Northern Neck Senior Care Community

In the surveyor’s words

From the most serious findings on record at Northern Neck Senior Care Community, in the surveyor’s own words.

• Actual harm, isolatedF684May 20, 2026

  Based on observation, interview and clinical record review the facility staff failed to ensure receive treatment and care in accordance with physician orders for two residents (Resident #7-R7 and Resident #74-R74) in a survey sample of 37 residents. The failure to follow physician orders resulted in a delay in identification and treatment for a fracture, which resulted in harm for R7.The findings included:1. For Resident #7 (R7) the facility staff failed to ensure physician orders were followed/carried out for a post-fall x-ray of the pelvis and left hip, which resulted in a delay in treatment of a fractured left hip and caused the resident pain, which constituted harm. […]

• No harm, potential for more than minimal, widespreadF812Mar 5, 2021

  Based on observations, staff interviews, and record review, the facility failed to ensure foods stored in the kitchen were labeled, dated, not expired, and sealed. These failures had the potential to increase the prevalence and spread of foodborne illness and infection to all 72 facility residents. Findings include: On [DATE] at 9:38 AM, during the initial tour of the kitchen, the following were observed: In a stand-alone refrigerator near the handwashing sink, there was smoked ham in a zipper bag that was not sealed and cheese slices and lemon pudding in plastic containers with the lids resting on top, not sealed closed. […]

• No harm, potential for more than minimal, widespreadF838Mar 5, 2021

  Based on observation, staff interview, and facility documentation review, the facility staff failed to review and update the facility assessment following a change in facility ownership which required substantial modifications. The findings included: On 5/5/21 during the survey entrance conference with the facility Administrator, he stated there was a change in facility ownership that occurred on 2/01/21. On 5/6/21, the facility assessment document was reviewed and documented the following: Dates of Assessment/Updated: 1/5/2021 and Dates of Assessment reviewed with QAA/QAPI Committee: 1/5/2021 Page 1 naming the Governing Body Rep as [name of Employee N, the Vice Pres of Operations, employee of the new facility owners]. […]

• No harm, potential for more than minimal, widespreadF838Mar 5, 2021

  Based on observation, staff interview, and facility documentation review, the facility staff failed to review and update the facility assessment following a change in facility ownership which required substantial modifications. The findings included: On 5/5/21 during the survey entrance conference with the facility Administrator, he stated there was a change in facility ownership that occurred on 2/01/21. On 5/6/21, the facility assessment document was reviewed and documented the following: Dates of Assessment/Updated: 1/5/2021 and Dates of Assessment reviewed with QAA/QAPI Committee: 1/5/2021 Page 1 naming the Governing Body Rep as [name of Employee N, the [NAME] Pres of Operations, employee of the new facility owners]. […]

• No harm, potential for more than minimal, patternF761May 20, 2026

  Based on observation, staff interview and facility document review, the facility staff failed to properly store and label medications on two of three medications carts (Dogwood carts A and C).The findings include:A vial of Lispro insulin was stored in a medication cart with no pharmacy label indicating resident name, dosage or administration instructions. A handwritten last name of a current resident was written on the vial. A Lantus insulin pen was stored in a medication cart with no resident name and no pharmacy labelling indicating resident name, dosage or administration instructions. […]