3
Inspections
On record
2
With violations
Visits that cited something
1
Clean visits
Nothing cited
10
Violations cited
Individual findings
9
Standards cited
Distinct rules
0
Complaint visits
Prompted by a complaint
The Mather Tysons was inspected 3 times between July 21, 2025 and January 30, 2026 by the Virginia Department of Social Services. 2 of those visits ended with violations cited and 1 with none. Across that history VDSS cited 10 violations under 9 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
02/07/2027
Administrator
Brandon Davidson
Licensing inspector
Nina Wilson
Inspector phone
(703) 635-6074
Approved for
Assisted Living · Special Care Unit · Non-Ambulatory
Inspection History
3Select an inspection to read the areas reviewed, the inspector's comments and any violations cited.
January 30, 2026Inspection
Inspection dates
01/30/2026
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 ADDITION
Technical assistance
Licensing inspector reviewed the following standards with the facility: 22VAC40-73-250, 22VAC40-73-310, 22VAC40-73-990.
Comments
Type of inspection: Renewal
Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 01/30/2026 Time in: 11:00 AM Time out: 2:42 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: 6
The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility.
Number of resident records reviewed: 2
Number of staff records reviewed: 3
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 4
Observations by licensing inspector: Licensing inspector observed peers interacting with staff and visitors, dining for lunch, and participating in scheduled activities.
Additional Comments/Discussion:
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. 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov
Violations
22VAC40-73-680-G
Based on licensing inspector (LI) observation and staff interview, the facility failed to ensure that over-the-counter medication should remain in the original container, labeled with the resident’s name, or in a pharmacy-issued container, until administered.
Evidence
- The Order Summary Report indicated that resident 1 was prescribed One-A-Day Womens 50+ Oral Tablet (give 1 tablet by mouth every day shift for supplemental).
- During the onsite inspection, 01/30/2026, LI requested to review resident 1’s medication cart with staff 7. LI observed that resident 1’s One-A-Day Womens 50+ Oral Tablet medication bottle was not labeled with resident 1’s name.
- Staff 7 confirmed that resident 1’s One-A-Day Womens 50+ Oral Tablet medication bottle was not labeled with their name.
Plan of correction
Corrective actions which will be accomplished for those residents found to have been affected by the deficient practice:
R1 over the counter medication was labeled with the name of the resident.
What steps are you going to implement to ensure future compliance:
In-service initiated re-educate licensed nursing staff on the facility’s Medication Administration policy regarding proper labeling of medications.
What measures will be put in place to monitor compliance:
The Director of Nursing or designee will conduct random audits ensuring that medications are labeled per facility policy. The audits will be conducted twice a week for 8 weeks. Occasions of non-compliance will be addressed immediately. Results of the audits will be reported to the Administrator and addressed at the monthly QAPI meeting. Review and discussion of audit findings will occur during the meeting.
22VAC40-73-450-C
Based on resident record review and staff interview, the facility failed to ensure that the comprehensive individualized service plan should be completed within 30 days after admission and should include the following: a written description of what services will be provided to address identified needs, and if applicable, other services, and who will provide them.
Evidence
- Resident 1 (admit date, 12/04/2025) ISP dated, 12/25/2025 and resident 2’s (admit date, 09/30/2025) ISP dated, 09/30/2025 were completed in an assessment format that did not include written descriptions of the services provided to address the resident’s needs.
- During the onsite inspection, 01/30/2025, staff 4 confirmed that resident 1 and resident 2’s ISPs were not a written description of the services provided to address identified needs.
Plan of correction
Corrective actions which will be accomplished for those residents found to have been affected by the deficient practice:
R1 and R2 both had comprehensive Individualized Service Plans (ISP’s) completed that provided a description of services provided to address the resident’s needs, however the format is not consisted with VDSS standards. Both ISPs have been corrected to reflect the preferred format.
What steps are you going to implement to ensure future compliance:
Inservice was initiated with Administrator, AL Manager, Director of Nursing and designee to ensure that residents comprehensive Individualized Service Plans (ISP’s) are completed and should include the following: a written description of what services will be provided to address identified needs, and if applicable, other services, and who will provide them on the VDSS preferred form.
