Goodwin House Bailey's Crossroads (Fairfax Co)

Inspections

On record

With violations

Visits that cited something

Clean visits

Nothing cited

Violations cited

Individual findings

Standards cited

Distinct rules

Complaint visits

Prompted by a complaint

Goodwin House Bailey's Crossroads (Fairfax Co) was inspected 6 times between June 6, 2022 and April 9, 2026 by the Virginia Department of Social Services. 3 of those visits ended with violations cited and 3 with none. Across that history VDSS cited 6 violations under 6 distinct standards. 1 inspection was prompted by a complaint.

A violation is a licensing standard - a rule in the Virginia Administrative Code - that the inspector found the facility was not meeting. Each is shown with the evidence the inspector recorded and, where VDSS publishes it, the facility's own plan of correction.

Every inspection listed here is currently published on the VDSS site.

Provider Information

Facility type

Assisted Living Facility

License type

Two Year

License expires

04/25/2028

Administrator

Taneisha Hampton

Licensing inspector

Marshall Massenberg

Inspector phone

(804) 543-5188

Approved for

Assisted Living · Non-Ambulatory

Inspection History

Select an inspection to read the areas reviewed, the inspector's comments and any violations cited.

April 9, 2026Inspection2 violations

Inspection dates

04/09/2026

Areas reviewed

22VAC40-73 GENERAL PROVISIONS22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 STAFFING AND SUPERVISION22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDINGS AND GROUNDS22VAC40-73 EMERGENCY PREPAREDNESS22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS63.2 GENERAL PROVISIONS63.2 PROTECTION OF ADULTS AND REPORTING63.2 LICENSURE AND REGISTRATION PROCEDURES63.2 FACILITIES AND PROGRAMS22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT22VAC40-80 THE LICENSE

Technical assistance

Documentation was discussed with the provider.

Comments

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: 4/9/26 (8:40 AM - 5:00 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: 304 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: Eight Number of staff records reviewed: Four Number of interviews conducted with residents: Four Number of interviews conducted with staff: Four Observations by licensing inspector: Meals, Medication Administration, Activity 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 Marshall Massenberg, Licensing Inspector at (804) 543-5188 or by email at marshall.x.massenberg@dss.virginia.gov.

Violations

22VAC40-73-680-C

Based on record review and interview, the facility did not ensure that medications are administered within one hour before, or one hour after, the facility's standard dosing schedule.

Evidence

Resident #1's morning medication administration was observed during the inspection. Resident #1's Cholecalciferol 5000 Unit (8 AM administration) was not present at the time of the medication administration. Facility staff reported that Resident #1's Cholecalciferol arrived and was administered at approximately 12:50 PM.

Plan of correction

1. The resident's spouse who is the Power of Attorney was notified that one of the morning medications was administered approximately 50 minutes outside of the one-hour window for the facility's standard dosing schedule due to a medical appointment outside of the community. 2. All residents on The Terrace are at risk for this deficient practice. 3. All licensed nurses and Registered Medication Aids (RMA) will be re-educated and newly hired licensed nurses and RMAs will receive education upon hire, on the medication management plan and regulations to ensure medications are administered during the facility's standard dosing schedule. If a medication is not administered the eMAR will reflect that the resident was not available during the standard dosing schedule, and the medication was not administered. Every effort will be made to administer the residents' medications during the established time and the physician is aware if a medication is not administered. 4. The Assisted Living Manager will audit 10% of Terrace residents' MARs monthly for six months, and will report results in QAPI quarterly. 5. All education will be completed by June 1, 2026.

22VAC40-73-260-A

Based on record review, the facility did not ensure that each direct care staff member maintains current certification in first aid from the American Red Cross, American Heart Association, National Safety Council, American Safety and Health Institute, community college, hospital, volunteer rescue squad, or fire department.

Evidence

The staff record for Staff #1 was reviewed during the inspection. Staff #1's record contained current certification in CPR, but the most recent First Aid certification in the staff record expired in 2023.

