Lake Taylor Hosp: Residents Left Without Feeding Help - VA
The resident, identified in federal inspection records only as R9, has lived at Lake Taylor Hospital on Kempsville Road since July 2018. She is cognitively intact, scoring 13 out of 15 on a standard mental status assessment. She knows exactly what is and is not happening to her.
When an inspector asked R9 on September 23, 2025, whether anyone had helped her with her lunch, she said no.
Her lunch that day was beef and macaroni casserole, green beans, gelatin, a side of macaroni, coffee, a supplement, and ice cream. It arrived at noon. At 12:19 p.m., she was still in bed with the tray and her door closed. At 12:36 p.m., same. At 1:16 p.m., the tray remained, her consumption was poor, and still no staff had appeared. Her meal intake for that lunch was later recorded in facility records as 25 percent.
Dinner arrived at 4:51 p.m. Her door stayed closed. No assistance came. At 5:21 p.m., R9 was asleep in bed with her dinner tray sitting beside her, untouched. The facility recorded it as refused.
When inspectors asked LPN5 two days later why R9 hadn't received help for either meal, the nurse said R9 could feed herself.
The facility's own feeding list, kept at the nurse's station, said otherwise. CNA3, who was assigned to R9 that day, pulled out the list herself when inspectors asked. It showed R9 was to receive cueing and supervision at meals. CNA3 confirmed that's what the list said.
The speech therapist, when interviewed, was direct: someone should be with R9 to cue and supervise. R9 would accept being fed. The speech therapist also confirmed R9 had poor meal consumption and a pressure sore.
R9 had two unstageable pressure ulcers documented in her records.
Her care plan contained no section on activities of daily living or eating ability.
R9 was not the only resident inspectors flagged. A second resident, identified as R85, was vision impaired and ate better when staff fed her. Two nurses, LPN3 and LPN4, both acknowledged this. LPN3 said R85 didn't do well if left to feed herself. Neither could explain why R85 wasn't on the feeding list at the nurse's station.
The pattern inspectors documented was not a single missed meal or a staffing crisis on one difficult shift. R9's door was closed across four separate observation points spanning an entire day. The staff member assigned to her believed she could manage alone. The nurse manager, when asked about the discrepancy between R9's diet order and the feeding list notation, said cueing and supervision were the same thing as the diet order instructions, apparently without concern that neither was being provided.
The inspection was conducted as a complaint survey, completed September 26, 2025. CMS rated the harm level as minimal or potential for actual harm, affecting few residents.
R9 has quadriplegia. She cannot simply reach across the tray, adjust her position, or flag someone down in the hallway. She was cognitively aware enough to answer an inspector's question clearly and accurately about what had not been done for her. She spent an afternoon and an evening in a closed room, with food she could not adequately eat, while the people responsible for her care believed the situation was fine.
Her dinner sat cold at her bedside while she slept.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lake Taylor Hosp from 2025-09-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 26, 2026 · Our methodology
LAKE TAYLOR HOSP in NORFOLK, VA was cited for violations during a health inspection on September 26, 2025.
The resident, identified in federal inspection records only as R9, has lived at Lake Taylor Hospital on Kempsville Road since July 2018.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.