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Public Google reviewers rate Vitality Living Arlington highly. Reviewers highlight: compassionate and attentive staff, clean and recently renovated facility. Reviewer identity is not verified, and online reviews may not capture everything. Schedule a visit to assess the fit directly.
Families considering Vitality Living Arlington often praise the facility for its clean, renovated environment and the compassionate, attentive nature of the staff. However, some family members have raised serious concerns regarding inconsistent personal care, lack of outdoor space in memory care, and issues with staff professionalism during difficult interactions.
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Key Review Excerpts
“I managed the transition of an elderly neighbor into Vitality in August 2024, and our experience from the start has been excellent. I toured multiple facilities in DC and Northern VA before choosing Vitality, where I was drawn to the clean and updated facility, the responsive staff, and the supportive community.”
“The aids are the most caring and truly loving people. I am grateful every day to have found Vitality living because unlike other places, there is a walk in anytime policy that only the finest establishment can offer”
“While unsure about placing my father in a memory care unit, he has come alive again since moving into Vitality Arlington. He is more talkative now and is interacting with staff and other residents.”
Source: VA State Licensing Agency
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: 01/06/2026 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 12/31/2025 regarding allegations in the area(s) of: Building and grounds Number of residents present at the facility at the beginning of the inspection: 115 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: 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 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 Alexandra Roberts, Licensing Inspector at 804-495-5956 or by email at Alexandra.n.roberts@dss.virginia.gov
Based on record review and interview, the facility failed to 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: 1. On 12/30/2025, the regional licensing office received a complaint that bed bugs were observed in Resident 1?s room at the facility. 2. During an onsite inspection on 01/06/2025, Staff 1 confirmed that bed bugs were found in Resident 1?s room on 12/30/2025 and that an incident report was not sent to licensing staff or office within 24 hours of the incident.
Based on record review and interview, the facility failed to ensure that buildings shall be kept free of infestations of insects and vermin. The grounds shall be kept free of their breeding places. Evidence: 1. On 12/30/2025, the regional licensing office received a complaint that bed bugs were observed in Resident 1?s room at the facility. 2. During inspection on 01/06/2025, Staff 1 confirmed that Resident 1 had a bed bug on their person on 12/30/2025. 3. Staff 1 confirmed that EcoLab came on-site on 12/30/2025 and 12/31/2025 in which EcoLab found and confirmed that bed bugs were in Resident 1?s mattress and bed area and treatment was initiated.
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: 11/18/2025 9am - 4:30pm 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: 115 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: 6 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: Observed the residents participating in social hour and eating in the dining hall. 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 Alexandra Roberts, Licensing Inspector at 804-845-6956 or by email at Alexandra.N.Roberts@dss.virginia.gov.
Based on record review and interview, the facility failed to provide to the resident and, as appropriate, his legal representative and designated contact person a dated statement signed by the licensee or administrator that contains the following information: The date on which the resident, his legal representative, or designated contact person was notified of the planned discharge and the name of the legal representative or designated contact person who was notified; The reason or reasons for the discharge; The actions taken by the facility to assist the resident in the discharge and relocation process; and The date of the actual discharge from the facility and the resident's destination. Evidence: 1. Resident 5 admitted on 04/17/25 and discharged from the facility on 9/19/25. 2. During renewal inspection on 11/18/2025, Staff 1 confirmed that the facility did not complete a dated statement signed by the licensee or administrator that contains the date on which Resident 5, his legal representative, or designated contact person was notified of the planned discharge and the name of the legal representative or designated contact person who was notified; The reason or reasons for the discharge; The actions taken by the facility to assist the resident in the discharge and relocation process; and The date of the actual discharge from the facility and Resident 5?s destination.
Based on interview, the facility failed to immediately employ a new administrator or appoint a qualified acting administrator so that no lapse in administrator coverage occurs. Evidence: 1. On 10/13/2025, licensing staff received an email that Staff 7 resigned (last day of employment 10/10/2025), and Staff 1 would be the point of contact for the facility. 2. Staff 1 is not a qualified administrator. 3. During onsite inspection on 11/18/2025, the facility did not have an appointed administrator. 4. Staff 1 confirmed that facility has not yet employed a new administrator or appoint a qualified acting administrator resulting in a lapse in administrator coverage since 10/10/2025 to date of inspection on 11/18/2025.
