The Johnson Center at Falcons Landing
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Oct 29, 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: 10/29/25 (8:15 AM - 1:50 PM) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 21 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: Four Number of staff records reviewed: Three Number of interviews conducted with residents: Three Number of interviews conducted with staff: Two Observations by licensing inspector: Meals, medication administration, activity, background checks of staff hired since the last inspection An exit meeting will be conducted to review the inspection findings. The evidence gathered during the initial inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. Licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to 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 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 Marshall Massenberg, Licensing Inspector at (804) 543-5188 or by email at marshall.x.massenberg@dss.virginia.gov.
Based on record review and interview, the facility did not ensure that medications ordered for PRN
Sep 23, 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: 9/23/24 (9:15 AM ? 4:30 PM) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 19 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: Two Number of staff records reviewed: Two Number of interviews conducted with residents: Three Number of interviews conducted with staff: Two Observations by licensing inspector: Meal, medication administration, activity, background checks of staff hired since the last inspection. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the initial 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 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 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 Marshall Massenberg, Licensing Inspector at (804) 543-5188 or by email at marshall.x.massenberg@dss.virginia.gov.
Based on record review, the facility did not ensure that each direct care staff member maintains current certification in first aid from the American Red Cross, American Heart Association, National Safety Council, American Safety and Health Institute, community college, hospital, volunteer rescue squad, or fire department. The certification must either be in adult first aid or include adult first aid. Each direct care staff member who does not have current certification in first aid shall receive certification in first aid within 60 days of employment. Evidence: 1. The record of Staff #2 (hired 7/15/24) did not contain current certification in first aid. 2. No documentation of current first aid certification for Staff #2, was provided during the inspection. 3. Staff #2's record contained a copy of current CNA and CPR certification. No documentation, was included in Staff #2?s record, to indicate that the staff member is a registered nurse, licensed practical nurse, or currently certified emergency medical technician, first responder, or paramedic.
Based on observation, the facility did not ensure that resident records are kept in a locked area. Evidence: 1. During the building walkthrough, at approximately 9:28 AM, the nursing office was observed to be unlocked and unattended. 2. Resident records were contained in a cabinet in the nursing office. 3. The cabinet, containing the resident records, was not locked.
Based on record review and interview, the facility did not ensure that physician orders for dietary supplements include the strength. Evidence: 1. Resident #1's physician?s orders were reviewed during the inspection. 2. Resident #1's order for Vitamin D3, dated 5/9/24, did not include the strength of the supplement.
Based on record review, the facility did not ensure that the resident record contains the physician's signed written order or a dated notation of the physician?s oral order. Evidence: 1. Resident #1's medication administration record ( MAR
Feb 8, 2024RoutineCleanReport
Date of Inspection: February 8, 2024 Type of Inspection: Monitoring Inspection Census: 11 Number of records reviewed and interviews conducted- 4 records, 4 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The Licensing Inspector observed residents participating in activity programs and eating lunch. This LI also observed medication administration and reviewed the following facility reports: health inspection reports, fire marshal reports, fire drills, emergency preparedness review with staff, medication review, dietary review, healthcare oversight and resident council. If you have any questions or email changes, please do not hesitate to contact me at sarah.pearson@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov
Aug 30, 2022RoutineCleanReport
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: LI entered the facility at 9:01 am on 8/30/2022 and exited the facility at 2:45 pm on 8/30/2022. 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: 20 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: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: LI observed medication administration. LI observed residents eating lunch. 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 Jamie Eddy, Licensing Inspector at (703) 479-5247 or by email at jamie.eddy@dss.virginia.gov
Mar 16, 2022Other
An unannounced monitoring studying began on 3/16/2022 and concluded on 3/21/2022. At the time of entrance 19 residents were in care. The sample size consisted of six residents records, one discharged resident record, three staff records, and two volunteer records. Resident and staff records and other documentation were reviewed. Criminal Background Checks of all staff hired since the previous inspection conducted on 9/2/2020 were reviewed. LI walked the physical plant. Residents were observed eating breakfast and lunch and engaging in activities including exercise and watching TV. Medication administration was observed. Violation notice issued, risk ratings reviewed and exit interview held. Areas of non-compliance are identified on the violation notice. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to the licensing office within 10 calendar days. Please specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. The plan of correction must contain: 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the non-compliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s). Thank you for your cooperation and if you have any questions please call 703-479-5247 or contact me via e-mail at jamie.eddy@dss.virginia.gov.
Based upon a review of records, the facility failed to ensure that the assessment required in subsection A of this section shall be maintained in the resident's record. Evidence: The records for Resident #5 and Resident #6 did not contain documentation that prior to placement to a safe, secure environment, the residents were assessed by an independent clinical psychologist licensed to practice in the Commonwealth or by an independent physician as having a serious cognitive impairment due to a primary psychiatric diagnosis of dementia with an inability to recognize danger or protect his own safety and welfare. The physician shall be board certified or board eligible in a specialty or subspecialty relevant to the diagnosis and treatment of serious cognitive impairments (e.g., family practice, geriatrics, internal medicine, neurology, neurosurgery, or psychiatry).
Based upon a review of resident records, the facility failed to ensure that the obtained written approval for placing a resident with a serious cognitive impairment due to a primary psychiatric diagnosis of dementia, in a safe, secure environment shall be retained in the resident's record. Evidence: The record for Resident #5 did not contain the written approval for placement in a safe, secure environment from one of the following persons in order of priority: the resident, if capable of making an informed decision; a guardian or other legal representative for the resident if one has been appointed; a relative who is willing to take on responsibility to act as the resident's representative; or an independent physician who is skilled and knowledgeable in the diagnosis and treatment of dementia.
Based upon a review of 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: According to the record for Resident #6, the last annual review of appropriateness of continued residence in the special care unit was completed on 2/11/2021.
Based upon a review of records, the facility failed to ensure that within the 30 days preceding admission, a person shall have a physical examination by an independent physician and that the report of such examination shall be on file at the assisted living facility and shall contain the following: a statement that specifies whether the individual is or is not capable of self-administering medication is included on the physical examination report. Evidence: The history and physical form for Resident #1 completed on 6/2/2021 and the history and physical form Resident #5 completed 11/2/2020, did not contain a statement that specifies whether the residents are capable of self-administering medication.
Based upon a review of records, the facility failed to ensure that the comprehensive individualized service plan shall be completed within 30 days after admission and shall include the following: description of identified needs and date identified based upon the (i) UAI
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