Facility profile Virginia
North Spring Behavioral Healthcare Inc
A program of 3 licensed homes
North Spring Behavioral Healthcare Inc is a program in Leesburg, Virginia, formerly run by Universal Health Services (UHS).
- 1 death on record
- 7 serious violations confirmed by inspectors
- 4 incidents on record
- 41 staff members named
About North Spring Behavioral Healthcare Inc
It was owned by Universal Health Services (UHS).source It was run by Psychiatric Solutions of Virginia, Inc.source
It was described as a residential programs for emotionally disturbed youth.source Almost all residential children are referred from state and county agencies or school systems.source
Homes
The state licenses this program home by home: 3 on record, with 31 inspection reports between them. Each has its own page with its licence and reports; their news, lawsuits and serious findings are gathered here too.
Timeline
From the records: who ran it and the deals that moved it, its names, and the deaths, incidents, inspection findings, lawsuits and news stories on file. Point at an event, or tap "More about this", for the details.
2017
Jeremiah Flemming, 15, died here
Restraint
Jeremiah Flemming, 15, died here November 19, 2017
Restraint
State records show North Spring terminated employees in three 2017 incidents confirmed by video: a patient pushed into a wall, a staffer stepping on a...
Restraint
State records show North Spring terminated employees in three 2017 incidents confirmed by video: a patient pushed into a wall, a staffer stepping on a patient's head, and unnecessary restraint.
Abuse
A parent's Dec. 1, 2017 complaint alleged a staff member punched her 15-year-old son in the chest in early October 2017 and that staff retaliated and ignored grievances.
Abuse October 2017
Investigation
Admissions to children's residential services were halted the day after the Nov.
Investigation November 2017
Admissions to children's residential services were halted the day after the Nov. 2017 death amid a state investigation of the 87-bed program.
2018
Criminal charge
A mental health technician was arrested Jan.
Criminal charge January 2018
A mental health technician was arrested Jan. 16 on involuntary manslaughter charges after the medical examiner concluded the 15-year-old patient died of positional asphyxiation after being restrained.
2022
State inspectors recorded a serious finding
Hospitalisation.
State inspectors recorded a serious finding
May 5, 2022: Individual #1 then had an allergic reaction, was administered an EpiPen and Benadryl and was sent to the ER for follow up.
Deaths on record
Serious violations
What state inspectors found and confirmed here, in their own words. Each finding was picked out of the inspection reports and checked by our team before it was listed.
Death Inspected Apr 27, 2023
Individual #1 was able to obtain large quantities of each medication from Employee #1’s personal belongings, and later ingest these medications while on the unit, which resulted in the individual being hospitalized and whom later died.
Therefore, Individual #1 had an opportunity to ingest Employee #1’s medications, which resulted in the individual being [...]
Read the whole finding
Individual #1 was able to obtain large quantities of each medication from Employee #1’s personal belongings, and later ingest these medications while on the unit, which resulted in the individual being hospitalized and whom later died.
Therefore, Individual #1 had an opportunity to ingest Employee #1’s medications, which resulted in the individual being hospitalized, and whom later died.
At Horizons Program From the VA inspection report. Non-compliance, DBHDS investigation Also: Hospitalisation State's report
Physical abuse or assault Inspected Aug 23, 2024
While attempting to de-escalate a situation, Employee #1 resulted to physically abusing Individual #1. Camera footage showed that Employee #1 slapped Individual #1 on top of their head when they were dysregulated.
At Horizons Program From the VA inspection report. Non-compliance, DBHDS human rights inspection State's report
Self-harm Inspected Apr 27, 2023
Individual #1 swallowed approximately a total of 120 pills, 88 pills of Medication #1, 20 pills of Medication #2 and 20 pills of Medication #3.
At Horizons Program From the VA inspection report. Non-compliance, DBHDS investigation State's report
Self-harm Inspected Oct 12, 2022
Per provider CHRIS report #A20220175, Individual #1 was able to gain access to another individual's medications while Individual #1 was receiving first aid treatment for a minor self-inflicted wound. Individual #1 ingested the medications they grabbed after jumping over the Dutch door to the nurse's station.
