61
Inspections
On record
34
With violations
Visits that cited something
27
Clean visits
Nothing cited
95
Violations cited
Individual findings
58
Standards cited
Distinct rules
22
Complaint visits
Prompted by a complaint
Runk & Pratt of Forest was inspected 61 times between January 21, 2021 and May 19, 2026 by the Virginia Department of Social Services. 34 of those visits ended with violations cited and 27 with none. Across that history VDSS cited 95 violations under 58 distinct standards. 22 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. 56 of these 61 are still on the state's site; the other 5 have since dropped off it and are reproduced from Assisted Living Magazine's archive of the original VDSS reports.
Provider Information
Facility type
Assisted Living Facility
License type
One Year
License expires
10/14/2026
Administrator
Meia Booker
Licensing inspector
Jennifer Stokes
Inspector phone
(540) 589-5216
Approved for
Special Care Unit · Assisted Living · Non-Ambulatory
Inspection History
61Select an inspection to read the areas reviewed, the inspector's comments and any violations cited.
May 19, 2026Inspection
Inspection dates
05/19/2026
Areas reviewed
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
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:
05/19/2026 8:35AM to 10:00AM
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 05/01/2026 regarding allegations in the area of: resident care and related services
Number of resident records reviewed: 1
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation did not support the self-report 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Violations
No violations cited
The inspector documented no violation of standards at this inspection.
April 17, 2026Inspection
Inspection dates
04/17/2026
Areas reviewed
22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS
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: 04/17/2026 9:30AM to 10:45AM
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 04/13/2026 regarding allegations in the areas of: resident care and related services & additional requirements for facilities that care for adults with serious cognitive impairments
Number of residents present at the facility at the beginning of the inspection: 54
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 interviews conducted with staff: 1
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law.
If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Violations
22VAC40-73-460-D
Based on resident record review and staff interview, the facility failed to ensure supervision of resident schedules, care, and activities including attention to specialized needs, such as prevention of falls and wandering from the premises.
Evidence
- Resident 1 was admitted to the facility, which is a safe, secure unit, on 01/21/2026. The record for resident 1 contains an assessment of serious cognitive impairment, dated 01/09/2026, that the resident has a serious cognitive impairment due to a primary psychiatric diagnosis of dementia and is unable to recognize danger or protect his own safety and welfare. The record for resident 1 contains a report of resident physical examination, dated 01/08/2026, that the resident has a significant medical history of dementia.
- The licensing inspector (LI) received an incident report via email from staff person 1 on 04/13/2026 that at approximately 4:08AM on 04/13/2026 resident 1 had wandered out of the building of the front lobby door.
- During on-site inspection on 04/17/2026, the LI and staff person 1 reviewed camera footage that shows staff person 3 in the front office pushing the button to release the lock to the front lobby door to let staff person 2 out of the front lobby door; staff person 2 proceeded to exit the front lobby door at approximately 3:40AM and then went through the next door which goes to the parking lot of the facility. Staff person 1 informed the LI that when the button is held down in the front office to release the lock to the front lobby door, the alarm doesn’t sound; however, once the button is released and if the front lobby door is still open, the alarm will continue to sound until the door is secured and locked. From approximately 4:02AM to 4:03AM (not 4:08AM as documented in the incident report), camera footage shows resident 1 walking toward the front lobby door and exiting the facility through the front lobby door by using the doorknob and exiting the next door to parking lot of the facility. Staff person 1 informed the LI that staff working in the facility during the time staff person 2 left the building at 3:40AM and resident 1 leaving the facility through the front lobby door at 4:03AM that there was no alarm that sounded alerting the staff that the front lobby door was not secured. Camera footage shows that at 4:16AM staff person 2 reentered the facility. Staff person 1 informed the LI that at this time, staff person 2 let staff person 3 know that there was someone out in the parking lot and wasn’t sure if the individual was a resident of the facility or not. Staff person 3 started conducting rounds at this time and notified staff person 4 that resident 1 was not in their room or anywhere within the facility and began searching the exterior of the facility. Staff person 4 contacted staff person 1 at 4:34AM that resident 1 was not inside the facility and staff person 1 came to the facility to continue the search at 4:45AM. Staff person 1 informed the LI during the on-site inspection that staff persons 2 and 3 were the staff who found the resident at 5:02AM behind the building of a local business. According to Google Maps, the business staff persons 2 and 3 located resident 1 at is 0.3 miles from the facility. Hospital paperwork, dated 04/13/2026 at 6:12AM, states that the resident left the facility and was found in the woods at 5:00AM with abrasions to bilateral inner ankles and a laceration to right forearm. According to timeanddate.com, the temperature for 04/13/2026 from 3:54AM to 5:54AM, was between 63 degrees Fahrenheit and 61 degrees Fahrenheit.
