Saint Francis Home

Type of inspection: Non-Mandated Monitoring Date of inspection the licensing inspector was on-site at the facility for each day of the inspection: 1/21/2026 The Acknowledgement of Inspection form was signed and emailed to the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 11/20/25 (followed by complaint on 11/24/25) regarding allegations in the area of: Admission Retention And Discharge. Number of residents present at the facility at the beginning of the inspection: 78 Number of resident records reviewed: 1 Number of staff records reviewed: 1 Number of interviews conducted with residents: Resident discharged Collateral Interview: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: file documentation, emails An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standards 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 Yvonne Randolph, Licensing Inspector at (804) 441-1180 or by email at yvonne.randolph@dss.virginia.gov

Type of inspection: Renewal Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 1/20/26, 10:30 am to 1:45 pm The Acknowledgement of Inspection form was signed and emailed to the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 78 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: 4 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 2 Observations by licensing inspector: file documentation, lunch meal, medication storage, facility updates/renovations, fire drills, liability insurance, discharges, background checks, fire/health inspections Additional Comments/Discussion: The facility has plans to add a secure memory care environment in the future. The current building is being updated/renovated. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standards 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 Yvonne Randolph, Licensing Inspector at (441-1180 or by email at yvonne.randolph@dss.virginia.gov

Type of inspection: Complaint. Date of inspection the licensing inspector was on-site at the facility for each day of the inspection: 1/21/2026 The Acknowledgement of Inspection form was signed and emailed to the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 1/12/26 regarding allegations in the areas of: Admission Retention And Discharge, Of Residents, Administration And Administrative Services. Number of residents present at the facility at the beginning of the inspection: 78 Number of resident records reviewed: 1 Number of staff records reviewed: 1 Number of interviews conducted with residents: Resident discharged Collateral Interview: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: file documentation, emails An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standards 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 Yvonne Randolph, Licensing Inspector at (804) 441-1180 or by email at yvonne.randolph@dss.virginia.gov

Type of inspection: Monitoring, Non-Mandated. Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11/13/25, 9:30 am to 10:30 am The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 10/10/13 followed by a complaint regarding allegations in the area of: Admission, Retention And Discharge Of Residents 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 Observations by licensing inspector: File documentation Additional Comments/Discussion: A 30 day discharge was not completed as the facility determined that the resident requires a level of care for which the facility is not licensed and does not provide. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the 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. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Yvonne Randolph, Licensing Inspector at (804) 441-1180 or by email at yvonne.randolph@dss.virginia.gov

Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 8/13/25, 12:45 pm to 1:30 pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. 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: 1 Observations by licensing inspector: file documentation, medication administration records An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standards 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 Yvonne Randolph, Licensing Inspector at (804) 441-1180 or by email at yvonne.randolph@dss.virginia.gov

Type of inspection: Complaint Date the licensing inspector was on-site at the facility for each day of the inspection: 7/21/25 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. An anonymous complaint was received by VDSS Division of Licensing on 6/24/25 regarding allegations in the areas of: Building and Grounds and Resident Accommodations And Related Provisions 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 staff: 5 Observations by licensing inspector: laundry services, housekeeping, staff schedules, pest control services An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation of non-compliance with standard 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. Use the following last two statements on every Inspection Summary: For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Yvonne Randolph, Licensing Inspector at (804) 441-1180 or by email at yvonne.randolph@dss.virginia.gov

Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 5/16/25, 12:55 pm to 1:35 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 4/25/25 regarding allegations in the area of: Resident Care and Related Services 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 Observations by licensing inspector: Uniform Assessment Instrument An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegations 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 Yvonne Randolph, Licensing Inspector at (804) 441-1180 or by email at yvonne.randolph@dss.virginia.gov

Type of inspection: Mandated Monitoring Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 3/25/25 10:15 am to 1:00 pm The Acknowledgement of Inspection form was emailed to the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 93 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:3 Number of interviews conducted with staff: 3 Observations by licensing inspector: medication passes/administration/storage, staff/resident interactions, lunch meal, required postings, food supply, file documentation Additional Comments/Discussion: Video recording in assisted living facilities An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standards or law, and violations 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 violations will be addressed in order to return the facility to compliance and maintain future compliance with applicable standards 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 Yvonne Randolph, Licensing Inspector at (804) 662-7454 or by email at yvonne.randolph@dss.virginia.gov