At Horizons Program From the VA inspection report. Non-compliance, DBHDS human rights inspection State's report
Medical neglect Inspected Nov 30, 2021
By a preponderance of the evidence outlined in the CHRIS report #A20210371, which included eyewitness statements, staff admissions and witness credibility, the provider substantiated that neglect occurred when Employee #1 administered the wrong medications to Individual #1.
At Horizons Program From the VA inspection report. Non-compliance, DBHDS human rights inspection State's report
Hospitalisation Inspected Apr 27, 2023
During this same period of video footage, Individual #1 was not directly supervised, allowing an opportunity to take medications from Employee #1’s personal belongings, and ingest the medications without the staff knowledge which resulted in the individual being hospitalized and placed on life support.
At Horizons Program From the VA inspection report. Non-compliance, DBHDS investigation State's report
Hospitalisation Inspected May 5, 2022
Individual #1 then had an allergic reaction, was administered an EpiPen and Benadryl and was sent to the ER for follow up.
From the VA inspection report. Non-compliance, DBHDS human rights inspection State's report
Incidents on record
-
2017 Restraint
State records show North Spring terminated employees in three 2017 incidents confirmed by video: a patient pushed into a wall, a staffer stepping on a patient's head, and unnecessary restraint.source
-
October 2017 Abuse
A parent's Dec. 1, 2017 complaint alleged a staff member punched her 15-year-old son in the chest in early October 2017 and that staff retaliated and ignored grievances.source
-
November 2017 Investigation
Admissions to children's residential services were halted the day after the Nov. 2017 death amid a state investigation of the 87-bed program.source
-
January 2018 Criminal charge
A mental health technician was arrested Jan. 16 on involuntary manslaughter charges after the medical examiner concluded the 15-year-old patient died of positional asphyxiation after being restrained.source
Staff
Administration
Notable staff
-
Alyssa Cross
Music Teachersource
-
Amy Vassar
Special Ed Teachersource
-
Bill Gitzen
CFOsource
-
Cat Thompson
Testing Coordinatorsource
-
Cindy S. Austin
Recreation Specialistsource
-
Dan Towery
Therapistsource
-
Darryl Funk
Therapistsource
-
David Cole
Science Teachersource
-
Diane Creech
Marketing/Business Dev.source
-
Elaine Johnson
Animal Assisted Therapistsource
-
Evert Lammers
Dir. of Plant Operationssource
Elsewhere in the industry
-
Fredricka Harris
Social Studies Teachersource
-
George Frimpong
Special Ed Teachersource
-
Hilary Peterson
Therapistsource
-
Jack Apsche
Clinical Consultantsource
-
Jonathan Johnson
Clinical Coordinatorsource
Elsewhere in the industry
- New Bethany Home for Girls Board Member
-
Joshua Russell
Phys. Ed. Teachersource
-
Julie Lewerenz
Psychiatristsource
-
Kate Jagoe
Case Managersource
-
Katharine Ryan
Therapistsource
-
Kelly Bungard
Special Ed Teachersource
-
Kelly Neverson
Dir. of Risk Managementsource
-
Kelsey Struder
Art Teachersource
Elsewhere in the industry
- Poplar Springs Hospital RTC Art Teacher
-
Laurie Slavit
Program Dir. for Mode Deactivationsource
-
Marc Linovitz
Therapistsource
-
Meredith Graham
Therapistsource
-
Miceala Brown
Asst. Dir. of Admissionssource
-
Michael Johnson
Asst. Dir. of Res. Svcs.source
Elsewhere in the industry
- Northland Center Development Director
- Red Rock Canyon School Former Blue Team Leader
-
Nancy Merriman
Education Coordinatorsource
-
Owen Allie
Case Managersource
-
Rachael Murphy Ryan
Therapistsource
-
Rachel Helft
Therapistsource
-
Rob Fouche
Nurse Manager/RNsource
-
Robia Fields
Medical Directorsource
-
Sara Brunetti
Admissions Directorsource
-
Sheila Hershey
English Teachersource
-
Steve Seeger
Dir. of Human Resourcessource
-
Susie Kim
Case Managersource
-
William P. Herndon
Mental health techniciansource
Licensing and inspections
- Licensed as
- North Spring Behavioral Healthcare, INC.
