All citations for Ashby Ponds Inc

22VAC40-73 standard 22VAC40-73-460-D: Based on documentation, the facility did not ensure that supervision of resident schedules, care, and activities, including attention to specialized needs, such as prevention of falls and wandering from the premises.

22VAC40-73 standard 22VAC40-73-650-A: Based on documentation and record review, the facility did not ensure that no medication is started, changed, or discontinued by the facility without a valid order from a physician or other prescriber.

22VAC40-73 standard 22VAC40-73-1090-A: Based on record review and interview, the facility did not ensure that prior to each resident?s admission to the safe, secure environment, that the resident is assessed by an independent clinical psychologist 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.

VDSS inspection on June 18, 2025 (routine) with no cited violations

VDSS inspection on Jan. 16, 2025 (routine) with no cited violations

VDSS inspection on Dec. 6, 2024 (routine) with no cited violations

22VAC40-73 standard 22VAC40-73-460-D: Based on record review and interview, the facility failed to provide supervision of resident schedules, care, and activities including attention to specialized needs, such as wandering from the premises.

22VAC40-73 standard 22VAC40-73-260-C: Based on observation and interview, it was determined that the facility did not ensure that a listing, of all staff that are certified in first aid or CPR, was posted in an area accessible to all staff at all times.

22VAC40-73 standard 22VAC40-73-680-I: Based on record review, it was determined that the facility did not ensure that the medication administration record ( MAR ) includes all of the required information.

22VAC40-73 standard 22VAC40-73-970-A: Based on documentation, it was determined that the facility did not ensure that fire drills were conducted in accordance with the current edition of the Virginia Statewide Fire Prevention Code (13VAC5-51). The drills required for each shift in a quarter shall not be conducted in the same month.

22VAC40-73 standard 22VAC40-73-680-M: Based on observation and interview, it was determined that the facility did not ensure that PRN medications are available and properly stored at the facility.

22VAC40-73 standard 22VAC40-73-680-D: Based on record review, it was determined that the facility did not ensure that medications are administered in accordance with the physician's instructions.

22VAC40-73 standard 22VAC40-73-560-E: Based on observation and interview, it was determined that the facility did not ensure that resident records are kept in a locked area.

22VAC40-73 standard 22VAC40-73-290-B: Based on observation and documentation, it was determined that the facility did not ensure that the name of the on-site person in charge is posted in a place that is conspicuous to the residents and the public.

VDSS inspection on May 31, 2024 (routine) with no cited violations

Provide safe, appropriate pain management for a resident who requires such services.

Honor the resident''s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Develop and implement a complete care plan that meets all the resident''s needs, with timetables and actions that can be measured.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Provide and implement an infection prevention and control program.

Provide safe, appropriate pain management for a resident who requires such services.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Provide and implement an infection prevention and control program.

VDSS inspection on July 18, 2023 (routine) with no cited violations

VDSS inspection on June 16, 2023 (routine) with no cited violations

VDSS inspection on April 5, 2023 (routine) with no cited violations

22VAC40-73 standard 22VAC40-73-130-A: Based upon a review of records, the facility failed to ensure that all staff who are mandated reporters under ? 63.2-1606 of the Code of Virginia shall report suspected abuse, neglect, or exploitation of residents in accordance with that section.

VDSS inspection on Jan. 26, 2023 (routine) with no cited violations

22VAC40-73 standard 22VAC40-73-970-A: Based upon a review of records, the facility failed to ensure that fire and emergency evacuation drill frequency and participation shall be in accordance with the current edition of the Virginia State Fire Prevention Code (13VAC5-51). The drills required for each shift in a quarter shall not be conducted in the same month.

VDSS inspection on June 16, 2022 (routine) with no cited violations

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Provide and implement an infection prevention and control program.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Provide and implement an infection prevention and control program.

VDSS inspection on March 14, 2022 (routine) with no cited violations

VDSS inspection on Oct. 13, 2021 (routine) with no cited violations

22VAC40-73 standard 22VAC40-73-460-D: Based upon a review of records and interview the facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs, such as prevention of falls and wandering from the premises.

22VAC40-73 standard 22VAC40-73-320-A: Based upon a review of records, the facility failed to ensure that within the 30 days preceding admission, a person shall have a physical examination by an independent physician. The report of such examination shall be on file at the assisted living facility and shall contain the following: height, weight, and blood pressure.

Develop and implement a complete care plan that meets all the resident''s needs, with timetables and actions that can be measured.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Ensure services provided by the nursing facility meet professional standards of quality.

Provide safe and appropriate respiratory care for a resident when needed.

Provide safe, appropriate pain management for a resident who requires such services.

Provide safe, appropriate dialysis care/services for a resident who requires such services.