VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bickford of Virginia Beach
2629 Princess Anne Road
Virginia beach, VA 23456
(757) 821-0198

Current Inspector: Alyshia E Walker (757) 670-0504

Inspection Date: Aug. 13, 2025 and Aug. 22, 2025

Complaint Related: Yes

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 ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUND 22VAC40-80 COMPLAINT INVESTIGATION

Comments:

Type of inspection: Complaint An unannounced complaint inspection was conducted on 8-13-25 and 8-22-25. (Ar 09:05 a.m./Dep 12:05 p.m.) 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 8-12-25 regarding allegations in the resident care and related services and buildings and grounds. Number of residents present at the facility at the beginning of the inspection: 58 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: N/A Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 4 Observations by licensing inspector: resident?s room and dog on 8-13-25 Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. 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 Willie Barnes, Licensing Inspector at 757-439-6815 or by email at willie.barnes@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-450-F
Complaint related:	Yes
Description:	Based on record reviewed and staff interviewed, the facility failed to ensure the resident?s individualized service plan (ISP) included all assessed needs. Evidence: 1. On 8-22-25, resident #1?s uniform assessment instrument dated 8-6-25 noted the resident eating/feeding need assessed as independent. The ISP dated 8-6-25 noted resident need, ?meal reminders or cueing to eat?. Walking need assessed as mechanical help/physical assistance, the ISP noted, ?resident is able to walk without assistive devices?Resident will walk dog three times a day, 8am., 2pm and 7pm.? The resident was observed using a wheelchair and pushed by staff, and unable to walk. The resident is assessed as disoriented, some spheres/some of the time, time and place spheres affected. The ISP did not include what services staff would provide to meet resident?s assessed need.
Plan of Correction:	*Resident #1 ISP was updated to include all assessed needs with regards to eating/feeding, mechanical devices used with ambulation, and any references to the dog which no longer lives in the apartment. * Moving forward, all assessed needs will be compared to the ISP and audited by the Health and Wellness Coord. to assure that all assessed needs are reflected on the ISP. The audited and corrected (if needed) ISP will be uploaded and maintained in August Health. *These will be spot checked during routine weekly eChart audits by the E.D. or designee. Person Responsible: Health & Wellness Dir., Health and Wellness Coord., and E.D./Designee Target Completion Date: 9/23/2025
Standard #:	22VAC40-73-860-I
Complaint related:	No
Description:	Based on observation and staff interviewed, the facility failed to ensure cleaning supplies and other hazardous materials were stored in a locked area. Evidence: 1. On 8-22-25, two (2) bottles of cleaning spray were observed in the hallway on a storage bin located near resident #2?s room- #307. 2. Staff #1 acknowledged the cleaning items should have been placed in a locked storage.
Plan of Correction:	*The 2 bottles of disinfectant, located outside of Resident #2 apartment, were immediately removed by the Executive Director. *The Housekeeper was re-educated on the importance of properly securing all cleaning products in a locked area. *Cleaning storage areas and carts will be checked, during routine rounds, to assure that they are locked and that all cleaning supplies or other hazardous materials are properly secured in a locked area while not in use by staff. Person Responsible: Exec. Dir., Health & Wellness Dir., Health and Wellness Coord., or Designee Target Completion Date: 8/22/25
Standard #:	22VAC40-73-870-B
Complaint related:	Yes
Description:	Based on inspection of resident?s room and BFMs interviewed, the facility failed to ensure a resident?s room was free from foul, stale, and musty odors. Evidence: 1. On 8-13-25, following a complaint of resident in room 305 having an odor and resident not able to care for self and dog, the inspector and staff # 3 went to room 305. The room had a very strong odor of urine and dog food. Interviews with BFMs stated, the resident?s dog urinates on the resident?s bed and floor. Pads were placed on the floor for the dog, but the dog will not always use the pad. Staff #3, stated the administrator was aware of the situation with the dog and the resident?s family was also notified. The ISP dated 8-6-25 noted, ?resident?s apartment will be clean and free of odor?. 2. Staff #1 acknowledged that the resident was no longer able to care for self and the dog. Staff #1 stated contacting the family to address the situation and possible relocate the resident to the facility?s safe, secure unit (Mary Bs locked/secure unit because of cognitive decline).
Plan of Correction:	*As a follow up to several recent conversations with Resident #1 son and daughter about the dog and the inability to properly care for the pet, they picked up the dog that same day on 8/13/2025. *Resident #1 apartment carpet was cleaned again and deodorized, as well as any other items that have an odor. The son of Resident #1 assisted with this process. *There are no other residents with dogs or foul odors caused by pets. *If a resident with a pet is no longer able to care for their pet, the family/POA will be asked to make other arrangements for the pet and given a deadline. Revised pet policies are in place within our move-in packets that took effect on 9/1/25. Person Responsible: Executive Director Target Completion Date: 9/1/2025