Plan of correction
The Administrator/Designee will direct all direct care staff on duty to monitor and verify that
lobby doors are securely and completely closed while conducting rounds and concierge
responsibilities, with particular attention following visitor entry and exit.
22VAC40-73-1130-C
Based on staff assignment sheets, camera footage and staff interview, when more than 40 residents are present, at least four direct care staff members plus at least one more direct care staff member for every additional 10 residents, or portion thereof, shall be awake on duty at all times during night hours in each special care unit and shall be responsible for the care and supervision of the residents.
Evidence
- The facility’s census on 04/13/2026 was 54 which requires the facility to have at least 6 direct care staff members on duty.
- The assignment sheet for the 11:00PM to 7:00AM shift for 04/12/2026 through 04/13/2026 contains documentation that there were 6 direct care staff members working in the building; however, during the on-site inspection on 04/17/2026 camera footage that was reviewed by staff person 1 and the licensing inspector (LI) shows that staff person 2 left the facility at 3:40AM and did not come back into the facility until 4:16AM which left only 5 direct care staff members in the facility during this time. Staff person 1 confirmed this is accurate.
Plan of correction
The Administrator/Designee will ensure staffing levels are appropriately maintained and aligned
with resident census requirements for each shift to support safe and effective operations.
April 17, 2026Complaint survey
Inspection dates
04/17/2026
Areas reviewed
22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-80 COMPLAINT INVESTIGATION
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: 04/17/2026 11:00AM to 12:45PM
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 04/07/2026 regarding allegations in the area of: resident care and related services
Number of residents present at the facility at the beginning of the inspection: 54
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation did not support the allegation 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. 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Violations
22VAC40-73-325-C
Based on resident record review and staff interview, the facility failed to ensure should a resident who meets the criteria for assisted living care fall, the facility must show documentation of interventions that were initiated to prevent or reduce risk of subsequent falls.
Evidence
- The uniform assessment instrument (UAI) in the record for resident 1, dated 09/17/2025, states on page 2 of 2 that resident 1 is assisted living level of care.
- The record for resident 1 contains a note written by staff person 3 at 3:48PM on 02/21/2026 that resident 1 was observed sitting on his backside beside his bed on the floor and that on 02/25/2026 a physician visited the resident due to the fall the resident had on 02/21/2026. A physician note, dated 03/10/2026, states that the physician visited resident 1 on 03/10/2026 due to a fall the resident had on 03/06/2026 with a subsequent emergency department visit and head strike.
- During the on-site inspection, the record for resident 1 did not contain documentation of interventions that the facility had initiated to prevent or reduce the risk of subsequent falls from the resident’s falls that occurred on 02/21/2026 and 03/06/2026. Staff person 1 confirmed this is accurate.
Plan of correction
Administrator/Designee will ensure that interventions for any falls are documented within the
resident's chart. Administrator/Designee will review any falls and audit charts to ensure fall
interventions have been documented after each subsequent fall.
22VAC40-73-70-A
Based on resident record review and staff 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
- The record for resident 1 contains a note written by staff person 2 at 8:19PM on 03/06/2026 that resident 1 was observed laying on the floor next to his bed in front of his locked wheelchair, unable to state what happened, was bleeding from his left eyebrow and was sent to the emergency department for further evaluation. The record for resident 1 contains a physician’s note, dated 03/10/2026 at 10:50AM, that the physician was visiting with the resident due to a recent fall with head strike and subsequent emergency department visit and had left temple bruising with small hematoma noted and 4 sutures in place on his eyebrow. Interview with staff person 1 revealed to the licensing inspector (LI) that this incident involving resident 1 had not been reported to the regional licensing office.
- The record for resident 1 contains a note written by staff person 3 at 1:56PM on 03/25/2026 that resident 1 was observed sitting on his bottom on the floor of his room in front of his wheelchair, resident was unable to state what happened, staff person 3 observed a skin impairment to his left elbow and basic first aid was performed. A note written by staff person 2 at 11:12PM on 03/25/2026 states that resident 1 was observed laying on his back asking staff to get him up, resident was unable to state what happened, a small skin impairment was observed to his right elbow, a bruise to left side of forehead and resident 1 was sent to the emergency department for further evaluation. Staff person 3 documented on 03/26/2026 at 10:09AM that resident 1 returned to the facility with a diagnosis of a closed head injury, fall frequently, and superficial laceration of upper extremity. The record for resident 1 contains physician’s orders, dated 03/26/2026, for home health skilled nursing to perform wound care to the resident’s left hand skin tear, right elbow skin tear, and left elbow skin tear 2 times weekly and PRN. Interview with staff person 1 revealed to the LI that these incidents involving resident 1 had not been reported to the regional licensing office.
