Limited public data on The Regent of Newport News. Call, tour, and ask to meet current residents' families — your own impression matters most.
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Families should approach this facility with significant caution due to serious allegations regarding understaffing, medication errors, and failure to respond to calls for assistance. While some residents and families praise the warm, welcoming atmosphere and the physical beauty of the building, multiple reviewers report critical safety concerns and poor management.
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Key Review Excerpts
“The administration and staff are warm and welcoming which makes Regent feel more like home than a facility.”
“The staff, especially Paul, James, and Corinthia made us feel like family from day one! They are always available for any questions and are so accommodating.”
“They are understaffed and emergency equipment doesn’t work or “off line” “batteries dead” “with another resident”.”
Source: VA State Licensing Agency
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: 7/17/2025 8:10 am- 2:55 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: 32 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: 2 Number of interviews conducted with staff: 3 Observations by licensing inspector: n/a Additional Comments/Discussion: n/a 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. 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on record review and staff interview, the facility failed to have a physical examination by an independent physician completed within 30 days preceding admission to an assisted living facility. Evidence: 1. The physical for Resident #1 dated 1/13/2025 did not contain the date of the examination, the resident?s height, weight or blood pressure. 2. Staff # 3 acknowledged the physical did not contain the resident?s height, weight or blood pressure. 3. Photographic evidence obtained.
Based on a review of facility records, the facility failed to ensure medications shall be administered in accordance with the physician?s or other pre-scriber?s instructions. Evidence: 1. During the on-site inspection on 7/17/2025, a review of the medication administration record ( MAR
Based on document review, medication cart audit, and staff interview, the facility failed to have and keep current a written plan for medication management which addresses procedures for methods to ensure accurate counts of all controlled substances whenever assigned medication administration staff changes and methods to ensure that each resident?s prescription medications and any over-the-counter drugs and supplements ordered for the resident are filled and refilled in a timely manner to avoid missed dosages. Evidence: 1. A review of the facility?s medication management policy indicated the policy does not address methods to ensure accurate counts of all controlled substances whenever assigned medication administration staff changes. 2. A review of the Narcotic Count Shift Change Signatures for the month of July 2025 documented staff failed to ensure counts of all controlled substances between oncoming staff and former staff for medication on 7/4/2025, 7/7/2025, 7/9/2025, 7/11/2025, and 7/15/2025. 3. The Controlled Substance Count Sheet for Resident # 6 was not signed for the medication administration of the resident?s prescribed Gabapentin 100 mg on 7/13/2025 at 2:00 pm. 4. The Controlled Substance Count Sheet for Resident # 7 was not signed for the administration of the resident?s prescribed Gabapentin 300 mg on 7/13/2025 at 8:30 am. 5. Staff #2 acknowledged the Narcotic Count Shift Change log was not completed for each change of shift and that the Controlled substance Count Sheets were not completed for Residents #6 and #7. 6. Photographic evidence obtained.
Based on record review, the facility failed to ensure on or within seven days prior to the day of admission, a preliminary plan of care be developed to address the basic needs of the resident that adequately protects his health, safety, and welfare signed and dated by the resident or resident?s legal representative. Evidence: 1. The Reviewed preliminary plan of care for Resident #4 was incomplete as it did not include the identified resident?s name, signature and date. 2. Staff #3 acknowledged the above-mentioned deficiencies. 3. Photographic evidence obtained.
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: 10:00 am- 2:30 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 4/14/2025 regarding allegations in the area(s) of: Personnel Number of residents present at the facility at the beginning of the inspection: 37 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 2 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: n/a Additional Comments/Discussion: n/a An exit meeting will be 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. 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on the staff record review, the facility failed to ensure the sworn statement or affirmation shall be complete for all applicants for employment. Evidence: 1. The staff file reviewed at the time of the inspection did not contain a signed sworn affirmation for Staff #2. 2. Staff # 1 acknowledged the sworn affirmation in the record for Staff #2 did not contain the staff person?s signature. 3. Photographic evidence obtained.
The facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs. Evidence: 1. The signed physician?s orders for Resident #1 documented the resident?s blood sugar is to be taken every morning and monthly documentation of the readings are to be provided to the physician. 2. The Licensing Inspector requested documentation from Staff #2 verifying the physician was receiving the monthly blood sugar documentation as ordered. Staff #2 was unable to provide the documentation. 3. Photographic evidence obtained.
Based on the staff record review, the facility failed to include and maintain verification that the staff person received a copy of their current job description. Evidence: 1. The staff record for Staff #3 (date of hire 3/19/2025) did not contain verification of the staff person having received a copy of their job description. The job description in the file did not contain the staff person?s signature. 2. Staff # 1 acknowledged the job description in the file of Staff # 3 did not contain the staff person?s signature. 3. Photographic evidence obtained.
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: 2/5/2026 9:30 am- 9:47 am 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 1/29/2026 regarding allegations in the area(s) of: Administration and Administrative Services Number of residents present at the facility at the beginning of the inspection: 32 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:1 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: n/a Additional Comments/Discussion: n/a An exit meeting will be 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. 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on the onsite interview the facility did not ensure that If an administrator resigns or is unable to perform his duties, the facility shall immediately employ a new administrator or appoint a qualified acting administrator so that no lapse in administrator coverage occurs. The facility shall immediately notify the licensing officer that the licensed administrator resigned and that a new licensed administrator has been employed or that the facility is operating without an administrator licensed by the Virginia Board of Lont-Term Administrators. Evidence: 1. The Licensing Division received a complaint on 1/29/2026, alleging the facility was operating without an administrator since 1/19/2026. 2. The LI conducted an onsite inspection on 2/5/2026. The LI asked Staff #1 who was the current administrator and was informed there was no current administrator or acting administrator. A new administrator was expected to start in the upcoming weeks. 3. On 2/5/2026, after the inspection, the LI received an email from Staff #1 stating that effective 1/26/2026, they had been the acting Executive Director for the facility and the former administrator?s last day was 1/23/2026. 4. The Licensing Division was not made aware of this information before the day of the inspection, 2/5/2026.
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: 8/29/2025 10:00am- 2:33 pm, 2/5/2026 9:47 am- 10:38 am 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 7/10/2025 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: 37 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed:1 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 An exit meeting will be 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. 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on facility resident record review and facility policy review, the facility failed have a medication management plan which addresses procedures for ensuring that each resident?s prescription medication and any over-the-counter drug and supplements ordered for the resident are filled and refilled in a timely manner to avoid missed dosages. Evidence: 1. The medication management policy provided by facility does not include procedures for ensuring that resident?s medications are refilled timely in a manner to avoid missed dosages. 2. The progress notes for Resident #1 stated the prescribed Novolin Insulin 70/30 was not available to be administered on 7/27/2025 at 4:30pm and 7/28/2025 6:30 am.
Based on a review of resident records and interviews with staff, the facility failed to ensure the resident's record shall contain the physician's or other prescriber's signed written order or a dated notation of the physician's or other prescriber's oral order and that orders shall be organized chronologically in the resident's record. Evidence: 1. The record for Resident #2 did not contain the physician?s signed orders organized chronologically. 2. Staff #2 acknowledged the record for Resident #2 did not contain all the physicians? or prescriber?s signed orders organized chronologically.
Based on a review of facility records, the facility failed to ensure medications shall be administered in accordance with the physician?s or other prescriber?s instructions. Evidence: 1. On 6/24/2025, Resident #1 was prescribed Novolin Insulin 25 units twice daily before breakfast (6:30am) and dinner (4:30 pm). 2. The July 2025 MAR
Based on a review of resident record and staff interview, the facility failed to ensure that no 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. The Licensing Inspector received a complaint on 7/10/2025, regarding Resident #2?s Metformin 500 mg (two tablets twice a day) being administered May 2025 through July July 2025 after the resident?s physician discontinued the medication 11/14/2024. to Resident #2 without physician?s orders. 2. A review of the October and November 2024 Medication Administration Records ( MAR
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: 4/3/2025 11:54 am- 4:04 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 2/11/2025 regarding allegations in the area(s) of: 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 resident records reviewed: 6 Number of staff records reviewed: 0 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 2 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 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
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: 4/3/2025 11:54 am- 4:04 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 3/3/2025, regarding allegations in the area(s) of: 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 resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 An exit meeting will be 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov.