What measures will be put in place to monitor compliance:
The Administrator or designee will audit the next 10 admissions to ensure that the comprehensive Individualized Service Plans (ISP’s) are completed and should include the following: a written description of what services will be provided to address identified needs, and if applicable, other services, and who will provide them on the preferred form. Occasions of non-compliance will be addressed immediately. Results of the audits will be reported to the Administrator and addressed at the monthly QAPI meeting. Review and discussion of audit findings will occur during the meeting.
22VAC40-73-1090-A
Based on resident record and staff interview, the facility failed to ensure that prior to his admission to a safe, secure environment, the resident should have been assessed by an independent clinical psychologist licensed to practice in the Commonwealth or by an independent physician as having a serious cognitive impairment due to a primary psychiatric diagnosis of dementia with an inability to recognize danger or protect his own safety and welfare. The physician should be board certified or board eligible in a specialty or subspeciality relevant to the diagnosis and treatment of serious cognitive impairments (e.g., family practice, geriatrics, internal medicine, neurology, neurosurgery, or psychiatry).
Evidence
- Resident 2 (admit date, 09/30/2025) Assessment of Serious Cognitive Impairment was completed by the facility’s Licensed Practical Nurse (LPN) on 09/30/2025.
- During the onsite inspection, 01/30/2026, staff 4 confirmed that resident 1’s Assessment of Cognitive Impairment was not completed by a board certified or board eligible physician in a specialty or subspeciality relevant to the diagnosis and treatment of serious cognitive impairments. Staff 4 also confirmed that the Assessment of Cognitive Impairment was completed on the date of admission, not prior to that date.
Plan of correction
Corrective actions which will be accomplished for those residents found to have been affected by the deficient practice:
R2 was reassessed by a physician who is board certified or board eligible in a specialty or subspeciality relevant to the diagnosis and treatment of serious cognitive impairments.
What steps are you going to implement to ensure future compliance:
Inservice initiated with Administrator, AL Manager, Director of Nursing and designee to ensure that residents prior to admissions are assessed by an independent clinical psychologist licensed to practice in the Commonwealth or by an independent physician as having a serious cognitive impairment due to a primary psychiatric diagnosis of dementia with an inability to recognize danger or protect his own safety and welfare. The physician should be board certified or board eligible in a specialty or subspeciality relevant to the diagnosis and treatment of serious cognitive impairments
What measures will be put in place to monitor compliance:
The Administrator or designee will conduct audits of the next 10 admissions ensuring that the correct assessment is completed prior to admission and by a physician who is board certified or board eligible in a specialty or subspeciality relevant to the diagnosis and treatment of serious cognitive impairments. Occasions of non-compliance will be addressed immediately. Results of the audits will be reported to the Administrator and addressed at the monthly QAPI meeting. Review and discussion of audit findings will occur during the meeting.
October 3, 2025Inspection
Inspection dates
10/03/2025
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 THE SWORN STATEMENT OR AFFIRMATION22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT
Technical assistance
Licensing inspector (LI) reviewed the following standards with the facility: 22VAC40-73-260 and 22VAC40-73-990.
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: 10/03/2025
Time in: 10:35 AM Time out: 1:40 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: 4
The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility.
Number of resident records reviewed: 2
Number of staff records reviewed: 2
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 1
Observations by licensing inspector: Licensing inspector (LI) completed a 60-day monitoring. LI observed residents participating in physical therapy and interacting with peers and staff.
Additional Comments/Discussion:
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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.
Violations
22VAC40-73-240-C
Based on record review and staff interview, the facility failed to ensure to maintain the following documentation on volunteers: emergency contact information and information on any qualifications, orientation, training, and education required by this chapter, included any specified relevant information.
Evidence
- The Volunteer Registration Form for volunteer 4 (start date, 08/17/2025) and volunteer 5 (start date, 08/17/2025) did not include emergency contacts and information on any required qualifications.
