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The Blake at Charlottesville

250 Nichols Court, Charlottesville, VA 22901130 bedsLicensed & Active

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State Inspection History

State Inspections

Source: VA State Licensing Agency

25total
54deficiencies
Apr 2, 2026Complaint

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: 4-2-26 from 10: 46 a.m.- 12:05 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 2-19-26 regarding allegations in the area(s) of: infection control Number of residents present at the facility at the beginning of the inspection: 121 Number of interviews conducted with staff: 5 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. However, violation(s) not related to the complaint(s) 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. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). 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 these 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. Refer to General Procedures and Information for Licensure, 22VAC40-80-260-B for information on requesting a problem solving conference. 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 Kimberly Davis, Licensing Inspector at (804) 356-3572 or by email at Kimberly.M.Davis@dss.virginia.gov

22VAC40-73-100-E

Based on staff interviews and a review of facility documentation the facility did not ensure that the facility administrator shall immediately make or cause to be made a report of an outbreak of disease as defined by the State Board of Health. Such report shall be made by rapid means to the local health director or to the Commissioner of the Virginia Department of Health and to the licensing representative of the Department of Social Services in the regional licensing office. Evidence: The facility reported an outbreak of a gastro-intestinal virus of 14 residents to the Health Department on 2-18-26, but failed to report the outbreak to the licensing representative of the Department of Social Services in the regional licensing office. This was confirmed by Staff # 1.

Feb 9, 2026Routine

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: 02/09/2026 from 10:45 a.m.- 12:30 p.m. A self-reported incident was received by VDSS Division of Licensing on 12/19/2025 regarding allegations in the area(s) of: resident care Number of residents present at the facility at the beginning of the inspection: 122 Number of resident records reviewed: 2 Number of interviews conducted with staff: 2 An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the 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. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). 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 these 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. Refer to General Procedures and Information for Licensure, 22VAC40-80-260-B for information on requesting a problem solving conference. 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 Kimberly Davis, Licensing Inspector at (804) 356-3572 or by email at Kimberly.M.Davis@dss.virginia.gov

22VAC40-73-460-A

Based on a self-report received from the facility as well as staff interviews and a review of facility documentation, the facility failed to ensure that it shall assume general responsibility for the health, safety, and well-being of the residents. Evidence: 1.Based on an incident report and interviews, Resident # 1 was pushed by Resident # 2 in the dining area of the facility on 12-19-2025. Resident #1 was injured in the fall and required transport to a local hospital. 2. Staff #2 confirmed that Resident #1 was injured in a fall at the facility on 12-19-2025.

22VAC40-73-460-F

Based on a review of facilitydocumentation the facility failed to ensurethat it shall notify the next of kin, legalrepresentative, designated contactperson, or, if applicable, any responsible social agency of any incident of aresident falling or wandering from thepremises, whether or not it results ininjury. This notification shall occur assoon as possible but no later than 24 hours from the time of initial discovery orknowledge of the incident. Theresident's record shall includedocumentation of the notification,including date, time, caller, and person or agency notified. Evidence: 1. According to a review of the record of Resident # 1, Resident # 1 fell on 12-19-25 as a result of being pushed by another resident and had to be transported to a local hospital. 2. The facility was unable to provide documentation during the onsite inspection that indicated that facility staff notified the next of kin of Resident # 1.

Dec 17, 2025Complaint
CleanReport

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: 12-17-25 from 10:20 a.m.-11:55 a.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 12-5-25 regarding allegations in the area(s) of: resident care. Number of residents present at the facility at the beginning of the inspection: 123 Number of resident records reviewed: 1 Number of interviews conducted with staff: 3 An exit meeting was 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 Kimberly Davis, Licensing Inspector at (804) 356-3572 or by email at Kimberly.M.Davis@dss.virginia.gov