- Program
- 2171-04-005
- License category
- Inpatient psychiatric service (DBHDS)
- Executive director
- Ron Moody
- License expires
- 2029-03-02
- Licensing action
- Active, Triennial
- Phone on file
- (703) 777-0800
- Licensed address
- 42005 Victory Lane, Leesburg, VA 20176
11 inspection reports on file; the serious findings in them are listed above. Search all Virginia reports
Every report, by date: 8 findings in 7 reports
- Feb 11, 2026 Unannounced Inspection: no violation Open report
- Oct 31, 2025 Unannounced Inspection: no violation Open report
-
Sep 8, 2025
Investigation: 1 standard cited
Open report
1 finding
-
Non-compliance, DBHDS investigation : 12VAC35-105-693. D. The content of the discharge plan and the determination to discharge the individual shall be consistent with the ISP and the criteria for ...
The record review revealed Individual #1 was not discharged in accordance with the provider's discharge criteria and ISP. This was evidenced by Individual #1 not being discharged appropriately to the legal custodian, Entity #2, on 1-16-2025.
-
- Aug 9, 2023 Investigation: no violation Open report
-
Apr 4, 2023
Human Rights Inspection: 2 standards cited
Open report
1 finding
-
Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.
Neglect means failure by a person, program, or facility operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, responsible for providing services to do so, including nourishment, treatment, care, goods, or services necessary to the health, safety, or welfare of an individual receiving care or treatment for mental illness, intellectual disability, or substance abuse. See § 37.2-100 of the Code of Virginia. • By a preponderance of the evidence, which included camera footage review, eyewitness statements, staff admissions, witness credibility, and failure to follow policy and procedure, the provider substantiated the allegation of neglect. • Per provider's CHRIS report #A20230050, Individual #1 was sitting at a fold up table during mealtime and would not respond to Employee #1's verbal requests to stand up; therefore in an effort to get Individual #1 to stand up, Employee #1 folded up the table while Individual #1 was sitting at it and in doing so, the table legs caught Individual #1's feet which caused Individual #1 to fall to the floor. • As a result of Employee #1's inappropriate actions, Individual #1's right to a safe environment was violated.
-
-
Mar 6, 2023
Human Rights Inspection: 2 standards cited
Open report
1 finding
-
Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.
Abuse means any act or failure to act by an employee or other person responsible for the care of an individual in a facility or program operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, that was performed or was failed to be performed knowingly, recklessly, or intentionally, and that caused or might have caused physical or psychological harm, injury, or death to a person receiving care or treatment for mental illness, intellectual disability, or substance abuse. Examples of abuse include acts such as: …Use of physical or mechanical restraints on a person that is not in compliance with federal and state laws, regulations, and policies; professionally accepted standards of practice; or the person's individualized services plan. • By a preponderance of the evidence, which included camera footage review, eyewitness statements, staff admissions, and witness credibility, the provider substantiated the allegation of abuse. • Per provider's CHRIS report #A20230013, it was reported that Employee #1 used an inappropriate physical restraint on Individual #1 during a physical peer on peer aggression incident. • As a result of Employee #1's inappropriate actions, Individual #1's right to be free from abuse was violated.
-
- Feb 23, 2023 Unannounced Inspection: no violation Open report
-
Jan 5, 2023
Human Rights Inspection: 2 standards cited
Open report
1 finding
-
Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.
Neglect means failure by a person, program, or facility operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, responsible for providing services to do so, including nourishment, treatment, care, goods, or services necessary to the health, safety, or welfare of an individual receiving care or treatment for mental illness, intellectual disability, or substance abuse. See § 37.2-100 of the Code of Virginia. • By a preponderance of the evidence, which included camera footage review, eyewitness statements, staff admissions, failure to follow policy and procedure and witness credibility, the provider substantiated the allegation of neglect. • Per provider's CHRIS report #A20220255, #A20220256, and #A20220257, it was reported that Individuals #1, #2 and #3 were able to be alone together at various times in one of the individual's bedrooms during their bedtime routine. • Per provider's CHRIS report #A20220255, #A20220256, and #A20220257, Individuals #1, #2 and #3 were able to at various times distract and block staff's line of sight of what was occurring on the unit, which allowed Individuals #1, #2 and #3 to be in one of the bedrooms together unsupervised. • Employees #1 and #2 also did not complete rounds as required and were observed using their personal cell phones, which added to the distraction caused by Individuals #1, #2 and #3. • In addition, Employees #1 and #2 failed to document Individuals' behavior and report to ...
