Vinson Hall — 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

Vinson Hall was inspected 5 times between December 16, 2021 and November 12, 2025 by the Virginia Department of Social Services. 4 of those visits ended with violations cited and 1 with none. Across that history VDSS cited 12 violations under 10 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 and no longer serves any of these on its site. All 5 are reproduced from Assisted Living Magazine's archive of the original VDSS reports.

Provider Information

Facility type

Assisted Living Facility

License type

Two Year

License expires

12/17/2025

Administrator

Mr. Ken Connelly

Licensing inspector

Marshall Massenberg

Inspector phone

(804) 543-5188

Approved for

Residential and Assisted Living Care · Ambulatory Only

Inspection History

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

November 12, 2025Inspection6 violations

Inspection dates

Nov. 12, 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 GROUNDS22VAC40-73 EMERGENCY PREPAREDNESS22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS63.2 GENERAL PROVISIONS63.2 PROTECTION OF ADULTS AND REPORTING63.2 LICENSURE AND REGISTRATION PROCEDURES63.2 FACILITIES AND PROGRAMS22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT22VAC40-80 THE LICENSE

Technical assistance

Documentation was discussed with the provider.

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: 11/12/25 (8:45 AM ? 5:10 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: 176 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: Eight Number of interviews conducted with staff: Two Observations by licensing inspector: Meal, Medication Administration, Activity 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 Marshall Massenberg, Licensing Inspector at (804) 543-5188 or by email at Marshall.x.massenberg@dss.virginia.gov.

Violations

22VAC40-73-210-B

Based on record review, the facility did not ensure that all direct care staff attend at least 18 hours of training annually. EXCEPTION: Direct care staff who are licensed health care professionals or certified nurse aides shall attend at least 12 hours of annual training.

Evidence

Staff #2's record was reviewed during the inspection. Staff #2, a certified nurse aide (CNA), was hired on 11/5/12 as a CNA/Med Tech. Training records indicated that Staff #2 completed approximately six hours of training between 11/5/24 and 11/5/25. Staff #2 completed less than the 12 required hours of annual training for a certified nurse aide.

Plan of correction

a. Staff #2 has been scheduled for additional training sessions to meet the 12-hour requirements. Documentation will be updated in the staff training record. b. Training Compliance Tracker will be implemented to monitor annual training hours for all staff. Alerts will be generated when staff are within 60 days of their training deadline. c. Clinical Educator will oversee compliance and review training logs monthly to verify compliance, and any variances will be addressed. d. The DCS will conduct an audit of 10% staff training records monthly for three months to validate staff member compliance with all the required training courses e. Results of the audits will be reviewed at QAPI for further recommendations. f. Completion Date: 12/14/2025

22VAC40-73-260-A

Based on record review, the facility did not ensure that each direct care staff member maintains current first aid certification.

Evidence

The record for Staff #1, hired 1/31/22 as a CNA/Med Tech, was reviewed during the inspection. Staff #1's first aid certification expired in October 2025.

Plan of correction

a. Staff #1 has been scheduled for a first aid recertification course and updated certification will be filed in the personnel record upon completion. b. Ongoing audits will be conducted by Clinical Educator monthly and notifications sent to Administrator and Clinical manager prior to certification expiration dates to obtain renewed certifications timely. c. Clinical Educator will perform routine audits to ensure compliance d. Results of the audits will be reviewed at QAPI for further recommendations e. date of completion 12/14/2025

22VAC40-73-490-A

Based on record review, the facility did not ensure that the health care oversight is provided at least every six months.

Evidence

The facility's most recent health care oversight, dated 4/17/25, was observed during the inspection. The most recent health care oversight was more than six months old, at the time of the inspection.

Plan of correction

a. Scheduled health care oversight visit for all residents on 11/13/2025 b. Completed oversight documentation will be filed in resident records and reviewed by the Director of Nursing. c. Health Care Oversight Tracking Log implemented to generate alerts 30 days before the six-month deadline to ensure timely scheduling d. DCS will ensure compliance and maintain oversight documentation. e. Compliance will be discussed during quarterly Quality Assurance meetings 12/14/2025 f. Completion Date: 12/14/2025

22VAC40-73-640-A

Based on record review, the facility did not implement the medication management plan to ensure that each resident's prescription medications and any over-the-counter drugs and supplements are filled and refilled in a timely manner to avoid missed dosages.

