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Hickory Hill Retirement Community
900 Cary Shop Road
Burkeville, VA 23922
(434) 767-4225

Current Inspector: Coy Stevenson (804) 972-4700

Inspection Date: July 8, 2022

Complaint Related: No

Areas Reviewed:
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22VAC40-73 GENERAL PROVISIONS
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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
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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
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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
?
22VAC40-80 COMPLAINT INVESTIGATION
?
22VAC40-80 SANCTIONS

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: July 8, 2022 12:15 ? 12:30 p.m.
The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection.

The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary.

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 Alexandra Poulter, Licensing Inspector at (804)662-9771 or by email at alex.poulter@dss.virginia.gov

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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