Based on a self-report and interviews, the facility failed to assume general responsibility for the health, safety and well-being of the residents. Evidence: 1. The Division received a complaint on 3/3/2025, regarding the facility not responding to Resident # 1?s (D.O.A. 1/31/2025 with diagnosis of difficulty with ambulation, impaired mobility, closed compression fractures of the L1) request for assistance on multiple occasions (2/3/2025, 2/26/2025, 2/27/2025). The complaint stated Resident # 1 pressed her call bell on 2/27/2025 and there was no response by facility staff. Resident # 1 waited several minutes and then proceeded to contact a family member who resides at least 10 minutes away. The family member arrived at the facility and assisted the resident to the bathroom. 2. The Licensing Inspector received a self-report from the facility on 3/4/2025. The report acknowledged there had been a concern by the family of Resident # 1 regarding the resident experiencing an extended wait for assistance. The facility acknowledged the facility staff had not responded to the resident?s request timely due to lack of pagers for the call system as disgruntled employee took the facility?s call system pagers. 3. The family of Resident # 1 and Staff #1 both acknowledged the resident was admitted to the hospital for Sepsis due to a urinary tract infection.
Based on record reviewed and staff interviewed, the facility failed to ensure the personal and social information document was kept current. Evidence: The Division received a complaint on 2/28/2025, which stated Resident # 1 was transferred to the emergency room from the facility. The complainant stated the facility staff provided the emergency services personnel documentation which contained the resident?s incorrect birth date. The Licensing Inspector conducted an inspection on 4/3/2025 of the record of Resident # 1. The facility?s Admission Record sheet, which contains the resident?s social data information listed an incorrect date of birth for the resident.
Based on record review and interview with staff, the facility failed to ensure the complete resident record was retained for at least two years after the resident leaves the facility. Evidence: 1. The facility was unable to provide the complete business and medical files for Resident #1 who was discharged from the facility on 3/16/2025. The file presented during the 4/3/2025 inspection did not include the following documents: Disclosure, written assurance, resident agreement, an individualized service plan, documented interview, and medical documentation. 2. Staff # 2 acknowledged the complete file was not available for the licensing inspector to review.
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: 4/3/2025 11:54 am- 4:04 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 2/24/2025 regarding allegations in the area(s) of: 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 resident records reviewed: 6 Number of staff records reviewed: 0 Number of interviews conducted with staff: 1 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on facility staff interview, documentation review the facility failed to ensure that no 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. Resident # 4 was prescribed Jardiance for diabetes mellitus. The resident Medication Administration Record documents: Jardiance 10 mg (2 tablets daily) was to start 11/05/2024 and was discontinued 11/16/2024 Jardiance 25 mg (1 tablet daily) was to be administered daily starting 11/15/2024 and was discontinued on 11/26/2024 Jardiance 10 mg (2.5 tablets daily) was started on 2/19/2025 and discontinued on 3/27/2025 Amlod/atorva tab 2.5-20 mg (1 tablet daily) was to start on 1/20/2025 and was discontinued 2/19/2025 Letrozole 2.5 mg (1 tablet daily) was to start 11/16/2024 and discontinued 2/22/2025 2. The facility could not provide physician?s orders for the administration and/or discontinuation of the above medications. 3. Staff # 2 and Staff # 3 acknowledged on the day of the inspection of Resident # 4?s resident record on 4/3/2025, the physician?s orders could not be located for the Licensing Inspector to review.
Based on review of resident records, the facility failed to ensure that the medication administration record ( MAR
Based on resident record review, the facility failed to have a written agreement signed and dated by the resident or the appropriate legal representative and by licensee or administrator on or prior to the time of admission. Evidence: The lease in the resident record for Resident #1 dated 10/28/2024, did not contain the signature of the licensee or administrator.
Based on a record review, the facility failed to ensure the resident had a physical examination by an independent physician within the 30 days preceding admission which contained the resident?s weight and blood pressure. Evidence: Resident #1 was admitted on 10/30/24. The file presented at the time of inspection contained a physical dated 10/28/2024. The physical did not contain the resident?s weight or blood pressure.
