Blue Ridge Christian Home was inspected 13 times between November 19, 2020 and June 1, 2026 by the Virginia Department of Social Services. 10 of those visits ended with violations cited and 3 with none. Across that history VDSS cited 59 violations under 39 distinct standards. 2 inspections were 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.
VDSS publishes inspections on a rolling window. 12 of these 13 are still on the state's site; the other 1 has since dropped off it and is reproduced from Assisted Living Magazine's archive of the original VDSS reports.
Provider Information
Inspection History
13Select an inspection to read the areas reviewed, the inspector's comments and any violations cited.
June 1, 2026Complaint survey
January 15, 2026Inspection
- Staff person 4 was hired on 12/03/2025; however, the staff person’s record does not contain the results of a criminal history record report. Interview with staff person 1 confirmed this is accurate.
- Interview with staff person 1 during the 01/15/2026 on-site inspection confirmed that the facility houses a mixed population of residents indicating that there must be at least two direct care staff persons on duty at all times.
- The facility’s staff schedule, dated 11/10/2025 through 01/04/2026, that was provided to the licensing inspector (LI) by staff person 1 during the on-site inspection contains documentation that staff person 1 was the only direct care staff member on duty during the night clock on the following dates: 11/10/2025, 11/15/2025, 11/16/2025, 11/20/2025, 11/21/2025, 11/22/2025, 11/23/2025, 11/24/2025, 11/25/2025, 11/26/2025, 11/27/2025, 12/03/2025, 12/06/2025, 12/07/2025, 12/08/2025, 12/09/2025, 12/10/2025, 12/11/2025, 12/27/2025, 12/28/2025 and 01/01/2026. The schedule also contains documentation that staff person 3 was the only direct care staff member on duty during the night clock on 12/15/2025 and 12/23/2025. Staff person 1 confirmed the aforementioned information is accurate.
- The record for resident 1 contains a signed physician’s order, dated 12/02/2025, for Calcitriol 0.25MCG take 1 capsule by mouth every day on Monday, Wednesday, and Friday at 5:00PM.
- Resident 1’s medication administration record (MAR) contains documentation that Calcitriol 0.25 MCG was administered to the resident at 8:00AM on 01/02/2026, 01/05/2026, 01/07/2026, 01/09/2026, 01/12/2026 and 01/14/2026.
- Page 2 of the UAI in the record for resident 1, dated 10/29/2025, does not contain the assessor’s signature, the agency/assisted living facility name, or the date the assessor completed the UAI and the UAI does not contain the signature of the administrator or the date. Staff person 1 confirmed this is accurate.
April 21, 2025Complaint survey
- During an interview with staff person 1 on 04/21/2025, staff person 1 informed the licensing inspector (LI) that they are not acting as a medication aide on a provisional basis as identified by the Virginia Board of Nursing (VBON) nor are they a registered medication aide (RMA) through the VBON.
- Staff person 1 informed the LI that they have removed medications from the pharmacy container and administered medications to resident 1 multiple times during February 2025, March 2025, and April 2025 as documented on the February 2025, March 2025 and April 2025 medication administration records (MARs) for resident 1 in the presence of staff person 2.
- The February 2025 medication administration record (MAR) for resident 1 contains the initial of staff person 1 administering Escitralopram 20MG to resident 1 on 02/10/2025 at 8:00AM and Buspirone 15MG to resident 1 on 02/10/2025 at 8:00AM and on 02/07/2025, 02/08/2025, 02/10/2025, 02/14/2025, 02/17/2025, 02/21/2025, and 02/26/2025 at 2:00PM and administering as needed (PRN) acetaminophen 500MG on 02/12/2025 at 4:30PM and 02/13/2025 at 12:30AM. The March 2025 MAR for resident 1 contains the initial of staff person 1 administering Buspirone 15MG at 2:00PM to resident 1 on 03/03/2025, 03/05/2025, 03/10/2025, 03/18/2025, 03/24/2025, 03/26/2025, and 03/31/2025 and administering Tylenol 650MG suppository to resident 1 on 03/01/2025, 03/16/2025, 03/19/2025, and 03/29/2025 at 8:00AM; on 03/03/2025, 03/05/2025, 03/10/2025, 03/24/2025, 03/28/2025, and 03/31/2025 at 8:00AM and 2:00PM; and on 03/18/2025 at 2:00PM. The April 2025 MAR for resident 1 contains the initial of staff person 1 administering Buspirone 15MG at 2:00PM to resident 1 on 04/04/2025, 04/05/2025, 04/07/2025, 04/08/2025, 04/11/2025, 04/14/2025, and 04/18/2025 and administering acetaminophen 650MG suppository to resident 1 on 04/04/2025 at 6:00AM and at 2:00PM on 04/04/2025, 04/05/2025, 04/07/2025, 04/08/2025, 04/11/2025, 04/14/2025, 04/18/2025, and 04/19/2025.
