The Pearl at Watkins Centre
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Mar 30, 2026Complaint
Type of inspection: Complaint Dates of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 3-30-26 10:40 am to 11:40 am, 4-10-26 1:00 pm to 1:54 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 3-6-26 regarding allegations in the areas of Personnel and Resident Care And Related Services Number of residents present at the facility at the beginning of the inspection: 43 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 10% sample review of MAR
Based on a documentation review, the facility failed to ensure that their Medication Management Plan address the qualification requirements of 22VAC40-73-670 for all staff who are responsible for administering medications. Evidence. 1. A review of the medication administration records ( MAR
Based on file review and interviews, the facility failed to ensure that when staff administers medication each staff shall be licensed by the Commonwealth of Virginia to administer medications or be registered with the Virginia Board of Nursing as a medication aide. Evidence: 1. The file review found the job title for staff # 1 on the Job Description and New Associate Record form listed as Med Tech. 2. The Staff Information form submitted on 4/10/26 with the renewal application list the job title for staff # 1 as Med Tech. 3. Staff #1 was not found during a search of the Virginia Department of Health Professions license lookup website. 4. Staff #2, #3 and #4 confirmed during the inspection on 4-10-26 that staff #1 was not licensed, registered or acting as a medication aide on a provisional basis.
Based on a documentation review, the facility failed to ensure that staff who are licensed, registered or acting as a medication aide on a provisional basis as specified in 22VAC40-73-670 shall administer drugs to those residents who are dependent on medication administration as documented on the UAI
Feb 13, 2026Routine
Type of inspection: Renewal Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 2/13/26, 11:40 am to 2:25 pm Number of residents present at the facility at the beginning of the inspection: 41 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: 4 Number of interviews conducted with residents: NA- Safe, Secure Environment Number of interviews conducted with staff: 4 Observations by licensing inspector: medication passes and storage, required file documentation, staff/resident/family interaction, facility maintenance and upkeep, lunch meal, required postings An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standards or law, and violations are 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. 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 Yvonne Randolph, Licensing Inspector at 804-441-1180 or by email at yvonne.randolph@dss.virginia.gov
Based on file reviews, the facility did not ensure that prior to admission to a safe, secure environment, the resident shall have been 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. Evidence: The file documented that Resident 4 was admitted to the safe, secure environment on 11/18/25. The assessment was completed on 12/10/25 which is after the date of admission
Based on files reviews, the facility did not ensure that written approval was obtained following the order of priority prior to placement of a resident in the safe, secure environment. Evidence: The section of the Approval For Placement In Special Care Unit form to document why written approval was not obtained from each individual higher on the list of priority was blank.
Based on file reviews, the facility did not ensure that Do Not Resuscitate Orders for withholding cardiopulmonary resuscitation from a resident is included on the individualized service plan. Evidence: The file review for resident 1 found Do Not Resuscitate Orders dated 2/7/25. The written order was not on resident 1 service plan dated 2/25/25.
Feb 13, 2026RoutineCleanReport
Type of inspection: Monitoring Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 2/13/26, 11:40 am to 12:30 pm 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 12/20/25 regarding allegations in the area of: Resident Care And Related Services. The facility also self-reported the incident to local APS. Number of residents present at the facility at the beginning of the inspection: 41 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: 1 Observations by licensing inspector: file documentation, staffing An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation did not support 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
Nov 6, 2025ComplaintCleanReport
Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11/6/25, 11:30 a to 12:30 p 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 10/24/25 regarding allegations in the areas of: Personnel, Staffing and Supervision, Administration and Administrative Services 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 interviews conducted with staff: 4 Observations by licensing inspector: resident supervision, manager on duty posting Additional Comments/Discussion: AIT and DON on site 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
Oct 15, 2025ComplaintCleanReport
Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11/6/25, 11:30 a to 12:30 a and 10/15/2025 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 10/10/2025 regarding allegations in the areas of: Personnel, Staffing and Supervision, Administration and Administrative Services and Resident Care and Related Services The facility self reported the allegations related to Resident Care and Related Services on 10/8/25. The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of interviews conducted with staff: 1 Number of interviews with resident/responsible party: 1 Observations by licensing inspector: file documentation, resident movement 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
Aug 12, 2025Complaint
Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 8/12/25, 11am- 12pm 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 8/7/25 regarding allegations in the area of: Admission, Retention And Discharge Of Residents and Additional Requirements For Facilities That Care For Adults With Serious Cognitive Impairments Number of interviews conducted with staff: 2 Observations by licensing inspector: Policy And Procedures, Disclosure Statement, Resident Agreement 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 standards or law. However, a violation 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 will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard 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) 441-1180 or by email at yvonne.randolph@dss.virginia.gov
Based on review of the disclosure statement, the facility did not ensure that the disclosure statement include required information about the facility. Evidence: 1. Facility policy is that residents being admitted to the memory care unit must have a legally appointed representative through a valid Power of Attorney (POA) or other court recognized document (e.g. guardianship). 2. Section III ( Admission, Transfer and Discharge Criteria) of the disclosure statement does not address the admission criteria of a legally appointed representative or other court recognized document.