Based on record reviewed and staff interviewed, the facility failed to ensure the record included an acknowledgement of the resident having received an orientation and the acknowledgment signed and dated by the resident, and as appropriate the legal representative and kept in the resident?s record. Evidence: The resident records for Resident # 1 and Resident # 3 did not include signed documentation of an orientation for new residents which included information regarding mealtimes, the use of the call system, and the emergency response procedures.
Based on review of resident records, the facility failed to ascertain, prior to admission, whether a potential resident is a registered sex offender. Evidence: The file for Resident #1 did not have evidence the facility conducted a Sex Offender Screening prior to the admission of the resident.
Based on record review, the facility failed to ensure on or within seven days prior to the day of admission, a preliminary plan of care be developed to address the basic needs of the resident that adequately protects his health, safety, and welfare. Evidence: The resident records for Resident #1 (date of admission 10/30/2024) and Resident #3 (date of admission 1/15/2025) did not contain preliminary ISP
Based on record review and staff interviewed, the facility failed to ensure prior to admission of a resident, the facility administrator provided written assurance to the resident that the facility has the appropriate license to meet the care needs at the time of admission. Acknowledgement of this document should be signed by the resident or a legal representative and kept in the resident?s record. Evidence: The resident record for Resident # 1 (D.O.A. 10/30/24), Resident # 3 (D.O.A. 1/15/25), did not contain a signed written assurance by the resident or the resident?s representative.
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: 3/14/2025 8:30 am- 11:25 am, 5/1/2025 11:40 am- 12:20 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 2/6/2025, regarding allegations in the area(s) of: Personnel 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 resident records reviewed: 3 Number of staff records reviewed: 2 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 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 Alyshia Walker, Licensing Inspector at 757-680-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on records reviewed, interviews, and documentation submitted by the facility, the facility failed to ensure staff was considerate and respectful of the rights, dignity, and sensitives of person who are aged, infirmed, or disabled. Evidence: 1. The local department of Adult Protective Services (APS) received notification of possible suspicious bank activity involving Resident #2. The suspicious activity was investigated, and it was verified from October 2024 until February 2025, Staff #2 utilized Resident # 2?s bank account without the resident?s authorization to withdraw over $32,000 in cash. Staff # 2 also made unauthorized member-to member transactions which totaled over $40,000. 2. On 5/1/2025, the Licensing Inspector interviewed Resident #2 who acknowledged she did not give permission for Staff #2 to withdraw money or make member-to-member transactions from her bank accounts.
Based on review of staff records, the facility failed to maintain the results of an annual TB risk assessment. Evidence: 1. During the on-site inspection on 3/14/2025, the staff record for Staff # 2 (D.O.H. 1/29/2024) only contained a TB assessment with a date of 1/29/2024. 2. Staff #1 acknowledged an updated TB risk assessment for Staff #2 could not be located.
Based on observations made during a tour of the building, the facility failed to ensure the current month's activity schedule shall be posted in a conspicuous location in the facility. Evidence: 1. During the on-site inspection on 3/14/2025, there was no posted activities calendar. 2. Staff #1 acknowledged the activities calendar was not posted.
Based on the review of facility records and staff interviews conducted the facility failed to ensure that the rights and responsibilities of residents in assisted living facilities are reviewed annually with each staff person. Evidence: 1. The file presented to the Licensing Inspector at the time of inspection for Staff #2 did not contain documentation of an annual review of residents? rights. The last signed review of residents? rights was signed at the time of staff?s initial hire which was 1/29/2024. 2. Staff #2 acknowledged an annual review of residents? rights for Staff #2 could not be located.
Based on record reviewed and staff interviewed, the facility failed to ensure that there was documentation that the resident had requested the facility to assist with the management of personal funds signed by the resident, licensee, the facility administrator or the staff person providing the service. Evidence: 1. Staff #1 provided resident fund account statements for Residents #1, #2 and #3. The resident records for the residents did not contain signed agreements that the residents had requested the facility to assist with the management of personal funds. 2. Staff #1 acknowledged the facility did not have signed agreements with any of the residents.
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