Based on observation and interview, the facility failed to ensure to have an administrator of record. Evidence: 1. On 10/13/2025, licensing staff received an email that Staff 7 resigned (last day of employment 10/10/2025), and Staff 1 would be the point of contact for the facility. 2. Staff 1 is not a qualified administrator. 3. During onsite inspection on 11/18/2025, the facility did not have an appointed administrator. 4. Staff 1 confirmed that facility has not yet employed a new administrator or appoint a qualified acting administrator resulting in a lapse in administrator coverage since 10/10/2025 to date of inspection on 11/18/2025.
Based on record review and interview, the facility failed to ensure individualized service plans are signed and dated by the resident or his legal representative. Evidence: 1. During the renewal inspection on 11/18/2025, the following resident?s individualized service plans did not contain written signature from resident or the legal representative: a. Resident 1; ISP
Based on observation and interview, the facility failed to ensure that the interior and exterior of all buildings shall be maintained in good repair and kept clean and free of rubbish. Evidence: 1. During facility tour on 11/18/2025, two licensing staff observed water fountains on floors 1, 4, 7, 8, and 9 with erosion markings with exposed cups on top of the fountain. 2. Staff 1 was notified of this matter and confirmed that he could not recall the last time they have been taken apart and cleaned. 3. Photo evidence was obtained.
Based on observation and interview, the facility failed to ensure that common face/hand washing sinks have paper towels or an air dryer. Evidence: 1. During facility tour on 11/18/2025, two licensing staff observed the 4th floor common area bathroom across from physical therapy room to have no paper towels. 2. Staff 1 acknowledged bathroom not having paper towels. 3. Photo evidence was obtained.
Based on record review and staff interview, the facility failed to ensure at least an annual review of infection prevention policies and procedures for any necessary updates. A licensed health care professional, practicing within the scope of his profession and with training in infection prevention, shall be included in the review to ensure compliance with applicable guidelines and regulations. Documentation of the review shall be maintained at the facility. Evidence: 1. During the onsite inspection on 11/18/2025, licensing staff requested the annual review of infection prevention policies and procedures for any necessary updates. 2. Staff 1 confirmed that the plan has not been reviewed annually.
Based on record review and staff interview, the facility failed to ensure that a resident?s physical examination contained all required information. Evidence: 1. Resident 1 (admitted 02/24/2025) physical examination, completed on 02/20/2025, was missing the resident?s address and significant medical history. 2. Staff 1 acknowledged missing information on the physical examination.
Based on record review and staff interview, the facility failed to ensure that each resident or his legal representative is fully informed, prior to or at the time of admission and annually, that he should exercise whatever due diligence he deems necessary with respect to information on any sex offenders registered pursuant to Chapter 9 (? 9.1-900 et. seq.) of Title 9.1 of the Code of Virginia, including how to obtain such information. Written acknowledgment of having been so informed shall be provided by the resident or his legal representative and shall be maintained in the resident's record Evidence: 1. Resident 1,2,3,4,5 and 6 records did not contain written acknowledgment of having been informed regarding sex offender registry. 2. Staff 1 confirmed that they do not complete this notification to residents or representative. 3. Facility was previously cited during the 05/08/2025 inspection.
Based on observation and interview, the facility failed to store cleaning supplies and other hazardous materials in a locked area. Evidence: 1. During facility tour on 11/18/2025, two licensing staff observed Room 719 was vacant, unlocked and under construction. Licensing staff observed this room to have exposed installation, cement, paint and other hazardous construction material. 2. During facility tour on 11/18/2025, two licensing staff observed an unlocked electrical room with exposed wires and a bottle of drain-o in the room. 3. During facility tour on 11/18/2025, two licensing staff observed the communication closets on floor 7,8, and 9 to be unlocked with exposed wires that control the facility power source labeled ?life support system?. 4. Staff 1 acknowledged the unlocked rooms with cleaning supplies and hazardous materials. 5. Photo evidence was obtained.
Based on observation and interview, the facility failed to ensure that the building was well-ventilated and free from foul, stale, and musty odors. Evidence: 1. During facility tour on 11/18/2025, two licensing staff observed black and brown spotting on the ceiling, dried urine around the toilet, and trash in cabinet under the sink in the 4th floor bathroom. 2. During facility tour on 11/18/2025, two licensing staff smelled strong odors of urine and feces on floors 7 and 8. 3. Staff 1 was notified of this matter. 4. Photo evidence was obtained.