Jun 24, 2025Routine
Type of inspection: Monitoring Date the licensing inspector was on-site at the facility for each day of the inspection: 6/24/2025 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 6/4/25 followed by two complaints on 6/9/25 and 6/24/25 regarding allegations in the area of Resident Care And Related Services Number of resident records reviewed: 1 Number of staff records reviewed: 1 private duty staff person Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: file documentation 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. However, a violation not related to the self-report/complaints 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 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) 441-1180 or by email at yvonne.randolph@dss.virginia.gov
Based on documentation review, the facility did not ensure that the requirements of 22VAC40-73- 250 D 1 through D 4 regarding tuberculosis areapplied to private duty personnel and that the tuberculosis assessment is no more than 30 days Evidence: Standard 22VA40-73-250 D 3. states staff and each household member, no more than 30 daysprior to coming into contact with the resident, shall submit the results of a tuberculosis risk assessment documenting the absence of tuberculosis in a communicable form. The individualized service plan for resident # 1documents a move-in date of 8/27/24. The risk assessment for private duty staff # 1 is dated 11/28/22, which is more than 30 days prior to having contact with resident # 1.
Apr 2, 2025Complaint
Type of inspection: Complaint Date of inspection the licensing inspector was on-site at the facility for each day of the inspection: 4/2/25 The Acknowledgement of Inspection form was emailed to the facility for each date of the inspection. Complaint s were received by VDSS Division of Licensing on 3/12/25 and 3/27/25 regarding allegations in the areas of: Administration and Administrative Services, Personnel, Resident Care and Related Services, Building and Grounds, Staffing and Supervision, Emergency Preparedness and Additional Requirements for Facilities that Care for Adults With Serious Cognitive Impairments Number of residents present at the facility at the beginning of the inspection: 41 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of staff records reviewed: 12 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: medication storage, administration and availability; file documentation, fire extinguishers, staff certifications and training, hazardous materials storage and accessibility An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation supported one of the allegations; areas of non-compliance with standards or law were: Administration and Administrative Services, and Building and Grounds. A violation notice was issued; any violations 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 violations will be addressed in order to return the facility to compliance and maintain future compliance with applicable standards and 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) 441-1180 or by email at yvonne.randolph@dss.virginia.gov.
Based on documentation reviews, the facility did not ensure that each facility shall report to the regional licensing office within 24 hours any major incident that has negatively affected or that threatens the life, health, safety or welfare of any resident. Evidence: Allegations were received regarding incidents that occurred on 2/13/25 and 3/20/25. Reports of the incident were not received within 24 hours of occurrence, the reports were emailed to the licensing inspector upon request on 4/8/25.
Based on a documentation review, the facility did not ensure that each facility shall store cleaning supplies and other hazardous materials in a locked area. Evidence: The facility is a secure memory care environment. On 3/20/25 a visiting family member found Zep cleaner that was left in the room of resident # 1. This is a repeat violation, the standard was cited previously during an inspection on 2/7/25 for an incident involving resident # 2.
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