VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shenandoah Senior Living
103 Lee Burke Road
Front royal, VA 22630
(540) 635-7923

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: Dec. 9, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUND 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS ARTICLE 1 ? SUBJECTIVITY 32.1 REPORTED BY PERSONS OTHER THAN PHYSICIANS 63.2 GENERAL PROVISIONS 63.2 PROTECTION OF ADULTS AND REPORTING 63.2 LICENSURE AND REGISTRATION PROCEDURES 63.2 FACILITIES AND PROGRAMS 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION 22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT 22VAC40-80 THE LICENSE 22VAC40-80 THE LICENSING PROCESS

Comments:

Type of inspection: Initial Date(s) of inspection and time the licensing inspector completed inspection virtually for the facility: 12/09/2022 Number of residents present at the facility at the beginning of the inspection: 33 The licensing inspector completed a virtual tour of the physical plant that included the building and grounds of the facility. The facility recently turned the lower level into a memory care unit. This was reviewed at a previous inspection under the current owners. Number of resident records reviewed: N/A - initial Number of staff records reviewed: N/A - Initial Number of interviews conducted with residents: N/A - Initial Number of interviews conducted with staff: N/A - Initial Observations by licensing inspector: This initial inspection was completed virtually due to Covid being in the building. The facility had recently had an inspection under the current licensee that covered many of the areas of review. The administrator will remain and is aware that any previous violations should be addressed by the new management company when the changeover occurs. Licensing is still awaiting a current fire and health inspection which should be forthcoming after the first of the year. Copies will be sent to the licensing office to be added to the application. Background checks related to the new management company are also in process and will be forwarded upon receipt. In addition to the previous violation issues, the facility will need to secure new background checks for all employees, update all employee information to reflect new employers and complete a new disclosure and admission agreements with the residents. The facility will be issued a conditional license that is good for six months. At the end of the six months the facility will complete a renewal application. Please note no fee is required for moving from conditional to a regular license. Additional Comments/Discussion: The health department continues to issue health certificates as opposed to completing full inspections unless there is a complaint due to remaining in a pandemic status. An exit meeting will be conducted to review the inspection findings. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. Should you have any questions, please contact Sharon DeBoever, Licensing Inspector at (540) 292-5930 or by email at sharon.deboever@dss.virginia.gov