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: 10/20/20205 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: 100 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: 3 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Observed residents in the dining room eating lunch and listening to a guest playing the piano. Additional Comments/Discussion: None. 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 Alexandra Roberts, Licensing Inspector at 804-845-6956 or by email at Alexandra.N.Roberts@dss.virginia.gov
Based on interview and record review, the facility failed to ensure doors leading to the outside shall have a system of security monitoring of residents with serious cognitive impairments, such as door alarms, cameras, constant staff oversight, security bracelets that are part of an alarm system, or delayed egress mechanisms. Evidence: 1. On 10/15/2025, Staff 3 reported via email to licensing staff that Resident 1 wandered off the premises approximately 0.3 miles at 6:30 a.m. 2. Upon review of the Resident 1?s record on 10/20/2025, Resident 1?s ISP
Based on interview and record review, the facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs, such as prevention of falls and wandering from the premises. Evidence: 1. On 10/15/2025, licensing staff received via email an incident report from Staff 3 detailing that Resident 1 wandered off the premises approximately 0.3 miles at 6:30 a.m. Local temperature was noted to be 55 degrees during the time of the reported incident. 2. During inspection on 10/20/2025, Staff 1 informed licensing staff as well as noted within the incident report that a local business staff came on-site to the facility on 10/15/2025 around 8:00 a.m. to report that Resident 1 was currently at their place of business. The individual indicated that Resident 1 appeared in a T-Shirt and underwear with their walker. Staff 1 stated they then picked Resident 1 up in the facility bus and brought them back to the facility. 3. Resident 1?s UAI
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: 5/08/2025 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: 101 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: 3 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 3 Observations by licensing inspector: Observed residents in the common area engaging with one another. Additional Comments/Discussion: None. 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 Alexandra Roberts, Licensing Inspector at 804-845-6956 or by email at Alexandra.N.Roberts@dss.virginia.gov
Based on record review and staff interview, the facility failed to ensure that each resident or his legal representative is fully informed, prior to or at the time of admission and annually, that he should exercise whatever due diligence he deems necessary with respect to information on any sex offenders registered pursuant to Chapter 9 (? 9.1-900 et. seq.) of Title 9.1 of the Code of Virginia, including how to obtain such information. Written acknowledgment of having been so informed shall be provided by the resident or his legal representative and shall be maintained in the resident's record. Evidence: 1. Resident 1, Resident 2 & Resident 3?s resident records did not contain written acknowledgment of having been informed regarding sex offender registry. 2. Staff 3 confirmed that they have not been completing this notifications to residents or family.
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: 02/25/2025 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 01/30/2025 regarding allegations in the area(s) of: Physical Abuse Number of residents present at the facility at the beginning of the inspection: 112 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: 1 Observations by licensing inspector: Observed the residents eating in the dining hall and walking around fellowshipping. 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. However, violation(s) 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(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 Alexandra Roberts, Licensing Inspector at 804-495-5956 or by email at Alexandra.n.roberts@dss.virginia.gov
Based on record review and staff interview, facility failed to ensure that the administrator or his designee documents that the individual's psychosocial and behavioral history were reviewed and used to help determine the appropriateness of the admission. Evidence: 1. Resident 1?s (Admitted: 2/13/24) hospital history and physical indicates Resident 1 is diagnosed with paranoia, hallucinations, mood disorder, and a psychological disorder. Resident 1 is prescribed an antipsychotic (Seroquel 25mg), antidepressant (Lexapro) and a hypnotic (Ativan). 2. Staff 1 confirmed that they do not have documentation that Resident 1?s history was reviewed to help determine appropriateness of admission.
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: 10/17/2024 Time In: 1:30 PM Time Out: 3:44 PM 10/18/2024 Time In: 8:38 AM Time Out: 4:27 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: 119 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: 5 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 4 Observations by licensing inspector: LI observed a medication pass. LI observed residents eating lunch and dinner, entering and exiting the facility for community outings, residents engaging with visitors, residents interacting with staff, residents watching television in the main lobby, and residents participating in physical therapy. 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.
Based on resident record review, the facility failed to ensure that the individualized service plans were reviewed and updated at least once every 12 months and as needed for a significant change of a resident?s condition. Evidence: Resident 9?s (admit date, 06/28/2024) special diet was not included in the individualized service plan (08/04/2024).
Based on facility record review and staff interview, the facility failed to ensure that the record included the number of residents participating, any special conditions, the time it took to complete the drills, and problems encountered, if any. Evidence: 1. June ? September 2024 (06/28/2024, 07/31/2024, 08/24/2024, 09/23/2024) fire drills were missing the number of residents participating, any special conditions simulated, the time it took to complete the drill and problems encountered. 2. On 10/17/2024, licensing inspector (LI) interviewed Staff 6 who stated being unaware that the form did not have the necessary information. Staff 6 stated that the form will be updated to include all necessary information.
