Cogir of Alexandria Fillmore was inspected 7 times between July 7, 2023 and April 22, 2026 by the Virginia Department of Social Services. 3 of those visits ended with violations cited and 4 with none. Across that history VDSS cited 12 violations under 10 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
Inspection History
7Select an inspection to read the areas reviewed, the inspector's comments and any violations cited.
April 22, 2026Inspection
March 13, 2026Inspection
- During the onsite inspection, 03/17/2026 licensing inspector (LI) requested to review resident 13’s medication cart. During the review, LI noted that an over-the-counter (OTC) medication, Dulcolax was in the medication cart. Staff 11 stated that the medication was removed from resident 13’s unit on a separate day and stored in the medication cart. Staff 7 confirmed that resident 13 does not have a physician’s order for Dulcolax.
- The medication management plan stated, “discontinued, expired, or unused medications shall be removed from active medication supply and stored securely until disposal.” Staff 7 and staff 11 acknowledged that the OTC medication was not disposed of properly.
- During the onsite inspection, 03/13/2026, licensing inspector (LI) toured the second floor, wellness office and noted ceiling tile missing in the ceiling; and on the tour of the fourth floor. LI observed cabinets missing, leaving an opening in the floor, a spout exposed, chipped painting, and discolored walls.
- During the onsite inspection, 03/13/2026, staff 6 and staff 7 confirmed that the wellness office was missing a ceiling tile and the fourth floor was missing cabinets, which indicated that those areas of the building was not maintained in good repair.
- The oversight of special diet (11/17/2025) provided a recommendation for resident 4, “speech therapy consult for dysphagia and least restrictive diet textures.”
- Upon request, 03/13/2026, the facility did not provide documentation of action taken in response to the recommendations noted in the oversight of special diet.
- During the onsite inspection, 03/13/2026, staff 7 acknowledged that documentation of action taken in response to the recommendations noted in the oversight of special diet was not provided to licensing inspector upon request.
- Upon request, 03/17/2026, the facility did not provide documentation of the resident emergency reviews completed at least every six months.
- During the onsite inspection, 03/17/2026, staff 7 acknowledged that documentation of resident emergency reviews were not provided to licensing upon request.
- February 2026 call pendant report indicated that resident 7 requested support on 02/26/2026 at 8:11 am and received a response in 42 minutes; requested support 02/27/2026 at 4:06 am and received a response in 3 hours and 16 minutes.
- February 2026 call pendant report indicated that resident 8 requested support on 02/26/2026 at 8:12 am and received a response in 33 minutes.
- February 2026 call pendant report indicated that resident 6 requested support on 02/26/2026 at 7:26 pm and received a response in 33 minutes.
- February 2026 call pendant report indicated that resident 5 requested support on 02/27/2026 at 4:16 am and received a response in 1 hour and 16 minutes.
- February 2026 call pendant report indicated that resident 9 requested support on 02/27/2026 at 9:44 am and received a response in 45 minutes; and 02/27/2026 at 12:13 pm and received a response in 34 minutes.
- February 2026 call pendant report indicated that resident 10 requested support on 02/27/2026 at 5:19 am and received a support in 1 hour and 21 minutes.
- During the onsite inspection, 03/13/2026, licensing inspector (LI) asked staff 7 the expectation for staff to respond to the call pendant request. Staff 7 stated, 20 minutes or earlier. Staff 7 acknowledged that not all resident call pendant requests received a prompt response by staff and that the facility does not have a policy regarding call pendants.
- Resident 1’s ISP (01/16/2026) stated, “independent, resident does not require assistance with toileting” and “independent, resident does not require assistance with transferring;” however, the Uniform Assessment Instrument (UAI, 01/20/2026) indicated that mechanical help is needed with tolieting and tranfers.
- Resident 3’s ISP (03/13/2026) stated, “independent, resident does not require assistance with bathing,” “independent, resident does not require assistance with dressing,” and “independent, resident does not require assistance with toileting;” however, the UAI (11/26/2025) indicated that mechanical help is needed wiht bathing, dressing, and toileting.
- Resident 4’s ISP (03/03/2026) did not include toileting support; however, the UAI (01/20/2026) indicated mechanical help with toileting.
- Resident 5’s ISP (02/03/2026) did not include bowel and bladder support; however, the UAI (12/30/2025) indicated “incontinent, weekly or more.”
- During the onsite inspection, 03/13/2026, staff 7 acknowledged that resident 1, resident 3, resident 4, and resident 5’s ISPs were not updated to include information obtained from their UAIs.
March 26, 2025Inspection
- The elevator inspection expired on 03/31/2022. The elevator continued to fail inspections due to the phone line not working.
- On 03/26/2025, LI interviewed staff 6 who confirmed that the elevator had not passed inspection since 03/31/2022.
- Resident 4’s fall risk rating (completed, 01/20/2025) indicated to implement high risk fall prevention interventions; however, the ISP (completed on 11/14/1024) indicated a moderate risk for falls.
- Resident 3 had an order for Levothyroxin tab 88 MCG, Mirtazapine tab 30 MG ODT, Vitamin C 1000 MG, and Vitamin E Cap 180 MG; however, these medications were not present in medication cart at the time of inspection.
- Resident 4 had an order for Aspirin Low CHW 81 MG, Hydralazine tab 10 MG, Vitamin B12 Ortal Tablet Extended, and Release 1000 MCG; however, these medications were not present in the medication cart at the time of inspection.
- On 03/26/2025, LI completed the medication review with staff 5, who confirmed that resident 3 and resident 4’s medications were not present in the medication cart.
- Staff 1 and staff 2’s record contained a CPR certification from NationalCPRFoundation.
- On 03/26/2025, LI interviewed staff 5 confirmed that staff 1 and staff 2’s CPR certifications were not from the required organizations.
February 6, 2025Complaint survey
March 29, 2024Inspection
- 03/29/24 LI observed staff to prepare medications, turned to administer the medication but failed to lock the prior to walking away to administer the medication to the resident. LI prompted staff to secure medication cart.
- The elevator certificate was dated 03/31/2022.