- Staff person 1 emailed the LI a self-reported incident at 2:30PM on 04/07/2026 that at 3:15PM on 04/04/2026 resident 1 was observed on the floor near his doorway, complained of head pain, had a left lower arm skin tear, resident was taken to the emergency department and returned to the facility on 04/05/2026 with a diagnosis of a closed head injury and a subdural hemorrhage. Interview with staff person 1 confirmed that this incident involving resident 1 had not been reported to the regional licensing office within 24 hours.
Plan of correction
Administrator/Designee will ensure to report any major incidents to the regional licensing office
within 24 hours. Administrator will perform routine audits to electronic health records to review
any incidents and ensure notifications/reports are sent within the required timeframe.
March 31, 2026Inspection
Inspection dates
03/31/2026
Areas reviewed
22VAC40-73 PERSONNEL
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: 03/31/2026 9:30AM to 10:15AM
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 03/26/2026 regarding allegations in the area of: personnel
Number of residents present at the facility at the beginning of the inspection: 53
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of interviews conducted with staff: 1
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law.
If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Violations
22VAC40-73-110-1
Based on facility documentation and staff interview, the facility failed to ensure all staff shall be considerate and respectful of the rights, dignity, and sensitivities of persons who are aged or infirm or who have disabilities.
Evidence
- The licensing inspector (LI) received a self-reported incident via email from staff person 1 at 3:46PM on 03/26/2026 that at around 6:50AM on 03/26/2026 staff persons 2 and 3 overheard staff person 4 yelling and cursing at resident 1 during rounds, staff persons 2 and 3 reported the incident to staff person 5, and staff person 5 notified staff person 1 of the incident.
- The self-reported incident contained documentation that the facility released staff person 4 from their duties effective immediately on 03/26/2026. Staff person 1 confirmed this is accurate.
Plan of correction
Staff were not considerate and respectful of the rights, dignity, and sensitivities of
residents.
Administrator/Designee will reinforce facility policy on Resident Rights, Aggressive Staff Training
and Staff Conduct with all staff.
March 18, 2026Inspection
Inspection dates
03/18/2026
Areas reviewed
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
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: 03/18/2026 9:15AM to 12:45PM
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 02/10/2026 regarding allegations in the area of: resident care and related services
Number of residents present at the facility at the beginning of the inspection: 53
Number of resident records reviewed: 2
Number of interviews conducted with staff: 1
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation did not support the self-report of non-compliance with standard(s) or law. However, violation(s) not related to the self-report 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. 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Violations
22VAC40-73-650-E
Based on resident record review and staff interview, the facility failed to ensure the resident’s record shall contain the physician’s or other prescriber’s signed written order or a dated notation of the physician’s or other prescriber’s oral order and shall be organized chronologically in the resident’s record.
Evidence
- The record for resident 1 contains a report of resident physical examination, dated 12/04/2025, that includes a signed physician’s order for Melatonin 9MG by mouth once daily and Heparin 5000-unit subcutaneous injection (Sub-Q) every 8 hours. The resident’s December 2025 MAR does not include documentation of Melatonin 9MG by mouth once daily; however, resident 1’s December 2025 medication administration record (MAR) contains documentation of Melatonin 10MG daily at bedtime with a start date of 12/09/2025 and an end date of 12/13/2025 and it was administered to the resident at 8:00PM on 12/10-13/2025. Resident 1’s December 2025 MAR does not include documentation of Heparin 5000-unit Sub-Q injection every 8 hours
- During on-site inspection, staff person 1 informed the licensing inspector (LI) that they obtained the signed physician’s order for Melatonin 10MG orally at bedtime for 5 days from the pharmacy which discontinued the Melatonin 9MG by mouth once daily physician’s order and obtained from an email the updated report of resident physical examination for resident 1 which discontinued Heparin 5000-unit Sub-Q injection every 8 hours as they were not available in resident 1’s record.
Plan of correction
Administrator/Designee will ensure medication orders and HP are correct prior to admission
date or on admission date. Designee will give Administrator a copy of admission paperwork for
review and Administrator will perform audit to ensure all orders and medications match and/or
have discontinued orders and placed in resident’s chart. Date of correction
3/18/2026-Administrator received Melatonin and Heparin orders at time of inspection
from Admission Team and Pharmacy
March 18, 2026Inspection
Inspection dates
03/18/2026
Areas reviewed
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
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: 03/18/2026 9:15AM to 12:00PM
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 03/04/2026 regarding allegations in the area(s) of: resident care and related services
Number of residents present at the facility at the beginning of the inspection: 53
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation did not support the self-report 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Violations
No violations cited
The inspector documented no violation of standards at this inspection.