Based on facility record review and staff interview, the facility failed to ensure to provide a written response to the council prior to the next meeting regarding any recommendations made by the council for resolution of problems or concerns. Evidence: 1. June, July, and September 2024 (06/26/2024, 07/24/2024, 09/25/2024) resident councils did not include a written response to the residents. 2. On 10/17/2024, licensing inspector (LI) interviewed Staff 6 who confirmed that there were not any written responses to the resident councils. Staff 6 stated that the ?concern/suggestion/feedback? section was not used by staff to respond to the resident concerns.
Based on resident record review and staff interview, the facility failed to ensure that Do Not Resuscitate (DNR) Orders were only carried out in a licensed assisted living facility when the written order was included in the individualized service plan. Evidence: 1. Resident 6?s (admit date, 04/27/2023) record contains a Durable Do Not Resuscitate (DNR) order dated 02/07/2024. 2. Resident 6?s individualized service plan dated 08/06/2024 has ?FULL CODE? stamped in red at the top of the first page and is not written as an identified need within the document. 3. On 10/18/2024, LI interviewed Staff 5 who confirmed that the plan stated, ?full code.?
Based on resident record review and staff interview, the facility failed to ensure that no medication or dietary supplement was started, changed, or discontinued by the facility without a valid order from a physician or other prescriber. Medications include prescription, over-the-counter (OTC), and sample medications. Evidence: 1. Resident 2 (admit date, 01/01/2020) had Acetaminophen 325 MG (take 2 tablets (650 MG) by mouth every 6 hours as needed for mild pain, headaches, or fever for up to 30 doses) stored in the medication cart. Resident 2?s Physician Order Review (10/18/2024), September 2024 medication administration record ( MAR
Based on resident record review and staff interview, the facility failed to ensure that each resident?s prescription medications and any over-the-counter (OTC) drugs and supplement ordered for the resident were filled and refilled in a timely manner to avoid missed dosages. The facility failed to prevent the use of outdated, damaged, or contaminated medications. Evidence: 1. Resident 2 (admit date, 01/01/2020) had an order for Lidocaine Pain Relief 4% Cream, order date, 05/17/2023 (apply topically to affected area of neck/low back three times daily as needed for pain). Lidocaine Pain Relief 4% Cream was not on-site for self-administration. 2. On 10/18/2024, licensing inspector (LI) interviewed Staff 7 who confirmed that the Lidocaine Pain Relief 4% Cream was not found in the medication cart. Staff 7 stated, ?I will check downstairs overflow.? LI completed the medication review and returned to the main level and executive office suites. Staff 7 did not provide the medication from the ?downstairs overflow.? 3. Resident 5 (admit date, 12/31/2015), who self-administers medication, had an order for Acetaminophen 325 MG, order date, 08/02/2022 (take 2 tablets (650 mg) by mouth every 6 hours as needed for moderate pain). Acetaminophen 325 MG was not on-site for self-administration. 4. On 10/18/2024, LI interviewed Resident 5 who stated, ?I don?t have Tylenol. That?s what I use Naproxen for, works better than most anything.? 5. Resident 5 had an order for Aveeno Daily Moisturizing 1.2% Lotion, order date, 08/02/2022 (assist patient with apply lotion topically to both arms every day as needed for skin deficiency). Aveeno Daily Moisturizing 1.2% was not on site for self-administration. 6. On 10/18/2024, LI interviewed Resident 5 who stated, ?I don?t use that that anymore. I use Excedrin. There?s no doctor?s order. I have very dry skin. 7. Resident 5 had an order for Combivent Respimat 20-100 MCG, order date, 01/12/2024 (inhale 1 puff twice daily). Combivent Respimat 20-100 MCG was not on site for self-administration. 8. On 10/18/2024, LI interviewed Resident 5 who stated, ?when I was in the hospital they gave it to me. I had the flu and was told to take it for a week. It?s gone now? been gone for a while.? 9. Resident 5 had an order for Culturelle Digestive Health, order date, 08/02/2022 (take 1 capsule by mouth every day * do not crush). Culturelle Digestive Health was not on site for self-administration. 10. On 10/18/2024, LI interviewed Resident 5 who stated, ?I don?t take it anymore.? 11. On 10/18/2024, LI interviewed Staff 7 who stated, ?that?s what you take with antibiotic. That should have been discontinued. Why it?s there, I don?t know.? 12. Resident 5 had an order for Sea-Clens Wound Cleanser, order date, 01/30/2023 (cleanse open area on R ishium and R buttock, pat dry, apply calcium alginate, cover with border foam dressing twice weekly). Sea-Clens Wound Cleanser was not on site for self-administration. 13. On 10/18/2024, LI interviewed Resident
Based on LI observation and staff interview, the facility failed to ensure that menus for meals and snacks for the current week were dated and posted in an area conspicuous to residents. Evidence: 1. A daily menu was displayed on a television in the lobby. 2. On 10/17/2024, licensing inspector (LI) interviewed Staff 6 who stated that the daily menu was posted as a PowerPoint slide on the television screen in the lobby. Staff 6 confirmed that it was a daily menu posted that the residents are able to swipe through to the next day. 3. On 10/17/2024, LI observed the daily menu posted on the television screen. LI observed Staff 6 attempt to swipe to the next day. The presentation would not slide. Staff 6 stated, ?the screen must be locked.? Staff 6 requested assistance from the dining department. LI observed that the USB was not in the television which was required for residents to view the rest of the menu. Staff 6 placed the USB in the television and was able to show LI how residents are able to move through the presentation. 4. Photo evidence taken.