-
-
May 5, 2022
Human Rights Inspection: 2 standards cited
Open report
1 finding
-
Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.
Neglect means failure by a person, program, or facility operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, responsible for providing services to do so, including nourishment, treatment, care, goods, or services necessary to the health, safety, or welfare of an individual receiving care or treatment for mental illness, intellectual disability, or substance abuse. See § 37.2-100 of the Code of Virginia. • By a preponderance of the evidence, which included camera footage, record reviews, and discussions with staff, the provider substantiated the allegation of neglect in CHRIS report #A20220066. • Per provider CHRIS report #A20220066, Individual #1 has Allergy #1. Individual #1 chose not to eat what they had originally indicated for their meal and requested from Employee #1 an alternative option within their dietary guidelines. Employee #1 then gave Individual #1 what Employee #1 thought was the alternative item. • Per provider's report to advocate and CHRIS report 20220066, the alternative trays and menu items were labeled per internal protocol, however Employee #1 chose the wrong item that had Allergen #1 in it and gave it to Individual #1. Individual #1 then had an allergic reaction, was administered an EpiPen and Benadryl and was sent to the ER for follow up. • As a result of Employee #1's actions, Individual #1 had an allergic reaction and required emergency services, resulting from negligence on the part of the staff
-
-
Mar 30, 2022
Unannounced Inspection: 2 standards cited
Open report
2 findings
-
Non-compliance, DBHDS unannounced inspection : 12VAC35-105-660. D. (1b) - The initial ISP and the comprehensive ISP shall be developed based on the respective assessment with the participation and informed ...
Both Individual #1 and Individual #2's ISPs reviewed during the time of the inspection did not include documentation of discussion of alternative services that might be advantageous to the individuals.
-
Non-compliance, DBHDS unannounced inspection : 12VAC35-105-660. D. (1c) - The initial ISP and the comprehensive ISP shall be developed based on the respective assessment with the participation and informed ...
Both Individual #1 and Individual #2's ISPs reviewed during the time of the inspection did not include documentation of discussion of accompanying risks or benefits of the proposed and alternative services.
-
-
Jan 28, 2022
Human Rights Inspection: 2 standards cited
Open report
1 finding
-
Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.
"Neglect" means failure by a person, program, or facility operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, responsible for providing services to do so, including nourishment, treatment, care, goods, or services necessary to the health, safety, or welfare of an individual receiving care or treatment for mental illness, intellectual disability, or substance abuse. • By a preponderance of the evidence outlined in the CHRIS report #A20210443, which included camera review, eyewitness statements, staff admissions, witness credibility, and a failure to follow policy, the provider substantiated that neglect occurred when Employee #1 left the unit leaving Employee #2 out of ratio. • Per provider's CHRIS report #A20210443, Individual #1 is seen leaving the common area and going into the privilege room, which is separate from where Employee #1 and #2 are located. Per camera footage, Employee #1 is seen leaving the unit, which leaves Employee #2 out of ratio. Individual #2 is then seen going into the privilege room where Individual #1 is located and Individual #2 grabs Individual #1 by the shirt, verbally threatens Individual #1 and then pushes Individual #1 to the ground. • Due to Employee #1's neglectful actions of leaving the unit, Employee #2 is left out of ratio and unable to provide the required supervision of all individuals on the unit, including Individual #1 and #2 who got into an altercation.
-
Documents
Research that mentions this program
We have questions about North Spring Behavioral Healthcare Inc
If you were there, worked there or sent your child there, you can help fill in what our records are missing. Each question takes a moment; skip anything you do not know.
Answer questions about North Spring Behavioral Healthcare Inc