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Envoy Of Williamsburg, Llc

📍 1235 Mt Vernon Avenue, Williamsburg, VA 23185 📞 (757) 229-4121 🛏️ 130 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

2022 2 penalties totaling $156,701

$155,714
Mar 30, 2022

Fine

$987
Mar 21, 2022

Fine

2021 1 penalties totaling $19,500

$19,500
Apr 9, 2021

Fine

2020 2 penalties totaling $10,725

$975
Oct 12, 2020

Fine

$9,750
Aug 6, 2020

Fine

2019 2 penalties totaling $202,596

$202,596
Jun 20, 2019

Fine

$0
Jun 20, 2019

Payment Denial

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Health Violations by Year

2024 3 violations

Tag 0658 D Apr 19, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 31, 2024
Tag 0761 D Apr 19, 2024

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: May 31, 2024
Tag 0812 D Apr 19, 2024

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

✓ Corrected: May 31, 2024

2023 36 violations

Tag 0554 D Oct 20, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Dec 5, 2023
Tag 0558 D Oct 20, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Dec 5, 2023
Tag 0577 C Oct 20, 2023

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

✓ Corrected: Dec 5, 2023
Tag 0580 D Oct 20, 2023

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

✓ Corrected: Dec 5, 2023
Tag 0582 D Oct 20, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Dec 5, 2023
Tag 0600 D Oct 20, 2023

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

✓ Corrected: Dec 5, 2023
Tag 0602 D Oct 20, 2023

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Dec 5, 2023
Tag 0607 D Oct 20, 2023

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

✓ Corrected: Dec 5, 2023
Tag 0609 D Oct 20, 2023

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

✓ Corrected: Dec 5, 2023
Tag 0610 D Oct 20, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Dec 5, 2023
Tag 0636 D Oct 20, 2023

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Dec 5, 2023
Tag 0640 E Oct 20, 2023

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

✓ Corrected: Dec 5, 2023
Tag 0656 D Oct 20, 2023

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

✓ Corrected: Dec 5, 2023
Tag 0657 D Oct 20, 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: Dec 5, 2023
Tag 0658 D Oct 20, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 5, 2023
Tag 0677 D Oct 20, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 5, 2023
Tag 0687 D Oct 20, 2023

Provide appropriate foot care.

✓ Corrected: Dec 5, 2023
Tag 0689 D Oct 20, 2023

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

✓ Corrected: Dec 5, 2023
Tag 0744 D Oct 20, 2023

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

✓ Corrected: Dec 5, 2023
Tag 0755 D Oct 20, 2023

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

✓ Corrected: Dec 5, 2023
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2022 28 violations

Tag 0558 D Nov 4, 2022

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 2, 2023
Tag 0583 D Nov 4, 2022

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jan 2, 2023
Tag 0584 D Nov 4, 2022

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: Jan 2, 2023
Tag 0656 D Nov 4, 2022

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

✓ Corrected: Jan 2, 2023
Tag 0657 D Nov 4, 2022

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

✓ Corrected: Jan 2, 2023
Tag 0658 D Nov 4, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jan 2, 2023
Tag 0661 D Nov 4, 2022

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Jan 2, 2023
Tag 0684 D Nov 4, 2022

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

✓ Corrected: Jan 2, 2023
Tag 0692 D Nov 4, 2022

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

✓ Corrected: Jan 2, 2023
Tag 0695 D Nov 4, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jan 2, 2023
Tag 0760 D Nov 4, 2022

Ensure that residents are free from significant medication errors.

✓ Corrected: Jan 2, 2023
Tag 0806 D Nov 4, 2022

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Jan 2, 2023
Tag 0808 E Nov 4, 2022

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Jan 2, 2023
Tag 0810 E Nov 4, 2022

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

✓ Corrected: Jan 2, 2023
Tag 0943 E Nov 4, 2022

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

✓ Corrected: Jan 2, 2023
Tag 0600 D May 5, 2022

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

✓ Corrected: May 9, 2022
Tag 0658 D May 5, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 9, 2022
Tag 0880 D May 5, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: May 9, 2022
Tag 0886 E May 5, 2022

Perform COVID19 testing on residents and staff.

✓ Corrected: May 9, 2022
Tag 0888 E May 5, 2022

Ensure staff are vaccinated for COVID-19

✓ Corrected: May 9, 2022

2021 24 violations

Tag 0550 D Sep 17, 2021

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

✓ Corrected: Oct 19, 2021
Tag 0656 D Sep 17, 2021

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

✓ Corrected: Oct 19, 2021
Tag 0677 D Sep 17, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Oct 19, 2021
Tag 0688 D Sep 17, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Oct 19, 2021
Tag 0689 D Sep 17, 2021

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

✓ Corrected: Oct 19, 2021
Tag 0758 D Sep 17, 2021

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: Oct 19, 2021
Tag 0760 E Sep 17, 2021

Ensure that residents are free from significant medication errors.

✓ Corrected: Oct 19, 2021
Tag 0804 D Sep 17, 2021

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Oct 19, 2021
Tag 0563 E Aug 11, 2021

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

✓ Corrected: Sep 22, 2021
Tag 0607 D Aug 11, 2021

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

✓ Corrected: Sep 22, 2021
Tag 0609 D Aug 11, 2021

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

✓ Corrected: Sep 22, 2021
Tag 0610 D Aug 11, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Sep 22, 2021
Tag 0657 D Aug 11, 2021

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

✓ Corrected: Sep 22, 2021
Tag 0658 D Aug 11, 2021

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Sep 22, 2021
Tag 0686 D Aug 11, 2021

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

✓ Corrected: Sep 22, 2021
Tag 0680 E Apr 30, 2021

Ensure the activities program is directed by a qualified professional.

