August Healthcare at Leewood: Immediate Jeopardy Cited - VA
The citation was issued against August Healthcare at Leewood on April 30, 2026, following a complaint investigation by federal health inspectors. The deficiency fell under a category that addresses one of the most fundamental obligations a nursing home carries: protecting the people living inside it from abuse, neglect, and theft. Inspectors found the facility deficient in developing and implementing the policies and procedures designed to prevent exactly those things.
The severity level assigned was J.
In the federal rating system for nursing home deficiencies, scope and severity are plotted on a grid. Level J sits in the upper tier. It means the problem was isolated, not widespread across dozens of residents or situations, but that the harm it represented, or the risk of harm, was serious enough to constitute immediate jeopardy to resident health or safety. Immediate jeopardy is the highest level of deficiency the system recognizes. It is the designation reserved for situations where inspectors determine that a facility's failure has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident if it is not corrected.
August Healthcare at Leewood received that designation.
The inspection that produced it was a complaint investigation, meaning it was not a routine annual survey. Someone filed a complaint, and inspectors came to look at what that complaint described. The inspection found three deficiencies in total. The immediate jeopardy citation was one of them.
What the inspectors documented under the deficiency is stark in its simplicity. The facility had not developed and implemented adequate policies and procedures to prevent abuse, neglect, and theft. That is not a citation for a single bad act by a single employee on a single shift. It is a citation for a systemic failure, for the absence of the foundational structure that is supposed to make a nursing home a safe place to live. The policies and procedures that prevent abuse are the scaffolding. Without them, everything else, the training, the oversight, the investigation of complaints, rests on nothing.
Nursing homes are required to have those systems in place. The requirement exists because the people living in these facilities are, by definition, among the most vulnerable. Many cannot advocate for themselves. Many have no family members visiting regularly to notice when something has gone wrong. Many have cognitive impairments that make it difficult for them to report mistreatment, or to be believed when they try. The policy and procedure requirement is not a bureaucratic formality. It is the mechanism by which a facility commits, in writing and in practice, to protecting people who often cannot protect themselves.
August Healthcare at Leewood, according to federal inspectors, was not meeting that commitment.
The complaint investigation was completed on April 30. As of that date, the facility's correction status remained deficient. More than that: the facility had submitted no plan of correction. In the standard process that follows a deficiency citation, a facility is expected to respond, to describe what it did wrong, what it will do differently, and by when. That response is called a plan of correction. It is the facility's formal acknowledgment that a problem exists and its written commitment to address it.
August Healthcare at Leewood had not provided one.
The absence of a plan of correction after an immediate jeopardy finding is not a minor paperwork gap. When a facility receives an immediate jeopardy citation, the expectation is urgency, because the designation itself means that residents may be at serious risk right now, not at some future point, not in the abstract. The entire weight of the immediate jeopardy classification is that it demands immediate response. A facility that has not filed a plan of correction has not, in any formal sense, begun to respond at all.
What that means for the residents currently living at August Healthcare at Leewood is a question the inspection report does not fully answer, because inspection reports are not designed to answer it. They document what inspectors found on the days they were present. They cannot document what happened after they left, or what is happening now, or what the person who filed the original complaint experienced before anyone came to investigate.
Complaint investigations begin with someone deciding to report. In nursing homes, that step is harder than it sounds. Residents who depend on staff for their daily care, for help getting out of bed, for medication, for food, often weigh the risk of speaking up against the fear of what might happen if they do. Family members who raise concerns sometimes find that their complaints are dismissed, minimized, or met with reassurances that nothing happened. The fact that a complaint was filed, investigated, and resulted in an immediate jeopardy citation suggests that whatever the original concern was, inspectors found something serious enough to warrant the system's most urgent classification.
The inspection report does not name any residents. It does not describe the specific incident or pattern that triggered the complaint. It does not identify staff members or administrators by name. What it records is the conclusion: the policies and procedures to prevent abuse, neglect, and theft were not developed and implemented as they should have been, and the situation rose to the level of immediate jeopardy.
Three deficiencies were cited in total during this inspection. The report does not detail the other two in the narrative provided. What it establishes clearly is that the most serious of the three, the one carrying an immediate jeopardy designation, concerned the facility's basic obligation to protect residents from harm.
August Healthcare at Leewood operates in Annandale, a community in Fairfax County. Families choosing a nursing home, or trying to understand the safety of a facility where a parent or spouse already lives, rely on the public inspection record to make those judgments. The inspection record for this facility now includes an immediate jeopardy citation issued following a complaint, with no plan of correction on file.
The residents living there did not choose to be vulnerable. They did not choose to need nursing home care. What they were entitled to, and what the law requires, was a facility with the policies and procedures in place to protect them from the people and circumstances that could cause them harm.
According to federal inspectors, that protection was not fully in place at August Healthcare at Leewood.
No plan has been submitted to explain how it will be.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for August Healthcare At Leewood from 2026-04-30 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: July 22, 2026 · Our methodology
AUGUST HEALTHCARE AT LEEWOOD in ANNANDALE, VA was cited for immediate jeopardy violations during a health inspection on April 30, 2026.
The citation was issued against August Healthcare at Leewood on April 30, 2026, following a complaint investigation by federal health inspectors.
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.