Based on resident record and staff interview, the facility failed to ensure that a residents? physical examination contained the following: the person?s address, blood pressure, and general physical condition, including a systems review as is medically indicated. Evidence: 1. Resident 8?s (admit date, 09/04/2024) physical examination was missing Resident 8?s address, blood pressure, and general physical condition, including a systems review. 2. On 10/18/2024, licensing inspector (LI) interviewed Staff 8 who confirmed that the address, blood pressure, and general physical condition sections were left blank on the physical examination form.
Based on staff record review, the facility failed to ensure that each direct staff member maintained current certification in first aid from the American Red Cross, American Heart Association, National Safety Council, American Safety and Health Institute, community college, hospital, volunteer rescue squad, or fire department. Evidence: 1. Staff 4?s (hire date, 05/13/2022) first aid certification was not provided upon request. 2. On 10/18/2024, licensing inspector (LI) interviewed Staff 6 who confirmed that Staff 4?s first aid certification was not present in the record. 3. Staff 5?s (hire date, 07/16/2024) first aid certification expired on 09/11/2024. 4. On 10/18/2024, LI interviewed Staff 6 who stated that Staff 5 was a first aid instructor and was positive that Staff 5 had an updated certification. Staff 6 stated an intention to contact Staff 5 for an updated certification. LI was not provided an updated first aid certification for Staff 5.
Based on facility record review and staff interview, the facility failed to ensure to report to the regional licensing office within 24 hours of any major incident that negatively affected or threatened the life, health, safety, or welfare of any resident. Evidence: 1. On 08/09/2024 four residents and one staff tested positive for COVID. On 08/10/2024 two residents and one staff tested positive for COVID. On 08/11/2024 two residents tested positive for COVID. On 08/12/2024 three residents and one staff tested positive for COVID. On 08/13/2024 one resident tested positive for COVID. 2. Fifteen residents tested positive for COVID, and it was not reported to the licensing office. 3. On 10/17/2024, licensing inspector (LI) interviewed Staff 6 who stated Arlington County Public Health Division was contacted on 08/13/2024. Staff 6 stated the reporting policy for COVID was lifted and was unaware that this was something that should still be reported to licensing. 4. On 10/17/2024, LI received an email from Staff 7 sharing the Vitality Living Respiratory Line List. The Respiratory Line List showed the names of residents and staff that tested positive for COVID, the onset dates, and dates of COVID testing. 5. On 08/08/2024 Resident 3 was found on the floor, lying on the right side, next to the nightstand. Resident 3 was transported to Virginia Hospital Center diagnosed with a head injury. This incident was not reported to licensing. 6. On 10/17/2024, LI requested a list of falls since July 2024. Staff 7 provided the name and incident report of Resident 3.
Based on resident record review and staff interview, the facility failed to ensure the resident record contained the physician?s or other prescriber?s signed written order. Evidence: 1. Resident 9?s (admit date, 06/28/2024) record contained a Physician?s Diet Order document with the box marked with an X for a Carbohydrate Controlled Diet that did not contain a signature for the physician or other prescriber. 2. On 10/17/2024, licensing inspector (LI) interviewed Staff 7 who confirmed that the physician?s diet order form was completed on the day of admission on 6/28/2024 and was not signed.
