Valley Alf Operator LLC
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Jan 14, 2026Routine
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: 01/14/2026 Begin: 9:05am End: 3:21pm 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: 24 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: Additional Comments/Discussion: 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 Crystal B. Henson, Licensing Inspector at 276-608-1067 or by email at crystal.b.mullins@dss.virginia.gov
Based on review of resident records, the facility failed to ensure the Uniform Assessment Instrument for private pay individuals ( UAI
Based on resident record review and staff interview, the facility failed to include all identified needs based upon the Uniform Assessment Instrument ( UAI
Based on review of resident records and observation, the facility failed to implement its written medication management plan. EVIDENCE: 1. On page 115 of the facility medication management policy, (#1 under Documentation), it states the individual who administers medication records the administration on the resident?s (Medication Administration Record) MAR
Based on physician orders and the audit of the medication cart, the facility failed to have available medications for PRN
Based on facility tour, resident interview, resident records, and staff interviews, the facility failed to meet all the conditions when restraints are used in nonemergency situations. EVIDENCE: 1. Resident #s 8 and 9 both have half rails on both sides of their bed. Both residents were able to properly voice the use for the half rails. 2. According to an interview with staff #5 neither resident #8 nor #9 had physician orders for the half bed rails.
Based on observations made during the tour of the building, the facility failed to keep all furniture in good repair and condition. EVIDENCE: 1. An armchair beside the men?s shower room was observed to have exposed stuffing along the lower left arm area approximately 12 inches in size.
Based on an audit of the first aid kit, the facility failed to have all required items in the first aid kit. EVIDENCE: 1. The first aid kit did not contain antiseptic wipes or ointment on the date of the inspection.
Jan 15, 2025Routine14Report
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: 01/15/2025 Begin: 9:50am End: 2:38pm 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: 23 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 9 Number of staff records reviewed: 3 Number of interviews conducted with residents:3 Number of interviews conducted with staff: 3 Observations by licensing inspector: Additional Comments/Discussion: 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 Crystal B. Henson, Licensing Inspector at 276-608-1067 or by email at crystal.b.mullins@dss.virginia.gov
Based on staff record review, the facility failed to produce documentation to show that three staff members have had the two required hours of infection control training annually. EVIDENCE: 1. The training documents from 01/01/2024-01/01/2025 only showed .25 hours of infection control training for staff #1, #2, and #3.
Based on employee record review, the facility failed to ensure each staff person required to be evaluated shall submit the results of a risk assessment annually. EVIDENCE: 1. Staff #3was hired on 02/18/2020. The most recent TB screening was completed on 11/15/2023.
Based on resident record review, the facility failed to ensure they do not admit or retain any individuals with specific care needs along with 63.2-1805 D of the Code of Virginia. EVIDENCE: 1. Resident # 9 has a physical dated 09/09/2024 which has a prohibitive condition checked for needing licensed nurse care continuous.
Based on resident record review, the facility failed to obtain, prior to admission, sex offender information for one resident. EVIDENCE: 1. Resident #5 was readmitted to the facility on 08/01/2024 (after being discharged to skilled nursing care for a short stay). Upon the readmission of resident #5 on 08/01/2024 the facility did not obtain updated sex offender information. The last documented check was 10/17/2023.
Based on resident record review, the facility failed at the time of admission to have a written financial agreement listing specific charges for accommodations, services, and care to be made by the individual resident signing the agreement, the frequency of payment, and any rules relating to nonpayment. EVIDENCE: 1. Resident #5 was admitted to the facility on 08/01/2024. The resident agreement dated 08/01/2024 lists two different payment amounts for private and semi-private rooms, (not what the resident is paying). The resident is receiving AG (Auxiliary Grant). The monthly receipts show the resident is being charged the AG rate. 2. Resident #7 signed the resident agreement on 10/01/2024 and resident #8 on 12/11/2024. Neither agreement specified the correct amount of monthly charges that would be charged for admission to the facility.
