August Healthcare At Leewood
AUGUST HEALTHCARE AT LEEWOOD in ANNANDALE, VA — inspection on April 30, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 04/29/26 at 2:43 PM, the Social Service Director (SSD) stated all reports of abuse were reported to the SSA within 24 hours.
She stated during every investigation of abuse she would interview the resident and five other cognitive residents with a BIMS higher than 12 and complete a Trauma assessment.
She stated she did not interview R94 about the abuse allegation/injury that occurred on 03/20/25, and she did not interview any other residents or complete a trauma assessment on R94.
She stated the facility had a meeting and it was determined that abuse did not occur, but she was unsure how the facility came to that conclusion.
She also stated she should have interviewed R94 and other residents about the 03/20/25 incident.
During an interview on 04/29/26 at 3:35 PM, the Administrator stated she was the DON at the time of the incident on 03/20/25.
She stated the facility should report all allegations of abuse/injury of unknown origin within two hours and immediately start an investigation.
She stated they would interview all staff that worked with the resident in the last 72 hours or any staff that may have knowledge of the incident, the resident, and five other cognitive residents.
She stated the incident that occurred on 03/20/25 was not reported because it was not an injury of unknown origin.
She stated CNA2 self-reported that the injury occurred during care.
She stated the facility determined that because CNA2 denied abuse and said it occurred during ADL care.
She stated they only interviewed CNA2 and RN1.
A review of the facility's policy titled, Abuse, Neglect and Exploitation, revised 11/2021, revealed, .
An immediate investigation is warranted when suspicion of abuse, neglect or exploitation, or reports of abuse. neglect or exploitation occur.
Written procedures for investigations include Identifying and interviewing all involved persons, including the alleged victim, alleged perpetrator, witnesses, and others who might have knowledge of the allegations.
Focusing the investigation on determining if abuse, neglect, exploitation, and/or mistreatment has occurred, the extent, and cause and providing complete and thorough documentation of the investigation.
The facility will make efforts to ensure all residents are protected from physical and psychosocial harm during and after the investigation.
Examples include but are not limited to: Responding immediately to protect the alleged victim and integrity of the investigation.
Examining the alleged victim for any sign of injury, including a physical examination or psychosocial assessment if needed.
Room or staffing changes, if necessary, to protect the resident(s) from the alleged perpetrator.
495337 04/30/2026
August Healthcare at Leewood 7120 Braddock Road Annandale, VA 22003
Review of facility provided Incident Report for Bruise, dated 03/20/25 at 9:45 PM and written by RN1, revealed, .
Writer was informed by [CNA2] that resident developed discoloration of bilateral wrist during ADLS care when changing resident clothes [and the] resident was resisting care.
Resident bumped bilateral wrist against the wheelchair during transfer.
Discoloration and swelling were present.
Further review revealed immediate action taken was assessed resident, resident asked to flex both hands for mobility, physician notified and ordered x-ray to rule out fracture.
Review of R94's Nurse's Note, dated 03/20/25 at 11:35 PM, written by Registered Nurse (RN) 1 and located under the Notes tab of the EMR, revealed, .
Writer was informed by [CNA2] that resident developed discoloration of bilateral wrist after accident when changing clothes because patient was also resisting.
Resident bilateral wrist was assessed.
Discoloration and swelling were present. CNA was asked to get ice bag and apply them to affected areas for relief.
During an interview on 04/29/26 at 10:30 AM, the Chief Executive Officer (CEO) stated the incident that occurred on 03/20/25 was not reported to the SSA.
During an interview on 04/29/26 at 3:35 PM, the Administrator stated she was the Director of Nursing (DON) at the time of the incident on 03/20/25.
She stated the facility should report all allegations of abuse/injury of unknown origin within two hours.
She confirmed this allegation was not reported to the SSA since they determined it was not an injury of unknown origin or abuse.
Review of the facility's policy titled, Abuse, Neglect and Exploitation, revised 11/2021, revealed, .
Reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g., law enforcement when applicable) within specified timeframes: Immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily inju
495337 04/30/2026
August Healthcare at Leewood 7120 Braddock Road Annandale, VA 22003
(DON) at the time of the incident on 03/20/25.
After all allegations of abuse, they immediately start
care.
She stated they only interviewed CNA2 and RN1 and nobody else.
A review of the facility's policy titled, Abuse, Neglect and Exploitation, revised 11/2021, revealed, .
An immediate investigation is warranted when suspicion of abuse, neglect or exploitation, or reports of abuse. neglect or exploitation occur.
Written procedures for investigations include Identifying and interviewing all involved persons, including the alleged victim, alleged perpetrator, witnesses, and others who might have knowledge of the allegations.
Focusing the investigation on determining if abuse, neglect, exploitation, and/or mistreatment has occurred, the extent, and cause and providing complete and thorough documentation of the investigation.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.