Plan of correction

1. The team member was notified of her non-compliance with First Aid Certification on April 9, 2026, and enrolled in AHA Heartsaver First Aid training to take place April 30, 2026. 2. All team members that work on Assisted Living are at risk for this deficient practice which impacts residents. 3. The Assisted Living Administrator and Assisted Living Manager completed an audit of all team members' first aid and CPR training, ensuring that completed training matches the regulations for each license type. 4. The Assisted Living Manager will audit all team members' first aid and CPR training at the beginning of each quarter (April, July, October and January) and ensure they are registered for the correct class and monitor for completion of classes each quarter for four quarters. This will be reported quarterly at QAPI. 5. All education will be completed by May 1, 2026

March 25, 2025Inspection3 violations

Inspection dates

03/25/2025

Areas reviewed

22VAC40-73 GENERAL PROVISIONS22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 STAFFING AND SUPERVISION22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDINGS AND GROUNDS22VAC40-73 EMERGENCY PREPAREDNESS22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTSARTICLE 1 - SUBJECTIVITY32.1 REPORTED BY PERSONS OTHER THAN PHYSICIANS63.2 GENERAL PROVISIONS63.2 PROTECTION OF ADULTS AND REPORTING63.2 LICENSURE AND REGISTRATION PROCEDURES63.2 FACILITIES AND PROGRAMS22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT22VAC40-80 THE LICENSE

Technical assistance

Documentation was discussed with the provider.

Comments

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: 3/25/25 (9:00 - 5:30 PM) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 309 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: Six Number of interviews conducted with residents: Four Number of interviews conducted with staff: Three Observations by licensing inspector: Meals, Medication Administration, Activity 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 Marshall Massenberg, Licensing Inspector at (804) 543-5188 or by email at Marshall.x.massenberg@dss.virginia.gov.

Violations

22VAC40-73-640-A

Based on record review, the facility did not ensure that the medication management plan was implemented to ensure that each resident’s medications are filled and refilled in a timely manner to avoid missed dosages.

Evidence

Resident #2's Vitamin B12 was not available for administration on 3/13/25. Resident #2's Prevagen was not available for administration on 3/16/25 or 3/17/25. Resident #6's Vitamin D was not available for administration on 3/9/25.

Plan of correction

The physician for Resident #2 and #6 was notified of the missed medications on April 7, 2025. There were no adverse effects related to the missed dosages. All residents on Assisted Living are at risk for this deficient practice. The Assisted Living nurse supervisor and charge nurse completed an audit of residents' medications and current supplies available on April 3, 2025. No deficiencies were found. All licensed nurses and registered medication aides will be re-educated, and newly hired licensed nurses and registered medication aides will receive education upon hire, on the medication management plan and regulations, to include medications not available. See attached flow chart (Appendix A). AL Administrator / AL Coordinator will audit 10% of residents' medication records weekly, times 4, and 10% of residents' medication records monthly, times 2, and will report results in QAPI quarterly. All education will be completed by May 1, 2025.

22VAC40-73-680-M

Based on record review, the facility did not ensure that PRN medications are available and properly stored at the facility.

Evidence

PRN Pramipexole, ordered for Resident #2, was not present at the time of the medication cart inspection. Facility staff confirmed that the medication was not present at the time of the medication cart inspection.

Plan of correction

The medication for Resident #2 was ordered March 25, 2025, and received from the pharmacy. All residents on Assisted Living are at risk for this deficient practice. AL nurse supervisor and charge nurse completed an audit of residents' PRN medications and their current supply. All medications are available and in compliance. All licensed nurses and registered medication aides will be re-educated and newly hired licensed nurses and medication aides will receive education upon hire, on the medication management plan and regulations, to include policy and procedure regarding the availability of PRN medications. See attached flow chart (Appendix A). AL Administrator / AL Coordinator will audit 10% of residents PRN medications weekly, times 4, and 10% of residents PRN medications monthly, times 2, and will report results to QAPI quarterly. All education will be completed by May 1, 2025.

22VAC40-73-650-E

Based on record review, the facility did not ensure that the resident record contains the physician's signed written orders.

Evidence

Resident #2's record was reviewed during the inspection. The signed physician's orders were not present for Resident #2's Prevagen, Tumeric, or Probiotic.

Plan of correction

The POS for Resident #2 was signed by the physician on April 1, 2025. All residents on Assisted Living are at risk for this deficient practice. AL nurse supervisor and charge nurse completed an audit of all residents' POS on April 7, 2025. All residents' POS are in compliance. All licensed nurses will be re-educated and newly hired licensed nurses will receive education upon hire, on the medication management plan and regulations to ensure all POS are reviewed and signed by the PCP per regulation. AL Administrator / AL Coordinator will audit 100% of POS due to be reviewed and signed by physician, monthly for 6 months, and report in QAPI quarterly. All education will be completed by May 1, 2025.