Based on resident record review, the facility failed to update the original agreement as changes were made to the agreement. The resident nor the administrator updated with a signature and date. EVIDENCE: 1. Resident #6 was admitted to the facility on 05/09/2022 as a private pay resident. The agreement for resident #6 dated 05/09/2022 indicates the resident is private pay. A public pay UAI
Based on resident record review, the facility failed to ensure that the UAI
Based on resident record review, the facility failed to include a description of identified needs based upon the admission physical examination for one resident. EVIDENCE: 1. Resident #5 was admitted to the facility on 08/01/2024. 2. Resident #5 has a physical exam completed on 08/01/2024 for a heart healthy regular texture, thin liquid diet. 3. The comprehensive ISP
Based on observations made during the tour of the building, the facility failed to include all required items on the schedule of activities. EVIDENCE: 1. The schedule of activities posted in the facility for January 2025 did not include the time the activity would last.
Based on resident record review, the facility failed to review the rights and responsibilities of residents in assisted living on an annual basis. EVIDENCE: 1. Resident #6 was admitted to the facility on 05/09/2022. The most recent resident rights signed by resident #6 was on 10/09/2023.
Based on the tour of the building, the facility failed to maintain the interior and exterior of all buildings in good repair and kept clean from rubbish. EVIDENCE: 1. The men?s shower/bathroom had a patch (approximately eight inches by eight inches in size) of wallcovering behind the commode that had peeled away from the wall?s surface. 2. Resident Room #200 was found to have at least five grocery bags in the room on the left side of the bed with used soda cans and used bowls.
Based on observations made during the tour of the building, the facility failed to have a ventilation to the outside to eliminate foul odor. EVIDENCE: 1. The msn?s shower room/bathroom did not have an operable ventilation system to the outside to eliminate foul odor.
Based on observations made during the tour of the building, the facility failed to have an annual inspection by the appropriate fire officials. EVIDENCE: 1. Staff #4 was not able to provide the LI with the appropriate fire official?s annual inspection documents. 2. According to the local town official?s documentation, the last inspection conducted was 09/07/2021
Based on observations made during the tour of the building, the facility failed to include all required items on their fire and emergency evacuation drawing. EVIDENCE: 1. The fire and emergency evacuation drawing located on the wall outside of the medication room did not have areas of refuge and assembly areas designated on the drawing.
Oct 31, 2024RoutineCleanReport
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: 10/31/2024 Begin: 1:04pm End: 1:35 pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self report was received by VDSS Division of Licensing on 10/09/2024 regarding allegations in the area(s) of financial exploitation Number of residents present at the facility at the beginning of the inspection: did not collect 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 residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: 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 Crystal B. Henson, Licensing Inspector at 276-608-1067 or by email at crystal.b.mullins@dss.virginia.gov
Oct 31, 2024RoutineCleanReport
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: 10/31/2024 Begin: 12:40pm End: 1:02 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: did not collect 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 residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: 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 Crystal B. Henson, Licensing Inspector at 276-608-1067 or by email at crystal.b.mullins@dss.virginia.gov
Jul 12, 2024Routine
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: 07/12/2024 Begin: 11:40am End: 12:20pm 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 06/10/2024 regarding allegations in the area of: medication administration. Number of residents present at the facility at the beginning of the inspection: information not gathered 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 residents:1 Number of interviews conducted with staff: 3 Observations by licensing inspector: n/a Additional Comments/Discussion: 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 Crystal B. Henson, Licensing Inspector at 276-608-1067 or by email at crystal.b.mulins@dss.virginia.gov
Based on facility self report, staff interviews, hospital record review, and resident record review, the facility failed to administer all medications in accordance with the physician?s or other prescriber?s instructions. EVIDENCE: 1. According to a self-report received by the Licensing Inspector on 06/10/2024 Staff #1 administered the incorrect medications to resident #1 during the morning medication pass on 06/08/2024. 2. According to resident record review, resident #1 is rated dependent in medication administration according to his most recent Uniform Assessment Instruments ( UAI
Jan 25, 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: 01/25/2025 Begin: 10:40am End: 3:15pm 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: 23 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 5 Number of staff records reviewed: 3 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 3 Observations by licensing inspector: Additional Comments/Discussion: 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 Crystal B. Henson Licensing Inspector at 276-608-1067 or by email at crystal.b.mullins@dss.virginia.gov
Based on resident record review, the facility failed to ensure the personal and social data was entirely completed for one resident. EVIDENCE: 1. Resident #3 was admitted to the facility 04/11/2023. The personal social data sheet was observed to be blank in the following areas: clergyman and next of kin (x2) on page1. On page 2 the previous mental health or ID service history was checked to indicate YES, but the explanation box below was left blank.
