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Envoy Of Staunton, Llc

📍 512 Houston Street, Staunton, VA 24402 📞 (540) 886-2335 🛏️ 170 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2020 2 penalties totaling $24,050

$9,750
Jun 17, 2020

Fine

$14,300
Feb 11, 2020

Fine

2019 1 penalties totaling $95,927

$95,927
May 9, 2019

Fine

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Health Violations by Year

2023 11 violations

Tag 0578 D Jun 14, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jul 28, 2023
Tag 0584 E Jun 14, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jul 28, 2023
Tag 0637 D Jun 14, 2023

Assess the resident when there is a significant change in condition

✓ Corrected: Jul 28, 2023
Tag 0644 D Jun 14, 2023

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Jul 28, 2023
Tag 0657 D Jun 14, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jul 28, 2023
Tag 0689 G Jun 14, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 28, 2022
Tag 0690 D Jun 14, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jul 28, 2023
Tag 0812 E Jun 14, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 28, 2023
Tag 0814 D Jun 14, 2023

Dispose of garbage and refuse properly.

✓ Corrected: Jul 28, 2023
Tag 0880 F Jun 14, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 28, 2023
Tag 0908 E Jun 14, 2023

Keep all essential equipment working safely.

✓ Corrected: Jul 28, 2023

2022 8 violations

Tag 0600 D Jun 9, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Nov 8, 2021
Tag 0607 E Jun 9, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jul 19, 2022
Tag 0656 D Jun 9, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 19, 2022
Tag 0684 D Jun 9, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 19, 2022
Tag 0692 D Jun 9, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jul 19, 2022
Tag 0693 E Jun 9, 2022

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Jul 19, 2022
Tag 0727 F Jun 9, 2022

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Jul 19, 2022
Tag 0761 D Jun 9, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jul 19, 2022
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2021 1 violations

Tag 0580 D Jul 13, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 10, 2021

2020 16 violations

Tag 0880 D Jun 17, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 24, 2020
Tag 0578 D Feb 11, 2020

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Mar 19, 2020
Tag 0657 D Feb 11, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 19, 2020
Tag 0684 D Feb 11, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 19, 2020
Tag 0685 D Feb 11, 2020

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Mar 19, 2020
Tag 0686 G Feb 11, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 19, 2020
Tag 0689 D Feb 11, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 19, 2020
Tag 0692 D Feb 11, 2020

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 19, 2020
Tag 0755 D Feb 11, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 19, 2020
Tag 0759 D Feb 11, 2020

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Mar 19, 2020
Tag 0760 G Feb 11, 2020

Ensure that residents are free from significant medication errors.

✓ Corrected: Mar 19, 2020
Tag 0761 E Feb 11, 2020

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Mar 19, 2020
Tag 0791 D Feb 11, 2020

Provide or obtain dental services for each resident.

✓ Corrected: Mar 19, 2020
Tag 0812 D Feb 11, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 19, 2020
Tag 0842 D Feb 11, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 11, 2020
Tag 0880 D Feb 11, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 19, 2020
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2019 20 violations

Tag 0577 C May 9, 2019

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

✓ Corrected: Aug 14, 2019
Tag 0584 D May 9, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Aug 14, 2019
Tag 0600 G May 9, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 21, 2019
Tag 0603 G May 9, 2019

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

✓ Corrected: Jun 21, 2019
Tag 0607 E May 9, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jun 21, 2019
Tag 0609 D May 9, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 21, 2019
Tag 0610 D May 9, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Jun 21, 2019
Tag 0641 D May 9, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 14, 2019
Tag 0656 E May 9, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 14, 2019
Tag 0657 E May 9, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 14, 2019
Tag 0689 J May 9, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 14, 2019
Tag 0741 D May 9, 2019

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

✓ Corrected: Aug 14, 2019
Tag 0745 D May 9, 2019

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Jun 21, 2019
Tag 0825 D May 9, 2019

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: Aug 14, 2019
Tag 0835 E May 9, 2019

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Aug 14, 2019
Tag 0842 D May 9, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 14, 2019
Tag 0867 E May 9, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Aug 14, 2019
Tag 0880 D May 9, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 14, 2019
Tag 0925 E May 9, 2019

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Aug 14, 2019
Tag 0947 E May 9, 2019

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Aug 14, 2019

2018 12 violations

Tag 0550 D Oct 25, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Nov 27, 2018
Tag 0584 E Oct 25, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Nov 27, 2018
Tag 0623 C Oct 25, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Nov 27, 2018
Tag 0655 D Oct 25, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Nov 27, 2018
Tag 0657 D Oct 25, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Nov 27, 2018
Tag 0700 D Oct 25, 2018

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Nov 27, 2018
Tag 0744 D Oct 25, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Nov 27, 2018
Tag 0758 D Oct 25, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Nov 27, 2018
Tag 0761 D Oct 25, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Nov 27, 2018
Tag 0880 D Oct 25, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 27, 2018
Tag 0883 D Oct 25, 2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Nov 27, 2018
Tag 0909 F Oct 25, 2018

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

✓ Corrected: Nov 27, 2018
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2017 7 violations

Tag 0246 D Jul 20, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Sep 3, 2017
Tag 0252 E Jul 20, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

✓ Corrected: Sep 3, 2017
Tag 0279 D Jul 20, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 3, 2017
Tag 0318 D Jul 20, 2017

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

✓ Corrected: Sep 3, 2017
Tag 0323 G Jul 20, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Sep 3, 2017
Tag 0441 D Jul 20, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Sep 3, 2017
Tag 0514 D Jul 20, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Sep 3, 2017

2016 7 violations

Tag 0252 E Jun 16, 2016

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

✓ Corrected: Jul 26, 2016
Tag 0280 D Jun 16, 2016

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Jul 26, 2016
Tag 0318 E Jun 16, 2016

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

✓ Corrected: Jul 26, 2016
Tag 0323 E Jun 16, 2016

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Jul 26, 2016
Tag 0332 D Jun 16, 2016

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

✓ Corrected: Jul 26, 2016
Tag 0367 E Jun 16, 2016

Make sure that special or therapeutic diets are ordered by the attending doctor.

✓ Corrected: Jul 26, 2016
Tag 0371 D Jun 16, 2016

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jul 26, 2016
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