✓ Corrected: May 20, 2021
Tag 0755 E Apr 30, 2021

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

✓ Corrected: May 20, 2021
Tag 0760 E Apr 30, 2021

Ensure that residents are free from significant medication errors.

✓ Corrected: May 20, 2021
Tag 0761 E Apr 30, 2021

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: May 20, 2021
Tag 0805 D Apr 30, 2021

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: May 20, 2021
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2020 2 violations

Tag 0880 D Aug 6, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 2, 2020
Tag 0842 D Mar 5, 2020

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

✓ Corrected: Apr 1, 2020

2019 72 violations

Tag 0554 D Aug 20, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Sep 30, 2019
Tag 0557 D Aug 20, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Sep 30, 2019
Tag 0558 D Aug 20, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Sep 30, 2019
Tag 0559 D Aug 20, 2019

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Sep 30, 2019
Tag 0563 E Aug 20, 2019

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

✓ Corrected: Sep 30, 2019
Tag 0600 J Aug 20, 2019

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

✓ Corrected: Sep 30, 2019
Tag 0656 D Aug 20, 2019

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

✓ Corrected: Sep 30, 2019
Tag 0686 J Aug 20, 2019

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

✓ Corrected: Sep 30, 2019
Tag 0689 J Aug 20, 2019

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

✓ Corrected: Sep 30, 2019
Tag 0726 D Aug 20, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Sep 30, 2019
Tag 0755 E Aug 20, 2019

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

✓ Corrected: Sep 30, 2019
Tag 0761 D Aug 20, 2019

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: Sep 30, 2019
Tag 0880 D Aug 20, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 30, 2019
Tag 0550 E Jun 20, 2019

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

✓ Corrected: Aug 4, 2019
Tag 0551 D Jun 20, 2019

Give the resident's representative the ability to exercise the resident's rights.

✓ Corrected: Aug 4, 2019
Tag 0554 D Jun 20, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Sep 30, 2019
Tag 0557 D Jun 20, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Sep 30, 2019
Tag 0558 G Jun 20, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Sep 30, 2019
Tag 0559 D Jun 20, 2019

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Sep 30, 2019
Tag 0561 D Jun 20, 2019

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Aug 4, 2019
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2018 29 violations

Tag 0550 E May 11, 2018

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

✓ Corrected: Jun 19, 2018
Tag 0582 D May 11, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jun 19, 2018
Tag 0584 D May 11, 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: Jun 19, 2018
Tag 0607 D May 11, 2018

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

✓ Corrected: Jun 19, 2018
Tag 0641 D May 11, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 19, 2018
Tag 0644 D May 11, 2018

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

✓ Corrected: Jun 19, 2018
Tag 0645 D May 11, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Jun 19, 2018
Tag 0656 D May 11, 2018

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

✓ Corrected: Jun 19, 2018
Tag 0657 D May 11, 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: Jun 19, 2018
Tag 0658 D May 11, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jun 19, 2018
Tag 0677 E May 11, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 19, 2018
Tag 0686 D May 11, 2018

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

✓ Corrected: Jun 19, 2018
Tag 0689 D May 11, 2018

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

✓ Corrected: Jun 19, 2018
Tag 0690 D May 11, 2018

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: Jun 19, 2018
Tag 0695 D May 11, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 19, 2018
Tag 0725 D May 11, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jun 19, 2018
Tag 0727 D May 11, 2018

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: Jun 19, 2018
Tag 0728 D May 11, 2018

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

✓ Corrected: Jun 19, 2018
Tag 0745 D May 11, 2018

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

✓ Corrected: Jun 19, 2018
Tag 0755 D May 11, 2018

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

✓ Corrected: Jun 19, 2018

2017 16 violations

Tag 0157 D Mar 16, 2017

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

✓ Corrected: Apr 18, 2017
Tag 0223 D Mar 16, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

✓ Corrected: Apr 18, 2017
Tag 0225 D Mar 16, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Apr 18, 2017
Tag 0246 D Mar 16, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Apr 18, 2017
Tag 0251 E Mar 16, 2017

Hire a qualified full-time social worker in a facility with more than 120 beds.

✓ Corrected: Apr 18, 2017
Tag 0252 E Mar 16, 2017

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

✓ Corrected: Apr 18, 2017
Tag 0281 E Mar 16, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 18, 2017
Tag 0309 E Mar 16, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Apr 18, 2017
Tag 0323 E Mar 16, 2017

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

✓ Corrected: Apr 18, 2017
Tag 0329 D Mar 16, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Apr 18, 2017
Tag 0371 E Mar 16, 2017

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

✓ Corrected: Apr 18, 2017
Tag 0372 E Mar 16, 2017

Dispose of garbage and refuse properly.

✓ Corrected: Apr 18, 2017
Tag 0386 D Mar 16, 2017

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

✓ Corrected: Apr 18, 2017
Tag 0412 D Mar 16, 2017

Provide or obtain dental services for each resident.

✓ Corrected: Apr 18, 2017
Tag 0425 E Mar 16, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Apr 18, 2017
Tag 0441 E Mar 16, 2017

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

✓ Corrected: Apr 18, 2017
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