DIVINE OAKS ASSISTED LIVING/ Eden's Reflection Richmond LLC

The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management.

Health VisitCited Oct 7, 2026Corrected —

The facility failed to require a staff member who provides personal care services to complete required training prior to performing personal care services.

Health VisitCited Oct 7, 2026Corrected —

The facility failed to search the NAR and SEMARC at least once every 12 months.

Health VisitCited Oct 7, 2026Corrected —

The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

Health VisitCited Oct 7, 2026Corrected —

The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.

Health VisitCited Oct 7, 2026Corrected —

The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

Health VisitCited Oct 7, 2026Corrected —

The facility failed to conduct required fire drills and document fire drills on the required form.

Health VisitCited Oct 7, 2026Corrected —

The facility failed to require a staff member to complete competency-based training before providing personal care services to a resident with Alzheimer's disease or a related disorder.

Health VisitCited Oct 7, 2026Corrected —

The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.

Life Safety CodeCited Mar 15, 2019Corrected Apr 22, 2019

The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.

Life Safety CodeCited Mar 15, 2019Corrected Apr 22, 2019

The facility failed to ensure an annual inspection was conducted by the local fire marshal.

Life Safety CodeCited Mar 15, 2019Corrected Apr 22, 2019

The facility failed to ensure the building was kept in good repair.

Life Safety CodeCited Mar 15, 2019Corrected Mar 31, 2019

The facility failed to ensure interior walls and/or ceilings were constructed with a material having at least a 20-minute fire rating, or at least 3/8 gypsum board.

Life Safety CodeCited Mar 15, 2019Corrected Apr 22, 2019