February 7, 2025Complaint survey0 violations

Inspection dates

02/07/2025

Areas reviewed

22VAC40-73 STAFFING AND SUPERVISION22VAC40-73 EMERGENCY PREPAREDNESS

Comments

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: 2/7/25 (12:30 PM - 2:05 PM) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by the Fairfax Licensing Office on 12/9/24 in the area of: Staffing and Supervision; Emergency Preparedness Number of resident records reviewed: None Staff Records reviewed: None Number of interviews conducted with residents: Four Number of interviews conducted with staff: Three Observations by licensing inspector: Facility documentation The evidence gathered during the investigation did not support the allegation 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 Marshall Massenberg, Licensing Inspector at (804) 543-5188 or by email at Marshall.x.massenberg@dss.virginia.gov.

Violations

✅

No violations cited

The inspector documented no violation of standards at this inspection.

June 21, 2024Inspection1 violation

Inspection dates

06/21/2024

Areas reviewed

Administration and Administrative ServicesPersonnelStaffing and SupervisionAdmission, Retention and Discharge of ResidentsResident Care and Related ServicesResident Accommodations and Related ProvisionsBuilding and GroundsEmergency PreparednessAdditional Requirements for Facilities that Care for Adults with Cognitive ImpairmentsBackground Checks for Assisted Living FacilitiesSworn Statement

Comments

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: 06/21/2024 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: 52 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: 19 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 5 Observations by licensing inspector: Licensing Inspector observed residents participating in various activity programs and eating lunch. This LI also observed medications being administered to residents. 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 Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov

Violations

22VAC40-73-325-B

Based on record review and staff interview, the facility failed to review and update the written fall risk rating annually.

Evidence

Resident 2 was admitted on 8/9/2022 and the last fall risk rating was completed on 8/9/2022.
Resident 4 was admitted on 10/12/2021 and the last fall risk rating was completed on 10/12/2021.

Plan of correction

1. All residents on Assisted Living and the Terrace are at risk for this deficient practice. 2. All licensed nurses will be re-educated and newly hire licensed nurses will receive education upon hire on the Falls Risk Assessment policy and regulation. 3. All resident's charts on Assisted Living and the Terrace will be audited for compliance by July 8, 2024. Any resident that does not have an annual assessment will be completed at that time. 4. All charts will be audited for compliance during annual ISP meetings.

April 28, 2023Inspection0 violations

Inspection dates

04/28/2023

Areas reviewed

Administration and Administrative ServicesPersonnelStaffing and SupervisionAdmission, Retention and Discharge of ResidentsResident Care and Related ServicesResident Accommodations and Related ProvisionsBuilding and GroundsEmergency PreparednessAdditional Requirements for Facilities that Care for Adults with Serious Cognitive ImpairmentsBackground Checks for Assisted Living FacilitiesThe Sworn Statement

Comments

Date of Inspection: April 28 and May 1, 2023 Type of Inspection: Monitoring inspection Census 40 Number of records reviewed and interviews conducted- 8 records, 7 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The LI observed residents engaged in activity programs and eating lunch. LI observed medication administration and treatment administration and toured the kitchen and observed emergency food and water. If you have any questions or email changes, please do not hesitate to contact me at sarah.pearson@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov.

Violations

✅

No violations cited

The inspector documented no violation of standards at this inspection.

June 6, 2022Inspection0 violations

Inspection dates

06/06/2022

Areas reviewed

Administration and Administrative ServicesPersonnelStaffing and SupervisionAdmission, Retention and Discharge of ResidentsResident Care and Related ServicesBuildings and GroundsEmergency PreparednessMixed PopulationSafe, Secure Environment

Comments

Date of Inspection: June 6, 2022 Type of Inspection: Renewal Inspection If you have any questions or email changes, please do not hesitate to contact me at laura.lunceford@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov. Census 50 Number of records reviewed and interviews conducted- 4 resident records and 4 staff records, 5 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The Licensing Inspector observed the residents during lunch and activities. The Licensing Inspector reviewed the following documents during the inspection: fire drills, healthcare oversight, activity schedules, disclosure statement, emergency drills and dietician report.

Violations

✅

No violations cited

The inspector documented no violation of standards at this inspection.