Based on resident record review, the January MAR
Based on observations made during the tour of the building, the facility failed to maintain all interior and exterior of all buildings in good repair. EVIDCNECE: 1. A section of ceiling above the overhead light in the men?s shower room was observed to have a brown stained area (perhaps from a leak). 2. The women?s shower room was observed to have two rags placed above the heat/air system on the wall in order to cover existing holes in the sheet rock. When the LI removed these rags, LI was able to see the outside light shining through.
Apr 17, 2023RoutineCleanReport
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: 04/17/2023 Begin: 1:50pm End: 14:30pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. 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 Crystal B. Henson Licensing Inspector at 276-608-1067 or by email at crystal.b.mullins@dss.virginia.gov
Feb 8, 2023Routine
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: 2/08/2023 Begin: 10:00am End: 3:11pm 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: 24 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: 3 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 3 Observations by licensing inspector: Additional Comments/Discussion: 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 Crystal B. Henson Licensing Inspector at 276-608-1067 or by email at crystal.b.mullins@dss.virginia.gov
Based on resident record review, the facility failed to provided the most up to date disclosure form required by the department. EVIDENCE: 1. Resident #2 was admitted on 12/13/2022; Resident #3 was admitted on 01/30/2022; Resident #4 was admitted on 10/17/2022; Resident #5 was admitted on 10/01/2021. None of the above-mentioned residents had most up to date disclosure issued by the Department.
Based on staff interviews and observations made during the tour of the building, the facility failed to have a listing of all staff with current certification in first aid or CPR posted in the facility and readily available to all staff at all times. EVIDENCE: 1. The LI was unable to locate the list of staff certified in first aid and CPR posted in the facility during the 02/08/2023 inspection. 2. According to Staff #4 a current list of staff certified in first aid and CPR is not posted in the facility at this time.
Based on resident record review, the facility failed to have a valid physician?s order for one resident that included the oxygen source such as compressed gas or concentrator. EVIDENCE: 1. Resident # 5 has a physician?s order dated 02/02/2023. The source of the oxygen is not defined on the order for Resident #5.
Based on observations made during the tour of the building, the facility failed to have sufficient bed linens in good repair so that residents always have clean pillowcases. EVIDENCE: 1. The pillowcase for Resident #8 had brown stains on it over an area approximately 8 by 6 inches. Per Staff #4, 2. Resident # 8 recently had her hair colored which resulted in the stained pillowcase.
Based on observations made during the tour of the building, the facility failed to store cleaning supplies or other hazardous materials so they are not accessible to residents with serious cognitive impairment. EVIDENCE: 1. Resident # 8 has a diagnosis of dementia listed in the significant medical history section of the physical examination report; the LI observed a package of FitRight Aloe Personal Cleansing Cloths in the bathroom for resident # 8, with a warning to store out of reach of children. 2. Resident # 9 has a diagnosis of dementia listed in the significant medical history section of the physical examination report; the LI observed a package of FitRight Aloe Personal Cleansing Cloths in the bathroom for Resident #9, with a warning to store out of reach of children.
Based on observations made during the tour of the building, the facility failed to maintain a temperature of at least 72 degrees Fahrenheit in all areas used by residents during hours when residents are usually awake. EVIDENCE: 1. The thermostat in the hallway beside resident room # 205 indicated it was 68 degrees Fahrenheit at 11:49 a.m. on the date of inspection, 02/08/2023. The same thermostat indicated in was 69 degrees Fahrenheit at 2:30pm on the same date
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