VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Riverside Assisted Living at Sanders
7407 Walker Avenue
Gloucester, VA 23061
(757) 693-2000

Current Inspector: Darunda Flint (757) 807-9731

Inspection Date: Jan. 29, 2026 and Jan. 30, 2026

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 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 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION 22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT

Comments:

Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 01/29/2026 ( arrival 9:01 a.m. / departure 4:30 departure) and 01/30/2026 (arrival 9:01 a.m. / departure 1:15 p.m.) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 31 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 3 Observations by licensing inspector: Lunch was observed. A medication pass observation was completed for 3 residents. The following were reviewed: resident and staff records, water temperatures, and call bell system. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). 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 these 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. Refer to General Procedures and Information for Licensure, 22VAC40-80-260-B for information on requesting a problem solving conference. 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 Darunda Flint, Licensing Inspector at (757) 807-9731 or by email at darunda.a.flint@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-640-A
Description:	Based on record reviewed and staff interviewed, the facility failed to follow its medication management plan to ensure resident?s prescription medications and any over-the-counter drugs and supplements ordered are filled and refilled in a timely manner to avoid missed dosages. Evidence: 1. On 01/29/2026, during a medication pass observation, resident #2?s cyanocobalamin tablet was not available to administer. 2. Staff #2 acknowledged resident #2?s aforementioned medication was not available to administer.
Plan of Correction:	1. Resident #2_ received the missing medication from the medication cart on ____by the nurse with no adverse outcome to the resident. 2. All residents have received their ordered medications without incident by the nurse. 3. The AL Director/designee will educate the nurses on the medication policy to ensure that all prescription medications are filled and refilled in a timely manner. 4. The AL Director/designee will audit all medication carts weekly for three months to ensure that all refills have been reordered timely. The results of the audits will be reported at the QA meeting by the AL Director for evaluation of compliance and ongoing monitoring for continuous improvement analysis. 5. All corrective actions will be completed by February 28, 2026.
Standard #:	22VAC40-73-960-B
Description:	Based on observation, the facility failed to ensure a fire and emergency evacuation drawing be posted in a conspicuous place on each floor of each building used by residents to include the location of the areas of refuge, assembly areas, fire alarm boxes, and telephones. Evidence: 1. During a tour of the facility, the emergency exit plan posted on the first floor by the entrance and first floor elevator did not include the secondary escape routes areas of refuge, or telephones.
Plan of Correction:	1. On 2/13/2026 all posted evacuation drawings were updated to reflect areas of refuge, assemble areas, fire alarm boxes and telephones by the Facility Director. 2. All postings have been corrected. 3. The AL Director/designee will educate the Facility Director on the regulation of the Fire and Emergency Evacuation Plan and the required requirements. 4. The AL Director/designee will do a walkthrough of the facility monthly for three months to ensure compliance with the updated evacuation plan. The results of the audits will be reported at the QA meeting by the AL Director for evaluation of compliance and ongoing monitoring for continuous improvement analysis. 5. All corrective actions will be completed by February 28, 2026.
Standard #:	22VAC40-73-980-A
Description:	Based on observation and staff interviewed, the facility failed to ensure the first aid kit included all items. Items with expiration dates must not have dates that have already passed. Evidence: 1. The first aid kit in the building was checked with staff #2. The first aid kit did not include hand cleaner. 2. Staff #2 acknowledged the item was not in first aid kit.
Plan of Correction:	1. On 1/29/2026 the hand sanitizer was immediately replaced in the First Aid Kit by the AL Director. 2. All First Aid Kits have the required items in them. 3. The AL Director/designee will educate the team members on the required items needed in the First Aid Kit and if something is removed it is immediately replaced. 4. The AL Director/designee will audit the First Aid Kit monthly for three months to ensure that all required items are present in the First Aid Kit. The results of the audits will be reported at the QA meeting by the AL Director for evaluation of compliance and ongoing monitoring for continuous improvement analysis. 5. All corrective actions will be completed by February 28, 2026.