Based on resident record review and staff interview, the facility failed to ensure that the individualized service plan ( ISP
Based on resident record review and staff interview, the facility failed to ensure to obtain written approval prior to placing a resident with a serious cognitive impairment, in a safe, secure environment. Evidence: 1. Resident 3 (admit date, 07/09/2024) approval for placement in special care unit was completed on 07/25/2024. 2. On 10/18/2024, licensing inspector (LI) interviewed Staff 7 who confirmed that Resident 3?s approval for placement in special care unit was completed after admission.
Type of Inspection: Complaint Inspection Date of Inspection: June 18th 2024 4:30pm - 5pm 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: The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 4 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: The LI observed medication administration, residents eating lunch and participating in other scheduled activities. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegation(s) area(s) of non-compliance with standard(s) or law were: A violation notice was 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 a licensed facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Alexandra Roberts, Licensing Inspector at 804-845-6956 or by email at Alexandra.n.roberts@dss.virginia.gov.
Based on record review and interview, staff failed to ensure prompt response by to resident needs via call bell alert. Evidence: 1. LI reviewed call bell response times provided by Staff 2. 2. Resident 4 pushed call bell for assistance on 6/14/2024 at 17:38 (5:38pm) and it was responded to at 18:13 (6:13pm). 3. Resident 5 pushed call bell for assistance on 6/9/2024 at 14:10 (2:10pm) and it was responded to at 15:22 (3:10pm). Another time on 6/17/24 at 16:32 (4:32pm) and it was responded to at 19:01 (7:01pm) 4. LI interviewed Resident 5 who stated it takes a long time to get a response when pressing the call bell all the time. 5. Staff 2 and Staff 5 viewed the response times and stated facility does not have a required response time or policy but it should not take a long time to respond.
Type of Inspection: Monitoring Inspection Date of Inspection: June 17th 2024 thru June 18th 2024 - 8am - 4:30pm 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: 144 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: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: The LI observed medication administration, residents eating lunch and participating in activities. LI spoke with 1 family member present during the inspection. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the initial inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The applicant has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to maintain future compliance with applicable standard(s) or law. If the applicant wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website should the facility be issued a license to operate. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of a licensed facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Alexandra Roberts, Licensing Inspector at 804-845-6956 or by email at Alexandra.n.roberts@dss.virginia.gov.
22VAC40-73-950-F Based on record review and staff interview, the facility failed to review the emergency preparedness plan annually or more often as needed. The review shall be documented by signing and dating. Evidence: 1. Emergency preparedness plan was updated on 01/01/2024. There was no documentation that updates were communicated to staff or residents for the semi-annual review. 2. Staff 2 confirmed that facility does not have a documented semi-annual log of training for staff and/or residents on the plan.
Based on record review, facility failed to ensure that resident agreements shall be updated whenever there are changes that are dated and signed by the licensee or administrator as well as the resident or their legal representative. Evidence: 1. Staff 5 provided LI the updated and revised resident agreement dated as being revised on 02/09/2024. Resident agreement was updated in March of 2023 and then again on 02/09/2024. 2. Resident 1?s resident agreement was signed and dated 05/21/22. 3. Resident 2?s resident agreement was signed and dated 09/12/22. 4. Resident 4?s resident agreement was signed and dated 12/12/23. 5. Staff 2 and 5 stated that they were unaware that resident agreements needed to be updated and re-signed when revisions are made.
22VAC40-73-980-A Based on observation and staff interview, the facility failed to ensure a complete first aid kit is on hand. Evidence: 1. First aid kit on hand did not include: Plastic bags, disposable blankets, flashlight, batteries, or a thermometer or breathing barriers. 2. Staff 5 & Staff 2 stated that they did not know that the additional items were needed for first aid kit on hand.
Based on record review and staff interview, facility failed to ensure month first aid kits are checked at least monthly to ensure all items are present. Evidence: 1. LI requested documentation from staff 6 who maintains the first aid kit. Staff 6 informed that she does not complete documentation for first aid kit and would ask Staff 2. 2. Staff 2 confirmed that facility does not have a monthly check/documentation to provide and has not been completed.
Based on record review, facility failed to ensure that a person shall have a physical examination by an independent physician. The report of such examination shall be on file at the assisted living facility and shall contain all required components. Evidence: 1. Resident 4?s physical examination report dated 12/12/23 was missing ambulatory or non-ambulatory status, address, and date of birth.
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