Prestige Assisted Living — Virginia Inspection Report

Inspections

On record

With violations

Visits that cited something

Clean visits

Nothing cited

Violations cited

Individual findings

Standards cited

Distinct rules

Complaint visits

Prompted by a complaint

Prestige Assisted Living was inspected 4 times between September 5, 2024 and July 29, 2026 by the Virginia Department of Social Services. 2 of those visits ended with violations cited and 2 with none. Across that history VDSS cited 14 violations under 11 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.

VDSS publishes inspections on a rolling window. 1 of these 4 is still on the state's site; the other 3 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

Conditional

License expires

01/30/2027

Administrator

Stephen Gachoki

Licensing inspector

Sarah Pearson

Inspector phone

(540) 680-9469

Approved for

Non-Ambulatory · Assisted Living

Inspection History

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

July 29, 2026Inspection0 violations

Inspection dates

07/29/2026

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 PREPAREDNESS22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION

Violations

✅

No violations cited

The inspector documented no violation of standards at this inspection.

September 2, 2025Inspection10 violations

Inspection dates

Sept. 2, 2025

Areas reviewed

Administration and Administrative ServicesPersonnelStaffing and SupervisionAdmission, Retention and Discharge of ResidentsResident Care and Related ServicesResident Accommodations and Related ProvisionsBuilding and GroundsEmergency PreparednessBackground Checks for Assisted Living FacilitiesSworn Statement

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: 9/2/2025 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: 2 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: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: The LI toured the ALF, resident watchin TV and interacting with staff, another resident was pursuing independent craft project. 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 Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov

Violations

22VAC40-73-190-C

Based on staff record review and observation, the facility failed to ensure, prior to being placed in charge, the staff member shall be informed of and receive training on his duties and responsibilities and provide written documentation of such duties and responsibilities.

Evidence

When the LI arrived at the facility there was one staff member working, staff 1. Staff 1 stated she was getting ready to leave for her shift and staff 2 would relieve her.
Staff 2 arrived at the facility to relieve staff 1.
LI reviewed staff files for staff 1 and staff 2 and there was no written documentation of duties and responsibilities for being the designated direct staff member in charge in their staff file.

Plan of correction

The facility will ensure that all staff members designated to be in charge receive training on their duties and responsibilities prior to assuming the role. Written documentation outlining these duties and responsibilities will be provided, signed by the staff member, and maintained in their personnel file.

22VAC40-73-250-D

Based on staff record review, the facility failed to for each staff person on or within seven days prior to the first day of work at the facility and each household member prior to coming in contact with residents shall submit the results of a risk assessment, documenting the absence of tuberculosis.

Evidence

Staff 1 hired, 9/21/2024 did not have record of a risk assessment for tuberculosis on date of inspection on 9/2/2025.
Staff 2 hired, 9/20/2024 did not have record of a risk assessment for tuberculosis on date of inspection on 9/2/2025.
Staff 1 hired, 9/27/2024 did not have record of a risk assessment for tuberculosis on date of inspection on 9/2/2025.

Plan of correction

The facility will ensure that all staff and household members submit documented tuberculosis risk assessments prior to the first day of work or contact with residents. Any missing TB assessments will be obtained immediately and placed in the staff files. Going forward, no staff will be permitted to begin work until the risk assessment is on file.

22VAC40-73-260-B

Based on staff record review, the facility failed to ensure that at least one staff person in each building at all times has current certification in CPR.

Evidence

When the LI arrived at the facility, staff 1 was the only staff member working in the facility. There was no record of CPR training in staff 1’s file.
Staff 3, a registered medication aide, had no record of CPR training in staff 3’s file.

Plan of correction

The facility will ensure that at least one staff member on duty at all times holds current CPR certification. All staff files will be reviewed, and any missing documentation will be obtained or updated immediately. Staff without current certification will be scheduled for CPR training, and proof of certification will be maintained in personnel files. The facility will ensure that a tuberculosis risk assessment is completed and documented for all residents upon admission. Resident 1’s assessment will be completed immediately, and all other resident records will be reviewed to confirm compliance. Going forward, no admission will be finalized without a completed TB risk assessment in the resident’s file.

22VAC40-73-290-A

Based on staff interview and observation, the facility failed to maintain a written work schedule that includes the names and job classification of all staff working each shift, with an indication of whomever is in charge at any given time.

Evidence

The LI asked staff 2 for the written work schedule and staff 2 stated it was on her phone but not available for the LI to review.

Plan of correction

The facility will maintain a written work schedule that includes all staff names, job classifications, and the designated staff in charge for each shift. A hard copy of the schedule will be kept on-site and available for review at all times.

22VAC40-73-290-B

Based on observation, the facility failed to develop and implement a procedure for posting the name of the current on-site person in charge in a place in the facility that is conspicuous to the residents and the public.

Evidence

During the entrance inspection of the facility by the LI, the LI did not observe a posting of the name of the current on-site person in charge.

Plan of correction

The facility will develop and implement a procedure to post the name of the current on-site person in charge in a location that is visible and accessible to residents and the public. The posting will be updated at the start of each shift to ensure compliance.

22VAC40-73-320-A

Based on resident record review, the facility failed to complete a risk assessment for tuberculosis.

