Elizabeth Adam Crump: 8 Deficiencies, No Fix Plan - VA
Inspectors flagged the problem on October 28, 2025, after reviewing clinical records for three residents identified in the report as Residents 4, 5, and 6. None of the records contained any evidence that the facility had assessed whether those residents could safely self-administer their own medications. None showed a care plan authorizing it, either.
The facility's own written policy spells out the process in detail. Before a resident is permitted to handle their own medications, an interdisciplinary team is supposed to evaluate that person's cognitive ability, physical ability, and vision. A skill assessment is supposed to follow. If the resident passes, a separate review of whether bedside medication storage is safe is required. Staff are also directed, under the same policy, not to leave medication in a resident's room without a specific order and documented authorization for self-administration.
For Residents 4, 5, and 6, none of that had happened. Or if it had, no one had recorded it.
The gap matters because medication errors in nursing homes rarely announce themselves. A resident with cognitive decline may appear to take a pill and pocket it instead. A resident with limited dexterity may drop a dose and say nothing. A resident with swallowing difficulties who is left unsupervised with medication faces risks that don't show up until something goes wrong. The assessment process exists precisely because these residents cannot always flag the problem themselves.
On October 29, the day before the inspection closed, surveyors raised the issue directly at the facility's end-of-day meeting. The Administrator was there. The Director of Nursing was there. A Regional Nurse Consultant was present as well.
No further information was provided.
The inspection report records that sentence without elaboration: the three most senior people responsible for care at that facility were told that three residents had been receiving medications outside any documented authorization, and none of them offered an explanation, a correction, or additional context.
CMS rated the deficiency as presenting minimal harm or potential for actual harm, with few residents affected. That classification places it toward the lower end of the federal severity scale. It does not mean the residents were unharmed — inspectors found no evidence of injury in the report — but it reflects that the documented risk, rather than a documented outcome, drove the citation.
Elizabeth Adam Crump Health and Rehab operates at 3600 Mountain Road in Glen Allen, a suburb north of Richmond. The inspection was a complaint survey, meaning it was triggered by a concern reported to regulators rather than a routine annual review.
The facility's own medication policy, quoted at length in the inspection report, requires that whoever administers a dose stays with the resident until the medication is swallowed. It prohibits leaving medication in a resident's room without a specific order. It requires that administration be charted on the Medication Administration Record immediately after each dose is given.
The inspection found no evidence those steps had been followed for three residents. It also found no evidence that anyone at the facility had tried to establish, through the required assessment process, whether those residents were even candidates for self-administration in the first place.
When confronted with that finding by federal inspectors, the administrator, the director of nursing, and the regional nurse consultant sat in a meeting and said nothing.
The three residents whose records triggered the finding remain identified in the inspection documents only by number.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Elizabeth Adam Crump Health and Rehab from 2025-10-30 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: August 4, 2026 · Our methodology
ELIZABETH ADAM CRUMP HEALTH AND REHAB in GLEN ALLEN, VA was cited for violations during a health inspection on October 30, 2025.
Inspectors flagged the problem on October 28, 2025, after reviewing clinical records for three residents identified in the report as Residents 4, 5, and 6.
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.