- During the onsite inspection, 10/03/2025 staff 3 confirmed volunteer 4 and volunteer 5’s records did not include emergency contact information and information on any qualifications, orientation, training, and education required.
Plan of correction
Corrective actions which will be accomplished for those residents found to have been affected by the deficient practice:
The registration forms of Volunteer 4 and Volunteer 5 were updated to include emergency contacts and information on any required qualifications including orientation, training and education.
What steps are you going to implement to ensure future compliance:
The AL Manager and Resident Engagement Director were in-serviced by the Administrator to ensure that documentation on volunteers including emergency contact information, information on any qualifications, orientation, training, and education required are completed.
What measures will be put in place to monitor compliance:
The Administrator or designee will audit the next 10 volunteer registration packets to ensure emergency contact information and information on any qualifications, orientation, training, and education required by this chapter have been completed. Occasions of non-compliance will be addressed immediately. Results of the audits will be reported to the Administrator and addressed at the monthly QAPI meeting. Review and discussion of audit findings will occur during the meeting
22VAC40-73-1090-A
Based on resident record review and staff interview, the facility failed to ensure that prior to their admission to a safe, secure environment, the resident should have been assessed by an independent clinical psychologist licensed to practice in the Commonwealth or by an independent physician as having a serious cognitive impairment due to a primary psychiatric diagnosis of dementia with an inability to recognize danger or protect his own safety and welfare. The physician should be board certified or board eligible in a specialty or subspeciality relevant to the diagnosis and treatment of serious cognitive impairments (e.g., family practice, geriatrics, internal medicine, neurology, neurosurgery, or psychiatry).
Evidence
- Resident 1 (admit date, 08/19/2025) Assessment of Serious Cognitive Impairment was completed by the facility’s Physician Assistant-Certified (PA-C) on 08/20/2025.
- During the onsite inspection, 10/03/2025 staff 3 confirmed that resident 1’s Assessment of Cognitive Impairment was not completed by a board certified or board eligible physician in a specialty or subspeciality relevant to the diagnosis and treatment of serious cognitive impairments. Staff 3 also confirmed that the Assessment of Cognitive Impairment was not completed prior to resident 1’s admit date.
Plan of correction
Corrective actions which will be accomplished for those residents found to have been affected by the deficient practice:
R1 was reassessed by a physician who is board certified or board eligible in a specialty or subspeciality relevant to the diagnosis and treatment of serious cognitive impairments.
What steps are you going to implement to ensure future compliance:
Inservice initiated with Administrator, AL Manager, Director of Nursing and designee to ensure that residents prior to admissions are assessed by an independent clinical psychologist licensed to practice in the Commonwealth or by an independent physician as having a serious cognitive impairment due to a primary psychiatric diagnosis of dementia with an inability to recognize danger or protect his own safety and welfare. The physician should be board certified or board eligible in a specialty or subspeciality relevant to the diagnosis and treatment of serious cognitive impairments
What measures will be put in place to monitor compliance:
The Administrator or designee will conduct audits of the next 10 admissions ensuring that the correct this assessment is completed prior to admission and by a physician who is board certified or board eligible in a specialty or subspeciality relevant to the diagnosis and treatment of serious cognitive impairments. Occasions of non-compliance will be addressed immediately. Results of the audits will be reported to the Administrator and addressed at the monthly QAPI meeting. Review and discussion of audit findings will occur during the meeting.
22VAC40-73-1110-A
Based on resident record and staff interview, the facility failed to ensure that prior to admitting a resident with a serious cognitive impairment due to a primary psychiatric diagnosis of dementia to a safe, secure environment, the licensee, administrator, or designee determined whether placement in the special care unit was appropriate. The determination and justification for the decision should be in writing and retained in the resident’s file.
Evidence
- Upon request, the facility did not provide documentation of the determination and justification on whether placement in the special care unit was appropriate for resident 1 (admit date, 08/19/2025).
- During the onsite inspection, 10/03/2025, staff 3 confirmed that resident 1 did not have documentation of the determination and justification on whether placement in the special care unit was appropriate by the licensee, administrator, or designee in their record.