Evidence

Resident #1's record contains an order for Calcium Carbonate + Vitamin D, dated 10/13/25. Resident #1's medication administration record (MAR) indicates that the medication has not been administered to Resident #1 in October 2025 or November 2025. The most recent note about the medication, dated 11/2/25, states that the med was not available yet and that the resident's daughter is aware.

Plan of correction

a. Residents Physician was notified on 11/12/2025 of the missed medications. No negative outcome to resident #1 as a result of missing OTC Calcium supplement, The attending physician determined the OTC Calcium Supplement was no longer clinically necessary, and discontinued the medication order, the MAR was updated to reflect this change 11/12/2025. b. The Wellness Nurses completed an audit of all residents' medications and current supplies available on 11/12/2025. No further deficiencies were found. c. Wellness Nurses and RMAs will be re-educated on the medication management plan including the process on what to do when medication is not available. d. DCS or designee will audit 10% of residents' medication records weekly, times 4, and 10% of residents' medication records monthly, x 2 e. Results of the audits will be reviewed at QAPI for further recommendations. f. Education Completion Date: 12/14/2025

22VAC40-73-680-M

Based on observation and interview, the facility did not ensure that PRN medications are available and properly stored at the facility.

Evidence

PRN Anusol cream, ordered 2/26/25 for Resident #2, was not present at the time of the medication cart inspection. Facility staff confirmed that the medication was not present, at the time of the medication cart inspection.

Plan of correction

a. Residents Physician evaluated Resident #2 during onsite visit and determined PRN medication was no longer clinically needed. Physician discontinued medication order; MAR updated 11/12/2025. b. The Wellness Nurses completed an audit of all residents' medications and current supplies available on 11/12/2025. No further deficiencies were found. c. Wellness nurses and RMAs were re-educated on Medication Management plan and regulations, to include PRN medications to be available to residents at all times, properly stored and PRN medications that have not been used within 60 days will be reviewed for discontinuation to ensure medication relevance. d. DCS or designee will audit 10% of residents' medication records weekly, times 4, and 10% of residents' medication records monthly x 2. e. Results of the audits will be reviewed at QAPI for further recommendations. f. All education will be completed by 12/14/2025.

22VAC40-73-840-B

Based on record review and interview, the facility did not ensure that pets living on the assisted living premises have regular immunizations.

Evidence

Pet records were reviewed during the inspection. Rabies vaccinations for Pet #1 and Pet #2 were overdue, at the time of the inspection. Facility staff confirmed that the rabies vaccines, for Pet #1 and Pet #2, were overdue at the time of the inspection.

Plan of correction

a. The resident's responsible parties were notified and copy of rabies vaccinations for Pet #1 received 11/13/2025, Pet #2 received copy of annual vaccine 11/18/2025. Updated vaccination records will be filed in the facility's pet records. b. Pet immunization Log implemented to track vaccination dates and due dates for all pets residing in the facility. c. Resident Services Coordinator will verify pet vaccination records quarterly and ensure compliance. d. Compliance will be reviewed during Quality Assurance meetings. e. Full implementation by 12/14/2025 f. Full implementation by 12/14/2025

March 7, 2025Inspection4 violations

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 GROUNDS22VAC40-73 EMERGENCY PREPAREDNESS63.2 GENERAL PROVISIONS63.2 PROTECTION OF ADULTS AND REPORTING63.2 LICENSURE AND REGISTRATION PROCEDURES63.2 FACILITIES AND PROGRAMS22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT22VAC40-80 THE LICENSE22VAC40-80 THE LICENSING PROCESS

Technical assistance

Documentation was discussed with the provider.

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: 3/7/25 (8:50 AM - 5:10 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: 179 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: Eight Number of interviews conducted with residents: Three Number of interviews conducted with staff: Two Observations by licensing inspector: Meal, Medication Administration, Activities 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 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 Marshall Massenberg, Licensing Inspector at (804) 543-5188 or by email at Marshall.x.massenberg@dss.virginia.gov

Violations

22VAC40-73-210-B

Evidence

Staff #1's record was reviewed during the inspection. Staff #1 was hired on 3/28/12 as a med tech/nursing assistant. Training records indicated that Staff #1 completed approximately nine hours of training between 3/28/23 and 3/28/24. No information was included in Staff #1's record to indicate that Staff #1 is a licensed health care professional or certified nurse aide.

