VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heritage Village Assisted Living and Memory Care
13650 Heathcote Boulevard
Gainesville, VA 20155
(703) 468-1895

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: April 22, 2022

Complaint Related: No

Areas Reviewed:

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 ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity

Comments:

Date of Inspection: April 22, 2022 Type of Inspection: Monitoring Inspection If you have any questions or email changes, please do not hesitate to contact me at laura.lunceford@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. Census 84 Number of records reviewed and interviews conducted- 4 resident records and 3 staff records, 8 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The residents were observed during activities and lunch. The Licensing Inspector reviewed the fire drills, dietician report, pharmacy review and health care oversight.