VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sunrise of Fairfax
9207 Arlington Boulevard
Fairfax, VA 22031
(703) 691-0046

Current Inspector: Marshall Massenberg (804) 543-5188

Inspection Date: Aug. 6, 2025

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS

Comments:

Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 8/6/25 (9:05 AM - 2:25 PM). The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 7/25/25 regarding allegations in the areas of: Resident Care and Related Services; Safe, Secure, Environment Number of resident records reviewed: Five Number of interviews conducted with residents: Four Number of interviews conducted with staff: Four Observations by licensing inspector: Medication administration, meals, activities The evidence gathered during the investigation supported the allegation of noncompliance. The evidence gathered during the investigation supported the allegation of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/or Violation Notice. 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 Marshall Massenberg, Licensing Inspector at (804) 543-5188 or by email at Marshall.x.massenberg@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-560-E
Complaint related:	No
Description:	Based on observation and interview, it was determined that the facility did not ensure that resident records are kept in a locked area. Evidence: 1. At approximately 10:26 AM (8/6/25), the third-floor wellness office was observed to be open and unattended. 2. Resident records are kept on the shelves in the staff office. 3. Staff #3 was contacted in order to have the office locked.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-660-A-1
Complaint related:	No
Description:	Based on observation, the facility did not ensure that the medication storage area remains locked. Evidence: The facility's fourth-floor medication cart was observed to be unlocked and unattended at approximately 9:18 AM (8/6/25). The medication cart contained the medications for various residents that live on the facility's fourth floor. The third-floor wellness office was observed to be unlocked and unattended at approximately 10:26 AM. Several of Resident #5's medications were observed on a desk in the office.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-660-B
Complaint related:	No
Description:	Based on observation and documentation, the facility did not ensure that medication storage is limited to an out-of-sight place in the rooms of those residents whose UAI (uniform assessment instrument) has indicated that the resident is capable of self-administering medication. Evidence: Acetaminophen and Vitamin E were observed near Resident #2's bed. Resident #2's physical examination, dated 4/29/24, states that the resident is not capable of self-administering medication. Resident #2's UAI, updated 10/22/24, states that the resident needs the assistance of medication aides and nurses for medication administration. Tums and Triamcinolone cream were observed near Resident #3's bed. Resident #3's UAI, updated 8/27/24, states that the resident needs the assistance of nurses and med techs for medication administration.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-680-D
Complaint related:	Yes
Description:	Based on record review and interview, the facility did not ensure that medications are administered in accordance with the physician?s instructions. Evidence: Resident #3's morning medication administration was observed during the inspection. Resident #3 reported that she did not receive her medication the previous evening (8/5/25). Resident #3's MAR (medication administration record) did not include documentation to indicate that she received her evening medications on 8/5/25: Cetirizine, Lidocaine patch, Nifedipine, Simvastatin, Trazadone, Dymista, Eliquis, Levetiracetam, Losartan Potassium, Senna-Docusate, Acetaminophen (9 PM administration), Hydralazine (7 PM administration). No progress notes were observed, during the inspection, that indicated that Resident #3 received her evening medication on 8/5/25. Resident #1's MAR indicates that his Vitamin D was not administered on 7/23/25. The medication was listed on the MAR as "pending delivery."
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-680-I
Complaint related:	No
Description:	Based on record review, the facility did not ensure that all of the required information is included on the medication administration record (MAR). Evidence: Resident #1's July and August MARs were reviewed during the inspection. Resident #1's MAR did not include documentation about the administration of his: Atorvastatin (8/5/25 ? evening administration), Fluticasone (8/5/25 ? evening administration), Melatonin (8/5/25 ? evening administration), Metoprolol (8/5/25 ? evening administration). No information was included on Resident #3's MAR to document the morning administration of the following medications on 7/6/25: Aspirin 81mg, Duloxetine, Isosorbide, Lasix, Magnesium, Miralax, Omeprazole, Oxybutynin, Potassium Chloride, Preservision, Vitamin D, Dymista, Eliquis, Levetiracetam, Losartan Potassium, Senna, Acetaminophen, Hydralazine.
Plan of Correction:	Not available online. Contact Inspector for more information.