Plan of correction

Staff #1 - Mandatory training courses of at least 12 hours will be completed by each staff member. The Nurse Educator/designee will complete a 100% audit of all staff training records to validate completion and documentation of all required courses. Staff members with outstanding training requirements will be scheduled for training with an established timeline for completion. The Administrator/designee will conduct an audit of 10% staff training records monthly for three months to validate staff member compliance with all the required training courses. Results of the audits will be reviewed at QAPI for further recommendations

22VAC40-73-250-D

Based on record review and interview, the facility did not ensure that each staff member annually submits the results of a tuberculosis risk assessment.

Evidence

Staff #1's record was reviewed during the inspection. Staff #1 was hired in March 2012. No documentation was provided, during the inspection to confirm that Staff #1 had received a tuberculosis risk assessment within the past year. Facility staff confirmed that a tuberculosis risk assessment, completed within the past year, was not present in Staff #1's file during the inspection.

Plan of correction

Staff #1 - Employee annual Virginia TB Risk Assessment was completed and on file. Clinical Educator will track and audit all employees every 6 months to ensure the Virginia TB Risk Assessment is completed and up to date. Results of the audits will be reviewed at QAPI for further recommendations.

22VAC40-73-680-D

Based on record review, the facility did not ensure that medications are administered in accordance with the physician’s instructions.

Evidence

Resident #1's Amlodipine order calls for the medication to be held if the resident's SBP is less than 120. Resident #1's February MAR indicated that his Amlodipine was administered, when his SBP was less than 120, on 2/19/25 (SBP 112) and 2/24/25 (SBP 111). Resident #3's record contained orders for Bisoprolol Fumarate and Irbesartan that called for the medications to be held if the resident’s SBP is less than 100 and her pulse is less than 60. Resident #3's February MAR indicated that her Bisoprolol Fumarate and Irbesartan were held on the following dates: 2/11/25, 2/12/25, 2/19/25, 2/22/25, 2/25/25, and 2/27/25. Resident #3's SBP was noted less than 100 on the above dates, but her medication was held when her pulse was above 60 on 2/11/25 (P: 76), 2/19/25 (P: 71), 2/22/25 (P: 87), 2/25/25 (P: 76), and 2/27/25 (P: 71).

Plan of correction

Resident #1 ? Antihypertensive Medication not administered per physician parameters (hold if systolic under 120) Physician notified and resident was reassessed for current blood pressure control with no adverse effects resulting from administration outside of physician ordered parameters. Staff involved were re-educated immediately by DCS regarding the importance of administering medications within physician-ordered parameters Resident #3 Antihypertensive Medication not administered per physician ordered parameters (two parameters for holding medication) The physician was notified, and orders were clarified to ensure the resident's blood pressure is adequately managed. Staff involved were re-educated immediately by DCS regarding the importance of administering medications within physician-ordered parameters Medication administration refresher course scheduled and to be completed by RMAs by March 21, 2025. DCS or designee to conduct random audits of Medication administration records to ensure compliance with physician ordered parameters x 2 months then quarterly. Results of the audits will be reviewed at QAPI for further recommendations.

22VAC40-73-680-M

Based on observation and interview, the facility did not ensure that PRN medications are available and properly stored at the facility.

Evidence

PRN Robitussin, ordered for Resident #2, was not present at the time of the medication cart inspection. PRN Clonazepam, ordered for Resident #3, was expired at the time of the medication cart inspection. The medication package indicated that the medication expired on 2/21/25.

Plan of correction

Resident #2 - Pharmacy notified and medication received delivered by back up pharmacy. Resident #3 - Medication removed and destroyed The physician notified and order discontinued as resident has not received medication x 60 days. Cart Audits to be continued weekly by Licensed Staff Expired medications will be removed from cart promptly In-service regarding ordering medications timely, PRN medications to be available to residents at all times and properly stored, expired medications to be removed from cart promptly. DCS or designee will complete random audits of medication carts to ensure compliance. Results of audits will be reviewed at QAPI for further recommendations.