- During an interview with staff person 1 on 04/21/2025, staff person 1 informed the licensing inspector (LI) that they are not acting as a medication aide on a provisional basis as identified by the Virginia Board of Nursing (VBON) nor are they a registered medication aide (RMA) through the VBON and confirmed that they have administered medications to resident 1 multiple times during February 2025, March 2025, and April 2025 in the presence of staff person 2.
- The record for resident 1 contains a nurse’s note by staff person 2, dated 02/23/2025, that an enema was given to the resident per the medical doctor’s instruction.
- During an interview with staff person 1 on 04/21/2025, staff person 1 informed the licensing inspector (LI) that the facility has a standing order from Collateral 1 for all residents who reside at the facility for saline enema medication/treatment as needed (PRN) and therefore the order does not include resident 1’s name, the route, and the strength of the drug.
- The record for resident 1 contains a nurse’s note by staff person 2, dated 02/23/2025, that an enema was given to the resident per the medical doctor’s instruction; however, the February 2025 MAR for resident 1 does not contain documentation that the resident was given an enema. Interview with staff person 1 confirmed that the resident was given an enema by staff person 2 and confirmed that it was not included on the February 2025 MAR.
- The record for resident 1 contains a signed physician’s order, dated 02/17/2025 and signed by Collateral 1 on 02/25/2025, for Tylenol 650MG suppository three times daily at 6:00AM, 2:00PM, and 8:00PM for pain. The February 2025 MAR contains documentation that the aforementioned medication was only administered on 02/28/2025 at 2:00PM and on 02/26/2025 and 02/27/2025 at 8:00PM and does not contain documentation for the other dates/times the medication was administered. Interview with staff person 1 confirmed that the medication was administered but that it was not included on the February 2025 MAR. The February 2025 MAR for the resident contains documentation that the medication was administered to the resident on 02/26/2025 at 8:00AM; however, interview with staff person 1 stated that the medication was administered at 6:00AM. The March 2025 MAR contains documentation that the aforementioned medication was administered to the resident daily at 8:00AM from 03/01/2025 to 03/13/2025 and 03/15/2025 to 03/31/2025; however, interview with staff person 1 revealed that the resident was administered this medication at 6:00AM and 8:00AM was documented in error.
January 7, 2025Inspection
November 13, 2024Inspection
- The record for staff person 1, date of hire 09/10/1975, did not contain documentation that staff person 1 had at least two hours of infection control and prevention training and at least four hours of training on topics related to residents’ mental impairments during the training year 09/10/2023 to 09/09/2024. Interview with staff person 5 confirmed this is accurate.
- The record for staff person 1, date of hire 09/10/1975, did not contain documentation that staff person 1 had at least 18 hours of training during the training year 09/10/2023 to 09/09/2024. Interview with staff person 5 confirmed this is accurate.
- Resident 1 was admitted to the facility on 09/27/2024. Interview with staff person 4 confirmed the resident is assisted living level of care.
- The record for resident 1 does not contain a written fall risk rating. Interview with staff person 4 confirmed this is accurate.
- Facility documentation indicated the last oversight of resident special diets was conducted on 01/12/2024. Interview with staff person 5 confirmed this is accurate.
- The record for staff person 2, date of hire 01/29/2024, contains a certificate that the staff person completed first aid training on 11/12/2024. Interview with staff person 5 revealed that staff person 2 was not certified in first aid until 11/12/2024.
- Interview with staff persons 4 and 5 revealed that the facility has in care residents who have cognitive impairments.
- The record for staff person 2, date of hire 01/29/2024, does not contain documentation that staff person 2 attended six hours of training in working with individuals who have a cognitive impairment within four months of their start date of employment. Interview with staff person 5 confirmed this is accurate.
- The record for staff person 3, date of hire 09/13/2024, did not contain a criminal history record report. Interview with staff person confirmed this is accurate.
- The UAI for resident 1, dated 09/23/2024, does not indicate on page 2 whether the resident is residential living or assisted living level of care. Interview with staff person 4 revealed the resident is assisted living level of care.
January 17, 2024Inspection
- The licensing inspector (LI) had been informed by Collateral 1 via email on 07/31/2023 that staff person 1 was accepted into the administrator in training (AIT) program and would become the acting administrator of the facility starting 08/07/2023; therefore, from 08/07/2023 staff person 1 would only have 150 days to be the facility’s acting administrator.
