Assisted Living at Lucy Corr

Type of inspection: Non-Mandated Monitoring. Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 5/4/2026, 12:30 pm to 1:15 pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 4/10/2026 regarding allegations in the area of: Resident Care And Related Services An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation did not support non-compliance with standards or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Yvonne Randolph, Licensing Inspector at (804) 441-1180 or by email at yvonne.randolph@dss.virginia.gov

Type of inspection: Renewal Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 2/2/26, 10 am to 2:45 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: 34 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: 2 Number of interviews conducted with staff: 3 Observations by licensing inspector: medication administration and storage, file documentation, facility maintenance and repair, resident/staff interaction, postings Additional Comments/Discussion: TA provided regarding the future building, renewal application, physician orders, pharmacy/pill book An exit meeting was conducted on-site to review the inspection findings The evidence gathered during the inspection determined no violations with applicable standards 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 Yvonne Randolph, Licensing Inspector at (803) 441-1180 or by email at yvonne.randolph@dss.virginia.gov

Before any construction begins or contracts are awarded for any new construction, plans shall be submitted to VDSS for review.

Type of inspection: Non-Mandated Monitoring Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11/5/25, 11:30 am to 12:30 am Two self-reported incidents were received by VDSS Division of Licensing, one on 10/5/25 and one on 10/17/25, regarding allegations in the area of: Resident Care And Related Services Number of resident records reviewed: 0 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: entrance door/area of the facility Additional Comments/Discussion: Construction to begin soon on new facility, current facility is being replaced An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation did not support non-compliance with standards or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Yvonne Randolph, Licensing Inspector at (804) 441-1180 or by email at name@dss.virginia.gov

Type of inspection: Monitoring Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 2/26/25 1pm to 2:55 pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 44 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: 2 Number of interviews conducted with staff: 2 Observations by licensing inspector: postings, menu, activity, medication storage and administration, liability insurance, file documentation An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standards or law, and violations 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 violations will be addressed in order to return the facility to compliance and maintain future compliance with applicable standards or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Yvonne Randolph, Licensing Inspector at 804-662-74544 or at yvonne.randolph@dss.virginia.gov

Type of inspection: Renewal Date of inspection the licensing inspector was on-site at the facility for each day of the inspection: 2/15/24, 10 a to 1 p The Acknowledgement of Inspection form was emailed for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 45 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: 4 Number of interviews conducted with residents: Number of interviews conducted with staff: 3 Observations by licensing inspector: Medication storage and administration, resident/staff interactions, lunch meal, building cleanliness and maintenance, required postings. 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 Yvonne Randolph, Licensing Inspector at 804-662-7454 or by email at yvonne.randolph@dss.virginia.gov

Facility Name: AL at Lucy Corr File #: 1052253 Inspection Date:10/3/2022 Inspection End Date: 10/3/2022 The facility self reported an incident to VDSS Division of Licensing on 98/4//22 regarding an incident in the area of Resident Care and Related Services; Resident records reviewed: 1 remotely Number of staff records reviewed: 0 Number of interviews conducted with residents: O Number of interviews conducted with staff: 1 Additional Comments/Discussion: An on-line complaint was received later regarding the same incident. The on-site inspection on 10/3/22 was terminated due to potential COVID exposure. The evidence gathered during the inspection did not determine non-compliance with applicable standards or law. The department 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. An exit meeting will be conducted to review the inspection findings. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Yvonne Randolph, Licensing Inspector at (804) 662-7454 or by email at yvonne.randolph@dss,virginia.gov

Type of inspection: Monitoring Date of inspection and time the licensing inspector was on-site at the facility: 8-2-22, 9:50 am to 12 noon The Acknowledgement of Inspection form was signed and left at the facility on the date of the inspection. Number of residents present at the facility at the beginning of the inspection: 39 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 Observations by licensing inspector: Lunch Meal, physical plant, postings An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violations are documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited 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 Yvonne Randolph, Licensing Inspector at (804) 552-7454 or by email at yvonne.randolph@dss.virginia.gov

290.B -Staff In charge 610.B- Menu Posting 960.B - Emergency Evacuation Plan

INSPECTION SUMMARY A renewal inspection was completed on 1/11/2022. The administrator was on site during the inspection. The census on the day of the inspection was 38 residents. Three resident and three staff files were reviewed for compliance, along with medication administration, required postings, fire and health inspections, facility maintenance and repair, etc. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and the violations are documented on the violation notice issued to the facility.

This inspection was conducted by licensing staff using an alternative remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was initiated on 3/1/2021 and conducted on 3/2-3/4/2021. The administrator was contacted by telephone and email to initiate the inspection. The administrator reported the current census is 28 residents. The inspector emailed the administrator a list of items required to complete the inspection. The inspector reviewed three staff and three resident files, background checks for all staff hired since June 2020 along with the required items submitted by the facility. The information gathered during the inspection determined no violations with applicable standards or law.

This inspection was conducted using an alternative remote protocol due to a state of emergency pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on October 29, 2020 and completed on 1/28/2021. A self reported incident was received by the Department regarding the administration of medications. The licensing inspector emailed the facility a list of items to review (Medication Administration Records -MARs, Physician Orders, staff schedules) and interviewed staff to determine compliance with applicable standards and law. The information gathered during the investigation did not support any non-compliance with the standards or law.