Evidence

A risk assessment documenting absence tuberculosis could not be located for Resident 1.

Plan of correction

The facility will ensure that a tuberculosis risk assessment is completed and documented for all residents at the time of admission. Resident 1’s TB risk assessment will be completed immediately, and all other resident records will be reviewed to verify compliance. Going forward, no admission will be accepted without a completed and documented TB risk assessment in the resident file.

22VAC40-73-325-B

Based on resident record review, the facility failed to complete a written fall risk rating.

Evidence

Resident 1 admitted 61/2025 did not have a written fall risk rating completed in the resident record.
Resident 2 admitted 6/1/225 did not have a written fall risk rating completed in the resident record.

Plan of correction

The facility will ensure that a written fall risk rating is completed and documented for all residents at the time of admission. Fall risk assessments for Residents 1 and 2 will be completed immediately, and all current resident records will be reviewed to confirm compliance. Moving forward, no admission will be finalized without a completed fall risk rating in the resident’s record.

22VAC40-73-350-B

Based on resident record review, the facility failed to ascertain, prior to admission, whether a potential resident is a registered sex offender.

Evidence

Resident 1 was admitted to the facility on 6/1/2025. There was no documentation of sex offender screening completed in the resident’s record to review.
Resident 2 was admitted to the facility on 6/1/2025.There was no documentation of sex offender screening completed in the resident’s record to review.

Plan of correction

The facility will ensure that sex offender registry checks are completed and documented for all potential residents prior to admission. Sex offender screenings for Residents 1 and 2 will be completed immediately and placed in their records. Going forward, no resident will be admitted without documented verification of a completed sex offender registry check in the admission file.

22VAC40-73-520-I

Based on observation, the facility failed to ensure that there are 14 hours of scheduled activities available to the residents each week for no less than one hour each day.

Evidence

During the inspection on 9/2/2025, there was no posted activities schedule.

Plan of correction

The facility will ensure that a minimum of 14 hours of scheduled activities are available to residents each week, with at least one hour offered each day. An activities schedule will be developed, posted in a conspicuous location, and updated weekly. Documentation of completed activities will be maintained for review.

22VAC40-73-610-B

Based on observation, the facility failed to ensure menus for meals and snacks for the current week shall be dated and posted in an area conspicuous to residents.

Evidence

During the inspection on 9/2/2025, there was no weekly menu posted in the facility.

Plan of correction

The facility will ensure that menus for meals and snacks are dated and posted in a location visible to residents at all times. A current weekly menu will be prepared, dated, and posted each week. Copies of all menus will be kept on file for review

June 30, 2025Inspection4 violations

Areas reviewed

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: 06/30/2025 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: 2 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: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: The LI observed residents eating lunch and participating in activity programs. 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 Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov

Violations

22VAC40-73-250-D

Based on staff record review and staff interview, the facility failed to on or within seven days prior to the first day of work at the facility and each household member prior to coming in contact with residents shall submit the results of a risk assessment, documenting the absence of tuberculosis.

Evidence

Staff 1 hired 9/20/2024 did not have the results of a risk assessment, documenting the absence of tuberculosis in their staff file. Staff 3 stated it was not completed.

Plan of correction

The facility will ensure that all new hires/employees will submit the results of a risk assessment documenting the absence if TB within seven days prior to the first day of work at the facility.

22VAC40-73-325-A

Based on resident record review and staff interview, the facility failed to complete a written fall risk rating by the time the comprehensive Individualized Service Plan was completed.

Evidence

On the date of inspection on 7/1/2025, Resident 1 (admitted on 6/1/2025) did not have a completed written risk rating completed. Staff 3 stated it was not completed.
On the date of inspection on 7/1/2025, Resident 2 (admitted 3/12/2025) did not have a completed written risk rating completed. Staff 3 stated it was not completed.

Plan of correction

The facility will ensure that a written fall risk rating is completed by the time the comprehensive Individualize service plan is completed.

22VAC40-73-520-I

Based on LI observation and staff interview, the facility failed to post a written schedule of activities.

Evidence

On the date of inspection on 7/1/2025, during the facility tour, the LI did not observe an activity calendar posted in the facility.
Staff 3 stated he had not printed the activity calendar to be posted.

Plan of correction

The facility will ensure that a written schedule of activities is always posted.

22VAC40-73-610-B

Based on LI observation and staff interview, the facility failed to post the current week’s menu.

Evidence

On the date of inspection on 7/1/2025, during the facility tour, the LI did not observe the current week’s menu posted in the facility. Staff 3 stated he had not printed the current week’s menu to be posted

Plan of correction

The facility will ensure that the current week’s menu is always posted.

September 5, 2024Inspection0 violations

Inspection dates

Sept. 5, 2024

Areas reviewed

Comments

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 - no residents have been admitted Number of staff records reviewed: 4 Number of interviews conducted with residents: 0 no residents have been admitted Number of interviews conducted with staff: 1 Observations by licensing inspector: Licensing Inspector measured all bedrooms and confirmed sufficient toilets, sink and showers/baths. Reviewed Emergency Preparedness Plan, Infection Control policies along with facility policies, facility forms and employee files. Additional Comments/Discussion: An exit meeting was 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 Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov

Violations

✅

No violations cited

The inspector documented no violation of standards at this inspection.