An Alexandria assisted living facility where emergency crews last year found residents needing help while their caregiver slept has been cited for dozens more violations.

On July 31, authorities answering a resident's 911 call from Sunrise Senior Living on Duke Street used sirens, telephones and shouts to try to rouse workers. Police found two residents in distress, including a patient who had fallen from bed, while a staff member was sleeping. The two other staff members on duty were found in a secured unit on the third floor of the 110-bed home.

The staff member who had been sleeping was fired and pleaded guilty to one misdemeanor count of abuse and neglect of an incapacitated adult. In November, a judge sentenced the woman to 180 days in jail, suspending all but 45 days.

The Virginia Department of Social Services fined the facility $500 for multiple regulatory failures and ordered employee training. In February, inspectors issued a provisional license for the facility because of violations, records show. The facility's application for a full license is pending.

Sunrise Senior Living spokeswoman Sarah Evers said that the company's facilities provide high-quality care and that all violations at the Alexandria home have been corrected or are in the process of being fixed. Evers said the company has worked with regulators to "not only resolve complaints, but to take steps to prevent recurrence."

Inspectors logged multiple violations after a resident with Alzheimer's disease wandered from the home April 29 to a hotel several blocks away, records show. The resident had triggered an alarm, but staff members did not hear it and were inadequately trained, according to records.

In May, an inspector found an open gate outside the facility leading to a drainage ditch and "a large chef's knife" in the activities area.

-- David S. Fallis