Virginia DSS · Assisted Living Facility

The Trillium Tyson's

📍 1620 Boro Place, Mc Lean, VA, 22102

ID 50503One Year licenseActive
3
Inspections
On record
2
With violations
Visits that cited something
1
Clean visits
Nothing cited
6
Violations cited
Individual findings
6
Standards cited
Distinct rules
0
Complaint visits
Prompted by a complaint

The Trillium Tyson's was inspected 3 times between September 10, 2024 and March 19, 2025 by the Virginia Department of Social Services. 2 of those visits ended with violations cited and 1 with none. Across that history VDSS cited 6 violations under 6 distinct standards.

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
One Year
License expires
04/10/2027
Administrator
Caroline Ottoviani
Licensing inspector
Jacquelyn Kabiri
Inspector phone
(703) 397-3017
Approved for
Special Care Unit · Non-Ambulatory · Assisted Living

Inspection History

3

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

March 19, 2025Inspection4 violations
Inspection dates
03/19/2025
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 GROUND22VAC40-73 EMERGENCY PREPAREDNESS22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTSARTICLE 1 – SUBJECTIVITY63.2- (1) GENERAL PROVISIONS22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT22VAC40-80 THE LICENSE
Comments
Type of inspection: Renewal Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 03/19/2025 8:00 AM to 2:15 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: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 6 Observations by licensing inspector: Medication Pass, Medication Cart Check, Assisted living and Memory Care Meals 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. 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 Amanda Velasco, Licensing Inspector at (703) 397-4587 or by email at Amanda.Velasco@dss.virginia.gov
Violations
22VAC40-73-650-B
Based on direct observation, staff interview, and resident record review, the facility failed to ensure physician orders included the diagnosis, condition, or specific indications for administering each drug.
Evidence
  1. During a medication pass observation with Staff 4 and Resident 1, the LI observed that the Electronic Medication Administration Record (EMAR) was missing the diagnosis on some of the orders for Resident 1.
  2. Resident 1’s, admitted 01/31/2025, record contains a Physician Order Summary (POS) dated 03/19/2025, with no diagnosis listed on the following medications: Atorvastatin Calcium F/C 80 MG Tablet Tab, Carboxymethylcellulose Sodium 0.5% Drops Drops, Clopidogrel F/C 75 MG Tablet Tab, Losartan Potassium, Modafinil 100 MG Tablet Tab, Trazodone 100 MG Tablet Tab, and Vitamin D3 2000u Tab 50 MCG Tablet Tab.
  3. Resident 2’s, admitted 12/09/2024, record contains a POS dated 03/19/2025, with no diagnosis listed on the following medications: Duloxetine HCL 60 MG Capsule DR Cap, Ezetimibe 10 MG Tablet Tab, Ipratropium 0.03% 21 MCG Spray Spray, Mybertriq F/C 50 MG Tab ER 24 H Tab, Ozempic Outer, SUV 2MG/0.75ML Pen INJCTR, Synjardy XR 12.5-1000TAB BP 24 H Tab, Telmisartan 40 MG Tablet Tab, Triamcinolone Acetonide 01% Cream (G) Cream (G), and Vitamin D3 50 MCG Capsule Cap.
  4. Resident 4’s, admitted 01/30/2025, record contains a POS dated 03/19/2025 with no diagnosis listed on the following medications: Atorvastatin 10 MG Tablet Tab, CO Q 10 200-MG Capsule Cap, Donezapil HCL F/C 10 MG Tablet Tab, Eliquis 5 MG Tablet Tab, and Tadalafil 5 MG Tablet Tab.
  5. In an interview on 03/19/2025 with the LI, Staff 1 confirmed that the medication was missing the diagnosis.
  6. Photo Evidence Obtained.
Plan of correction
All current resident physician’s orders will be audited for compliance. The Trillium will implement a supplemental Admissions Orders document to accompany the VDSS Report of Resident Physical Examination. This document ensures that providers clearly indicate the diagnosis, condition, or specific clinical justification for each prescribed medication. Additionally, Trillium has collaborated with its pharmacy partner to align processes and ensure ongoing regulatory compliance.
22VAC40-73-860-I
Based on direct observation, the facility failed to ensure cleaning supplies and other hazardous materials were stored in a locked area.
Evidence
  1. During a tour of the building on 03/19/2025 with Staff 2, the LI observed a bottles of hand sanitizer and a bottle of germicidal wipes out on a cart behind the nurses’ station in Memory Care. A second bottle of hand sanitizer was observed on the counter near the kitchenette in Memory Care. Staff 2 acknowledged they were not in a locked area.
  2. Photo evidence obtained.
Plan of correction
All staff will be reeducated on appropriate storage of supplies in a safe, secure environment. Administration will increase environmental safety rounds in Memory Care and report findings in Safety Committee meetings to monitor ongoing compliance.
63.2-1808-A-17
Based on direct observation and staff interview, the facility failed to ensure resident’s were accorded respect for ordinary privacy in every aspect of daily living including but not limited to in the care of their personal needs or in health related consultations the residents may have at the facility.
Evidence
