39/Dep 11:20 a.m.. The facility census was 115. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. 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 (Willie Barnes), Licensing Inspector at (757) 439-6815 or by email at willie.barnes@dss.virginia.gov
Based on record reviewed and staff interviewed, the facility failed to ensure prior to admitting a resident with a serious cognitive impairment due to a primary psychiatric diagnosis of dementia to a safe, secure environment (scu), the licensee, administrator, or designee shall determine whether placement in the special care unit is appropriate. The determination and justification for the decision shall be in writing and shall be retained in the resident?s file. Evidence: 1. On 4-16-24, resident #1?s record noted resident was admitted to the safe, secure unit upon admission to the facility on 2-21-23. The resident?s record did not have documentation of the determination and justification for placement from the licensee, administrator, or designee. 2. Resident #2?s record noted resident was related to the safe, secure unit 1-9-24. The resident?s record did not have documentation of the determination and justification for placement from the licensee, administrator, or designee. 3. Staff #1 and #2 acknowledged the residents? record did not have documentation of the facility?s justification and determination for placement in the safe, secure and unit.
Based on record reviewed and staff interviewed, the facility failed to ensure the requirements of 22VAC40-73-250-D.1 through D.4 regarding tuberculosis (TB) are applied to private duty personnel and that the required reports are maintained by the facility or the licensed home care organization. Evidence: 1. On 4-25-24, resident #7?s chart noted resident receives private sitters/companion services. Staff #4 provided sitters/companion record. C-SVS-1 TB was dated 8-16-23. Services for the resident was started on 4-19-24. The record did not include documentation of orientation as required. 2. Staff #1 acknowledged the facility did not have a current TB and orientation was not documented prior to start of services.
Based on observation and staff interviewed, the facility failed to ensure a listing of all staff who have current certification in first aid or CPR was posted in the facility so that the information was readily available to all staff at all times. Evidence: 1. On 4-16-24 during a tour of the facility with staff #9 and #10, the inspector inquired where the first aid/CPR listing was posted in the facility. Staff members did not know where the document was posted. Staff #1 also searched for the document on Keswick-2B and did not locate the document. A document was located but it was not current and expiration dates were 2021 and 2022 and March 2023. 2. On 4-16-24, staff #1 acknowledged the first aid/CPR listing of all staff with current certification was not available and posted.
Based on record reviewed and staff interviewed, the facility failed to ensure the individualized service plan included all assessed needs. Evidence: 1. On 4-16-24, resident #4?s uniformed assessment instrument ( UAI
Based on record reviewed and staff interviewed, the facility failed to ensure the individualized service plan ( ISP
Based on record reviewed and staff interviewed, the facility failed to ensure the individualized service plan ( ISP
Based on observations, record reviewed, and staff interviewed, the facility failed to ensure medications was be administered not earlier than one hour before and not later than one hour after the facility?s standard dosing schedule. Evidence: 1. On 4-16-24, medication pass observation was conducted with staff #8. Resident #5?s April 2020 medication administration record ( MAR
Based on documents reviewed and staff interviewed, the facility failed to ensure it took action in response to the recommendations noted in the pharmacy review and documented the information in the resident?s record for one of three reviews. Evidence: 1. On 4-25-24, a review of the January 2024 pharmacy review recommended, resident #3?s Celexa 40mg daily dose be lower to 20mg daily. The maximum dose is 20mg daily for patients greater than 60 years of age due to the risk of QT prolongation. Staff #2 stated the document had not been sent to the resident?s physician for a response. 2. Staff #1 and #2 acknowledged the facility did not take action in response to the pharmacy review?s recommendation.
Based on observations and staff interviewed the facility failed to ensure a fire and emergency evacuation drawing was posted in a conspicuous place on each floor of each building used by residents. Evidence: 1. On 4-16-24 a tour of the facility?s first floor from Evergreen to the gym area was conducted with staff #1 and #14. The assisted living unit from the area outside Evergreen to the gym area and to the main entrance area, there was no evacuation plan drawing posted. 2. Staff #1 and #14 acknowledged the first floor area toured did not have a posted fire and emergency evacuation drawing.
Based on observations and staff interviewed the facility failed to ensure the telephone numbers for the fire department, rescue squad or ambulance, police, and Poison Control Center shall be posted by each telephone shown on the fire and emergency evacuation plan. Evidence: 1. On 4-16-24, during a tour of the facility, the Poison Control Center number was not posted in the nurse?s station on the second floor, Keswick (2 B). Staff #1 searched but was not able to locate the information. 2. Staff #1 acknowledged the Poison Control Center number was not posted as required.
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