Dec 4, 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: 12-4-25 from 9:15 a.m.- 4:45 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: 113 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 8 Number of staff records reviewed: 4 Number of interviews conducted with residents:4 Number of interviews conducted with staff: 5 Additional Comments/Discussion: The following items were reviewed/observed during the inspection- facility documentation, facility postings, first aid kit, medication pass, physician?s orders, and medication administration records. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee 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 Kimberly Davis, Licensing Inspector at (804) 356-3572 or by email at Kimberly.M.Davis@dss.virginia.gov

22VAC40-73-1110-B

Based on a review of resident records the facility failed to ensure that six months after placement of the resident in the safe, secure environment and annually thereafter, the licensee, administrator, or designee shall perform a review of the appropriateness of each resident's continued residence in the special care unit. Evidence: The record for memory care Resident # 8 (admit date: 7-7-23) only contained a Review of Appropriateness of Continued Residence in Special Care Unit form dated 2-5-25. This was confirmed by staff.

22VAC40-73-260-A

Based on a review of staff records the facility failed to ensure that each direct care staff member shall maintain current certification in first aid. Evidence: -The record for Staff # 1 (date of hire: 7-30-25) did not contain first aid certification. -The record for Staff # 4 (date of hire: 2-28-24) did not contain first aid certification. This was confirmed by staff.

22VAC40-73-310-D

Based on a review of resident records the facility failed to ensure that a copy of the written assurance was signed by the resident or his/her legal representative. Evidence: The record for Resident # 8 (admit date: 7-7-23) contained a written assurance that was not signed by the resident or his/her legal representative. This was confirmed by staff.

Nov 20, 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: 11-20-25 from 1:30 p.m.-2:25 p.m. 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 10-31-25 regarding allegations in the area(s) of: resident care. Number of residents present at the facility at the beginning of the inspection: 114 Number of resident records reviewed: 1 Number of staff records reviewed: 1 Number of interviews conducted with staff: 1 An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the 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 Kimberly Davis, Licensing Inspector at (804) 356-3572 or by email at Kimberly.M.Davis@dss.virginia.gov

22VAC40-73-680-D

Based on a self-report received from the facility regarding a medication error, the facility failed to ensure that medications shall be administered in accordance with the physician's or other prescriber?s instructions. Evidence: -According to the self-report received as well as facility documentation and a staff interview, a medication error occurred on 10-28-25 in which Resident # 1 was given a Fentanyl 50 mcg patch at 9:00 a.m., when the resident?s physician?s order and Medication Administration Record indicated a Fentanyl 12 mcg patch at 9:00 a.m. -Progress notes for Resident # 1 dated 10-29-25 indicated that the wrong dosage patch was observed/removed by staff, the resident?s family and physician were notified, and the resident?s vitals were observed with no adverse effects noted to the resident.

Nov 20, 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: 11-20-25 from 10:30 a.m.-1:25 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 9-29-25 regarding allegations in the area(s) of: safe,secure unit staffing Number of residents present at the facility at the beginning of the inspection: 114 Number of interviews conducted with staff: 2 An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation(s) of non-compliance with standard(s) or law, and violation(s) were 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 Kimberly Davis, Licensing Inspector at (804) 356-3572 or by email at Kimberly.M.Davis@dss.virginia.gov

22VAC40-73-1130-A

Based on a review of facility documentation as well as an interview with staff the facility failed to ensure that when 20 or fewer residents are present, at least two direct care staff members shall be awake and on duty at all times in each special care unit who shall be responsible for the care and supervision of the residents. For every additional 10 residents, or portion thereof, at least one more direct care staff member shall be awake and on duty in the unit. Evidence: -A review of the facility?s census on the memory care unit for the month of September 2025 noted a census of 40-43 residents daily, indicating the need for 4 direct care staff on duty at all times on the unit when there were 40 residents and the need for 5 direct care staff on duty at all times on the unit when there were 41-43 residents. -Per a review of the memory care staff schedule for the month of September 2025 as well as an interview with staff, the facility did not ensure that there were 4-5 direct care staff on duty at all times on the memory care unit when the census was 40-43 residents.