Plan of correction
Corrective actions which will be accomplished for those residents found to have been affected by the deficient practice:
The documentation for R1 for the determination and justification on whether placement in a special care unit was appropriate was completed.
What steps are you going to implement to ensure future compliance:
Inservice initiated with Administrator, AL Manager, Director of Nursing to ensure that prior to admitting a resident with serious cognitive impairment due to a primary psychiatric diagnosis of dementia to a safe, secure environment, the licensee, administrator, or designee determined whether placement in the special care unit is appropriate
What measures will be put in place to monitor compliance:
The Administrator or designee will conduct audits of the next 10 admissions ensuring that the determination and justification on whether placement in a special care unit was appropriate was completed prior to admission. Occasions of non-compliance will be addressed immediately. Results of the audits will be reported to the Administrator and addressed at the monthly QAPI meeting. Review and discussion of audit findings will occur during the meeting.
22VAC40-73-720-A
Based on resident record review and staff interview, the facility failed to ensure that Do Not Resuscitate (DNR) Orders for withholding cardiopulmonary resuscitation from a resident in the event of cardiac or respiratory arrest may only be carried out in a licensed assisted living facility when the written order was included in the individualized service plan.
Evidence
- Resident 1 and resident 2’s DNR statuses were not included in the individualized service plans.
- During the onsite inspection, 10/03/2025 staff 3 confirmed that resident 1 and resident 2’s DNR was not included on their individualized service plans.
Plan of correction
Corrective actions which will be accomplished for those residents found to have been affected by the deficient practice:
R1 and R2’s DNR status was not present on their initial individualized service plan
R1 and R2’s DNR status was reviewed, and it was included in the comprehensive service plan completed on 8.22.25 and 9.30.25, respectively.
What steps are you going to implement to ensure future compliance:
In-service initiated with Director of Nursing and AL Manager to ensure that Do Not Resuscitate (DNR) orders for withholding cardiopulmonary resuscitation from a resident in the event of a cardiac or respiratory arrents is included in individualized service plans.
Updated the ISP form to provide more spaces for this information.
What measures will be put in place to monitor compliance:
The Administrator or designee will audit the individualized service plans of the next 20 admissions to ensure that Do Not Resuscitate (DNR) orders for withholding cardiopulmonary resuscitation from a resident in the event of a cardiac or respiratory arrents are included. Occasions of non-compliance will be addressed immediately. Results of the audits will be reported to the Administrator and addressed at the monthly QAPI meeting. Review and discussion of audit findings will occur during the meeting.
22VAC40-73-240-F
Based on record review and staff interview, the facility failed to ensure prior to beginning volunteer service, all volunteers maintained an orientation including information on their duties and responsibilities and reporting requirements. Volunteers should sign and date a statement that they have received and understand this information.
Evidence
- The Orientation Skills Checklist for Volunteers did not include information on their duties and responsibilities and the name of their supervisor.
- Volunteer 4 and volunteer 5 did not sign and date The Orientation Skills Checklist for Volunteers.
- During the onsite inspection, 10/03/2025, staff 3 confirmed that the Orientation Skills Checklist for Volunteers did not include their duties and responsibilities and the name of their supervisor. Staff 3 also confirmed that the Orientation Skills Checklist for Volunteers was not signed and dated by volunteer 4 and volunteer 5.
Plan of correction
Corrective actions which will be accomplished for those residents found to have been affected by the deficient practice:
Volunteer 4 and Volunteer 5’s orientation skills checklist was updated to include their duties and responsibility and the name of their supervisor.
Volunteer 4 and Volunteer 5 completed and signed the updated checklist.
What steps are you going to implement to ensure future compliance:
The AL Manager and Resident Engagement Director were in-serviced by the Administrator to ensure that the correct form was used which outlines that volunteers complete an orientation including information on their duties, responsibilities and reporting requirements.
Volunteer forms were updated to make completion of this information easier.
