VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bridgeforth Manor
2683 Washington Avenue Ext.
Victoria, VA 23974
(434) 696-3461

Current Inspector: Angela Rodgers-Reaves (804) 662-9774

Inspection Date: Dec. 23, 2020 , Dec. 29, 2020 and Dec. 30, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was initiated on 12/23/2020 and concluded on 12/30/2020. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was 5. The inspector emailed the administrator a list of items required to complete the inspection. The inspector reviewed 2 resident records, 2 staff records, required facility documentation, medication administration records and physician orders submitted by the facility to ensure documentation was complete. An exit meeting was held with the administrator. The information gathered during the inspection determined no violations with applicable standards or law. No violations were issued. Please contact me by e-mail at T.Lesley@dss.virginia.gov if further assistance is needed.