- During phone call with staff person 1 on 01/17/2024, staff person 1 verified to the LI that they are still the facility’s acting administrator.
December 13, 2023Inspection
- Resident 5 was admitted to the facility on 04/07/2023 and resident 6 was admitted to the facility on 03/23/2023. During on-site inspection on 12/13/2023, the records for residents 5 and 6 contained Virginia State Police sex offender registry searches dated 10/23/2023 for both residents 5 and 6. Interview with staff person 1 confirmed that this was accurate.
- d by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. EVIDENCE: Staff person 5 was hired on 05/31/2022. During on-site inspection on 12/13/2023, the most recent TB screening in the record for this staff person was dated 06/03/2022. Interview with staff person 1 confirmed that this was accurate.
- During on-site inspection on 12/13/2023, the record for resident 2 contained documentation that the most recent review of the rights and responsibilities of residents in assisted living facilities for the resident was 08/23/2022. Interview with staff person 1 confirmed that this was accurate.
- During on-site inspection on 12/13/2023, the record for resident 2 contained the following telephone/verbal/oral orders taken by staff person 6 dated 08/08/2023, 08/22/2023, 09/28/2023 and 11/09/2023.
- The aforementioned orders did not contain documentation that a physician or other prescriber reviewed and signed them within 14 days.
- During on-site inspection on 12/13/2023, the record for resident 6 contained a signed DNR, dated 08/23/2023 order; however, the ISP for the resident, dated 03/23/2023, did not contain documentation that the resident has a DNR order.
July 27, 2023Inspection
- The licensing inspector (LI) for the facility received a phone call from Collateral 1 on 06/29/2023 and a follow-up email on 07/03/2023 that staff person 1 is no longer the administrator of record for the facility effective 06/30/2023.
- Phone interview with Collateral 1 on 07/27/2023 revealed that the facility has not had an administrator of record since 06/30/2023.
January 10, 2023Inspection
December 6, 2022Inspection
- The record for staff 2, date of hire 05/31/2022, did not include documentation of training within the first four months of employment pertaining to working with residents who have a cognitive impairment. Interview with staff 4 confirmed this was accurate.
- The physical examination in the record for resident 4, admitted on 08/27/2022, has documentation that the actual examination was completed was 06/10/2022.
- Resident 3 was admitted to the facility on 08/25/2022 and resident 4 was admitted to the facility on 08/27/2022; however, the Virginia State Police search that was in the record for the resident did not contain the date that the search was conducted.
- The record for resident 1 has documentation that the resident has allergies to Amoxicillin and Aricept. The ISP for resident 1, dated 11/29/2022, contains documentation of the allergies listed at the top of the form but does not include information on services to be provided, who, when and where services will be provided and the expected outcome.
- The uniform assessment instrument (UAI) dated 10/21/2022 in the record for resident 2 contains documentation that the resident requires mechanical and human help assistance with transferring. Interview with staff 4 expressed that the UAI is correct. The ISP dated 10/23/2022 in the record for resident 2 does not address this identified need.
- The ISP for resident 3, dated 08/25/2022, indicated that the resident has physical therapy ordered by a physician; however, interview with staff 4 revealed that the resident does not receive physical therapy.
- The record for staff 2, date of hire 05/31/2022, contained documentation that the staff person did not obtain first aid certification until 11/09/2022. Interview with staff 4 confirmed this was accurate.
- The record for staff 1, date of hire 09/19/2022, did not contain documentation of an orientation as of the day of inspection.
- Resident 5 has an order for “Digoxin 0.125MG tablet take two tablets by mouth every morning for heart. Hold if pulse is below 60”. The November 2022 medication administration record (MAR) for the resident indicated that the resident’s pulse was 56 on 11/24/2022; however, the MAR indicated that the aforementioned medication was administered to the resident.
- The facility’s semi-annual review of it’s emergency preparedness and response plan, conducted on 06/17/2022, was not completed with residents. Interview with staff 4 confirmed this was accurate.
- Interview with staff 4 indicated that staff 2 is a personal care aide and that staff 4’s date of hire was 05/31/2022. The record for staff 2 did not contain a copy of the certification issued or other documentation indicating that staff 2 has obtained the required training to be employed as a personal care aide in an assisted living facility. As of 12/08/2022, the aforementioned documentation was still not received from the facility.
- The ISP for resident 5, with a review date of 11/05/2022, was not signed by the resident or the resident’s legal representative.
- Staff 2 was hired 05/31/2022; however, the results of a criminal record report for the staff person were not received until 09/16/2022.
- The record for staff 3, date of hire 06/10/2019, did not contain documentation of staff 3 receiving the required 18 hours of annual training from 06/10/2021 through 06/10/2022.