  1. On 03/19/2025, the LI observed a medication pass between Staff 5 and Resident 3. Resident 3 was at the dining table with approximately four (4) other residents eating breakfast. Resident 3’s eyes were closed, and they seemed to be resting. Staff 5 spoke to her while encouraging her to take medications, stating the name of the medications in front of other residents. Staff 5 was rubbing Resident 3’s arm to maintain Resident 3’s attention, continued to talk through the steps ensuring that Resident 3 had swallowed the medication. Staff 5 needed to administer a patch and pulled both the right and left sleeve down exposing Resident 3’s shoulder and collarbone to ensure the old patch had been removed prior to administration. During the medication pass, two other residents were making comments about Resident 3’s medication pass in a teasing manner.
  2. In an interview with the LI on 03/19/2025, Staff 5 confirmed that they typically administer medication in the dining room.
Plan of correction
Charge Nurses will receive refresher training on medication administration techniques and best practices for supporting individuals with dementia. The training will emphasize the preservation of resident rights and the promotion of dignity throughout the medication administration process.
22VAC40-73-560-E
Based on direct observation and staff interview, the facility failed to ensure that all resident records were stored in a locked area.
Evidence
  1. During a tour of the building on 03/19/2025 with Staff 2, the LI observed physician’ orders with resident personal information out on the cart behind and on the counter of the nurse’s station. Staff 2 acknowledged the information was not stored in a locked area.
  2. Photo evidence obtained.
Plan of correction
All Charge Nurses will complete additional training on the proper handling and secure storage of Protected Health Information (PHI). The Trillium will also evaluate alternative options for a secure office workstation and storage options within the Memory Care household.
January 9, 2025Inspection2 violations
Inspection dates
01/09/2025
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 GROUND22VAC40-73 EMERGENCY PREPAREDNESS22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION
Technical assistance
Medication Management Plan Review
Comments
Type of inspection: Monitoring Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 01/09/2025 9:30 AM to 3:45 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: 24 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: 2 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 5 Observations by licensing inspector: Activities, Meals, Safe Secure Unit, Medication Pass 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. 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 Amanda Velasco, Licensing Inspector at (703) 397-4587 or by email at Amanda.Velasco@dss.virginia.gov
Violations
22VAC40-73-350-B
Based on resident record review and staff interview, the facility failed to ascertain whether a potential resident is a registered sex offender prior to admission.
Evidence
  1. The following records contained sex offender checks that were completed on 01/09/2025: a. Resident 1, admitted 01/07/2025 b. Resident 2, admitted 12/03/2024 c. Resident 4, admitted 11/26/2024
  2. Staff 4 confirmed that the sex offender checks were not completed prior to admission.
Plan of correction
Trillium staff have completed an audit of all resident files and made the necessary corrections. Moving forward, the Move-In Coordinator will be responsible for conducting a sex offender check prior to admission. Administration will regularly audit the files to ensure continuous compliance
22VAC40-73-870-G
Based on direct observation and staff interview, the facility failed to ensure that the grounds are maintained, including removal of snow and ice.
Evidence
  1. On 01/09/2025, the LI observed snow and ice covering the walkway in the Special Care Unit’s secured outdoor area.
  2. Staff 3 and 4 acknowledged that there was still snow and ice covering the walkway in the secured outdoor space.
  3. Photo evidence obtained.
Plan of correction
In the event of inclement winter weather, the Special Care Unit's secured outdoor area will be included on the Winter Weather Checklist for pretreatment and snow/ice removal after the event.
September 10, 2024Inspection0 violations
Inspection dates
09/10/2024
Areas reviewed
22VAC40-73 GENERAL PROVISIONS22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDINGS AND GROUND22VAC40-73 EMERGENCY PREPAREDNESSARTICLE 1 – SUBJECTIVITY63.2- (1) GENERAL PROVISIONS22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION22VAC40-80 THE LICENSE22VAC40-80 THE LICENSING PROCESS
Technical assistance
1180-C. Special environmental enhancements, tailored to the population in care, shall be provided by the facility to enable residents to maximize their independence and to promote their dignity in comfortable surroundings. Examples of environmental enhancements include memory boxes, activity centers, rocking chairs, and visual contrast between plates and eating utensils and the table.
Comments
Type of inspection: Initial Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 09/10/2024 10:00 AM to 5:40 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: 0 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. 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: 4 Additional Comments/Discussion: Facility agreed to send all updated/finalized policies, forms, and procedures via email for application. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website should the facility be issued a license to operate. 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 a licensed facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Amanda Velasco, Licensing Inspector at (703) 397-4587 or by email at Amanda.Velasco@dss.virginia.gov
Violations
✅
No violations cited
The inspector documented no violation of standards at this inspection.