March 18, 2026Inspection
Inspection dates
03/18/2026
Areas reviewed
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
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: 03/18/2026 9:15AM to 12:00PM
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 02/14/2026 regarding allegations in the area(s) of: resident care and related services
Number of residents present at the facility at the beginning of the inspection: 53
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation did not support the self-report 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Violations
No violations cited
The inspector documented no violation of standards at this inspection.
March 18, 2026Inspection
Inspection dates
03/18/2026
Areas reviewed
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
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: 03/18/2026 9:15AM to 10:45AM
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 02/13/2026 regarding allegations in the area(s) of: resident care and related services
Number of residents present at the facility at the beginning of the inspection: 53
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation did not support the self-report 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Violations
No violations cited
The inspector documented no violation of standards at this inspection.
January 28, 2026Inspection
Inspection dates
01/28/2026
Areas reviewed
22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS
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: 01/28/2026 10:00AM to 2:00PM
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 01/23/2026 regarding allegations in the areas of: resident care and related services & additional requirements for facilities that care for adults with serious cognitive impairments
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation did not support the self-report of non-compliance with standard(s) or law. However, violation(s) not related to the self-report 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Violations
22VAC40-73-680-D
Based on resident record review and staff interview, the facility failed to ensure medications shall be administered in accordance with the physician’s or other prescriber’s instructions.
Evidence
- The record for resident 1 contains a signed physician’s order, dated 01/15/2026, containing the following: stop Olanzapine 15MG – start Olanzapine 20MG by mouth every evening and stop Benztropine 0.5MG by mouth twice daily – start Benztropine 1MG by mouth twice daily.
- During the on-site inspection on 01/28/2026, resident 1’s January 2026 medication administration record (MAR) contains documentation that the resident is still being administered Benztropine 0.5MG by mouth two times daily and Olanzapine 15MG every evening.
- Interview with staff person 1 confirmed that the facility has not been following the 01/15/2026 signed physician’s order for the aforementioned medications.
Plan of correction
Administrator/Designee will ensure medications will be administered in accordance with physician order. DON/Designee will give the Administrator a copy of new orders for review and the Administrator will perform routine audits to ensure accurate start and stop dates in Electronic Health Record.
January 28, 2026Inspection
Inspection dates
01/28/2026
Areas reviewed
22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS
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: 01/28/2026 10:00AM to 2:00PM
The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection.
A self-reported incident received by VDSS Division of Licensing on 01/26/2026 regarding allegations in the areas of: resident care and related services & additional requirements for facilities that care for adults with serious cognitive impairments
Number of resident records reviewed: 2
Number of interviews conducted with staff: 1
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation did not support the self-report of non-compliance with standard(s) or law. However, violation(s) not related to the self-report 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov
Violations
22VAC40-73-440-F
Based on resident record review and staff interview, the facility failed to ensure the uniform assessment instrument (UAI) shall be completed within 90 days prior to admission to the assisted living facility, except that if there has been a change in the resident’s condition since the completion of the UAI that would affect the admission, a new UAI shall be completed.
Evidence
- Resident 1 was admitted to the facility on 01/21/2026. During on-site inspection on 01/28/2026, staff person 1 provided the licensing inspector (LI) with resident 1’s UAI; however, the provided UAI was dated 04/29/2025. Staff person 1 confirmed that the UAI that was provided to the LI is the only UAI the facility has for resident 1 and confirmed it is older than 90 days.
Plan of correction
Administrator/Designee will ensure that UAI will be completed within 90 days prior to admission. Administrator/Designee will review new admit paperwork prior to admitting to facility to ensure UAI is within 90 day timeframe and if not, will notify Admissions Team to obtain updated UAI from discharging source.
22VAC40-73-450-A
Based on resident record review and staff interview, the facility failed to ensure on or within seven days prior to the day of admission, a preliminary plan of care shall be developed to address the basic needs of the resident that adequately protects the health, safety, and welfare, the preliminary plan shall be developed by a staff person with the qualifications specified in subsection B of this section and in conjunction with the resident, and, as appropriate, other individuals noted in subdivision B 1 of this section, and the preliminary plan shall be identified as such and be signed and dated by the licensee, administrator, or his designee (i.e., the person who has developed the plan), and by the resident or his legal representative.
Evidence
- Resident 1 was admitted to the facility on 01/21/2026. During on-site inspection on 01/28/2026, the record for resident 1 did not contain a preliminary plan of care or a comprehensive individualized service plan (ISP). Staff person 1 informed the licensing inspector (LI) that there is no preliminary plan of care or a comprehensive ISP for resident 1.
Plan of correction
Administrator/Designee will ensure ISP; A preliminary plan will be completed no later than seven days before or on the day of admission to ensure the resident’s basic needs and overall health and safety are met. Designee will complete ISP upon day of admit if one has not been completed seven days prior. Administrator will audit chart day of admission to ensure a preliminary or comprehensive ISP has been completed.