What measures will be put in place to monitor compliance:
The Administrator or designee will audit the next 10 volunteer registration packets to ensure that they have completed the orientation check list which outlines their duties, responsibilities and reporting requirements prior to starting their volunteer assignment. Occasions of non-compliance will be addressed immediately. Results of the audits will be reported to the Administrator and addressed at the monthly QAPI meeting. Review and discussion of audit findings will occur during the meeting.
22VAC40-73-680-D
Based on resident record review and staff interview, the facility failed to ensure that medications administered in accordance with the physician’s or other prescriber’s instructions and consistent with the standards of practices outlines in the current medication aide curriculum approved by the Virginia Board of Nursing.
Evidence
- Resident 2 was prescribed Carbidopa- Levodopa Oral Tablet 25-100MG (give 0.5 tablet by mouth one time a day for Parkinson’s Disease).
- Resident 2’s September 2025’s Medication Administration Record (MAR) indicated that Carbidopa-Levodopa 25- 100MG was not documented as administered on 09/30/2025.
- During the onsite inspection, 10/03/2025 staff 3 confirmed that resident 2’s Carbidopa-Levodopa Oral Tablet 25- 100MG was not documented as administered on 09/30/2025.
Plan of correction
Corrective actions which will be accomplished for those residents found to have been affected by the deficient practice:
R2’s medication was not documented as administered on 9.30.25.
Upon further review, the medication was administered by the family on 9.30.25. 9.30.25 was the admission date of R2.
What steps are you going to implement to ensure future compliance:
In-service initiated to re-educate licensed nursing staff on the facility’s Medication Administration policy and documentation of the administration of medication including documenting any medications given prior to admission by the facility.
What measures will be put in place to monitor compliance:
The Director of Nursing or designee will conduct random audits ensuring that medications are administered and documented per facility policy. The audits will be conducted twice a week for 8 weeks. Occasions of non-compliance will be addressed immediately. Results of the audits will be reported to the Administrator and addressed at the monthly QAPI meeting. Review and discussion of audit findings will occur during the meeting.
22VAC40-73-970-E
Based on record review and staff interview, the facility failed to ensure that the required fire and emergency evacuation drills included the number of staff participating, number of residents participating, the time it took to complete the drill, weather conditions, and problems encountered.
Evidence
- August 2025 and September 2025’s fire and emergency evacuation drill forms did not include the number of staff participating, number of residents participating, the time it took to complete the drill, weather conditions, and problems encountered.
- During the onsite inspection, 10/03/2025, staff 3 confirmed that the fire and emergency evacuation drill forms did not include the number of staff participating, number of residents participating, the time it took to complete the drill, weather conditions, and problems encountered.
Plan of correction
Corrective actions which will be accomplished for those residents found to have been affected by the deficient practice:
The form for completing fire drills was updated to include the number of staff participating, number of residents participating, the time it took to complete the drill, weather conditions and problems encountered
What steps are you going to implement to ensure future compliance:
Inservice initiated with Administrator, AL Manager, Director of Nursing and Building Services designee on the new form which includes the number of staff participating, number of residents participating, the time it took to complete the drill, weather conditions and problems encountered
What measures will be put in place to monitor compliance:
The Administrator or designee will conduct audits ensuring that the correct form with the aforementioned elements are completed for fire and emergency evacuation drills. The audits will be conducted on facility drills for the next 60 days. Occasions of non-compliance will be addressed immediately. Results of the audits will be reported to the Administrator and addressed at the monthly QAPI meeting. Review and discussion of audit findings will occur during the meeting.
July 21, 2025Inspection
Inspection dates
07/21/2025
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 IMPAIRMENTS
Comments
Type of inspection: Initial
Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 07/21/2025 Time in: 12:03 PM Time out: 2:52 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: N/A
The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility.
Number of resident records reviewed: N/A
Number of staff records reviewed: 0
Number of interviews conducted with residents: N/A
Number of interviews conducted with staff: N/A
Observations by licensing inspector: N/A
Additional Comments/Discussion: Measurements of the apartments were completed. The first aid kits and required postings were observed and reviewed.
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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.
Violations
No violations cited
The inspector documented no violation of standards at this inspection.