Jan 17, 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: 1-17-25 from 11:00 a.m.- 12:00 p.m. 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 regarding allegations in the area(s) of: resident care Number of residents present at the facility at the beginning of the inspection: 101 Number of resident records reviewed: 1 Number of interviews conducted with staff: 2 An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the 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 Kimberly Davis, Licensing Inspector at (804) 662-7578or by email at Kimberly.M.Davis@dss.virginia.gov

22VAC40-73-680-D

Based on a self-report received from the facility as well staff interviews, the facility failed to ensure that medications shall be administered in accordance with the physician's or other prescriber?s instructions. Evidence: Per the facility?s self-report and staff interviews, on 1-12-25 the nurse administered Gabapentin 300 mg to Resident # 1 prior to 8:00 p.m. The physician?s order for Resident # 1 as of 11-7-24 states: ?Gabapentin 300 mg Take 1 capsule by mouth twice daily for pain 8:00 a.m. and 8:00 p.m. However, the Medication Administration Record ( MAR

22VAC40-73-680-I

Based on a review of the resident record as well as staff interviews, the facility failed to ensure that the Medication Administration Record ( MAR

Dec 16, 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: 12-16-24 from 9:46 a.m.-3:00 p.m. and 1-17-25 from 10:00 a.m.-3:00 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: 108 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 8 Number of interviews conducted with residents: 3 Number of staff records reviewed: 4 Number of interviews conducted with staff: 2 Additional Comments/Discussion: The following items were also reviewed/observed- facility documentation, facility postings, first aid kit, lunch meal/menu, medication pass, physician?s orders, and medication administration records. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee 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 Kimberly Davis, Licensing Inspector at (804) 662-7578 or by email at Kimberly.M.Davis@dss.virginia.gov

22VAC40-73-1110-B

Based on a review of resident records the facility failed to ensure that six months after placement of the resident in the safe, secure environment and annually thereafter, the licensee, administrator, or designee shall perform a review of the appropriateness of each resident's continued residence in the special care unit. Evidence: The record for Resident # 8 (admit date: 12-16-22), who resides on the secure unit, did not contain a six month review of appropriateness of continued placement on the special care unit.

22VAC40-73-450-E

Based on a review of resident records the facility failed to ensure that the individualized service plan ( ISP

22VAC40-73-550-G

Based on a review of resident records the facility failed to ensure that the rights and responsibilities of residents in assisted living facilities shall be reviewed annually with each resident or his legal representative or responsible individual and each staff person. Evidence of this review shall be the resident's, his legal representative's or responsible individual's, or staff person's written acknowledgment of having been so informed, which shall include the date of the review and shall be filed in the resident's or staff person's record. Evidence: The record for Resident # 7 (admit date: 5-25-23) and Resident # 8 (admit date: 12-16-22) did not contain written acknowledgement of an annual review of the rights and responsibilities of residents in assisted living facilities.

22VAC40-73-980-A

Based on a review of the facility?s first aid kit, the facility failed to ensure that the first aid kit contained all required items. Evidence: The first aid kit did not contain adhesive tape, antiseptic ointment, or band aids.

22VAC40-90-30-B

Based on a review of staff records the facility failed to ensure that the sworn statement or affirmation shall be completed for all applicants for employment. Evidence: -The record for Staff # 3 (date of hire:10-4-24) did not contain a sworn statement or affirmation. -The record for Staff # 27 (date of hire: 2-13-24) did not contain a sworn statement or affirmation. -The record for Staff # 30 (date of hire: 1-11-24) did not contain a sworn statement or affirmation. -The record for Staff # 31 (date of hire: 4-29-24) did not contain a sworn statement or affirmation. -The record for Staff # 54 (date of hire: 1-3-24) did not contain a sworn statement or affirmation.

22VAC40-90-40-B

Based on a review of staff records the facility failed to ensure that the criminal history record report shall be obtained on or prior to the 30th day of employment for each employee. Evidence: -The record for Staff # 33 (date of hire 1-23-24) contained a criminal record report that was dated 3-21-24. -The record for Staff # 35 (date of hire: 6-6-24) contained a criminal record report dated 9-12-24. -The record for Staff # 39 (date of hire: 6-26-24) did not contain a criminal record report.

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