October 19, 2023Inspection0 violations

Inspection dates

Oct. 19, 2023

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

Date of Inspection: October 19, 2023 Type of Inspection: Renewal inspection Census: 15 Number of records reviewed and interviews conducted- 7 records, 6 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The Licensing Inspector observed residents participating in activity pursuits and eating lunch. Licensing Inspector observed medication administration and inspected the medication cart. If you have any questions or email changes, please do not hesitate to contact me at sarah.pearson@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov.

Violations

✅

No violations cited

The inspector documented no violation of standards at this inspection.

March 29, 2023Inspection1 violation

Areas reviewed

Administration and Administrative ServicesPersonnelStaffing and SupervisionAdmission, Retention and Discharge of ResidentsResident Care and Related ServicesResident Accommodations and Related ProvisionsBuildings and GroundsEmergency PreparednessBackground Checks for Assisted Living FacilitiesThe Sworn Statement or Affirmation

Comments

Date of Inspection: March 29 & 30, 2023 Type of Inspection: Monitoring inspection Census 20 Number of records reviewed - 8 records, 4 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The LI observed residents involved in activity programs and observed medication and treatment administration. The LI also reviewed record of fire drills, Healthcare Oversight, Dietary Review, Medication Review, Resident Council Minutes, Emergency Preparedness Review and Emergency Practice Drills. If you have any questions or email changes, please do not hesitate to contact me at sarah.pearson@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov. The Licensing Inspector and the Administrator discussed the risk assessment ratings for the violations for this inspection. Please complete the “plan of correction” and “date to be corrected” for each violation cited on the violation notice and returned it to the office. You will need to specify how the deficient practice will be or has been corrected. 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). The completed corrective action needs to be in the licensing office by April 19, 2023

Violations

22VAC40-73-440-H

Based on resident record review and staff interview, it was determined that the facility failed to update the Uniform Assessment Instrument (UAI) when the resident's condition changed.

Evidence

Res A, B and D had changes updated on their Individualized Service Plan (ISP), but not on their UAI.

Plan of correction

Clinical Director will ensure nursing staff responsible for UAI assessment and ISP documentation will complete refresher course in UAI and ISP Training within the next 90 Days. Clinical Director will ensure UAI and ISPs found to be inconsistent from review will be corrected/updated to reflect current care and services being provided immediately. Clinical Director will ensure 10% sample of resident UAI/ISP at the end of each month will be audited for 100% compliance

December 16, 2021Inspection1 violation

Inspection dates

Dec. 16, 2021

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 ACCOMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDING AND GROUNDS22VAC40-73 EMERGENCY PREPAREDNESS22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTSArticle 1Subjectivity63.2 General Provisions63.2 Protection of adults and reporting63.2 Licensure and Registration Procedures63.2 Facilities and Programs22VAC40-90 Background Checks for Assisted Living Facilities22VAC40-90 The Sworn Statement or Affirmation22VAC40-90 The Criminal History Record Report22VAC40-80 THE LICENSE

Comments

An unannounced renewal study was conducted from 8:45 a.m. - 1:45 p.m. on 12/16/2021. At the time of entrance 20 residents were in care. The sample size consisted of three resident records and three staff records. Four residents and three staff were interviewed. Resident and staff records and other documentation reviewed. Criminal Background Checks of all staff hired since previous inspection conducted on 09/18/2020 were reviewed. Residents were observed eating breakfast and engaging in activities including exercise, art class and resident council. Medication administration was observed with three residents and cart observed for PRN medications. Building and Grounds and postings observed. Violation notice issued, risk ratings reviewed and exit interview held. Areas of non-compliance are identified on the violation notice. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to the licensing office within 10 calendar days. Please specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. The plan of correction must contain: 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the non-compliance from occurring again, 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s), and 4) date that that plan of correction will be completed. Thank you for your cooperation and if you have any questions please call (703) 895-5627 or contact me via e-mail at jeannette.zaykowski@dss.virginia.gov.

Violations

22VAC40-73-200-C

Evidence

Staff 3 was hired as a Personal Care Aid on 10/22/2021 and a personal care aide training program has not been completed within two months of employment.

Plan of correction

HR Director will obtain copy of the employee #1 Personal Care Aid training records. Additionally, the HR Director will audit 100% of all Personal Care Aid training records immediately. The HR Director will audit 100% of newly hired Personal Care Aid training records for 100% compliance every 3 months.