VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Feinour Center-Adult Medical Day Care
324 Hershberger Road
Roanoke, VA 24012
(540) 283-4433

Current Inspector: Holly Copeland (540) 309-5982

Inspection Date: Nov. 1, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-60 ADMINISTRATION 22VAC40-60 PERSONNEL. 22VAC40-60 SUPERVISION. 22VAC40-60 BUILDINGS AND GROUNDS. 22VAC40-60 ADMISSION, RETENTION AND DISCHARGE. 22VAC40-60 PROGRAMS AND SERVICES. 22VAC40-60 EMERGENCY PREPAREDNESS. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2(19.2) Criminal Procedures. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Comments:

On 11/1/2019 one inspector conducted a renewal study (10:30AM to 2:30PM). 16 participants were in care. Four participant records, three staff records, and one volunteer record were reviewed. There have been no new staff hired since the prior inspection. A meal and multiple activities were observed. The medications were checked (no medication pass during the inspection), and a physical plant tour was done.

Violations:

Standard #:	22VAC40-60-570-B
Description:	Based on participant record review, the facility failed to address some participant needs on Plans of Care (POC). EVIDENCE: 1. The record for participant 2 shows an order for a "diabetic diet" was faxed in on 7/8/2019. This prescribed diet is not addressed on the POC, dated 8/19/2019. 2. The file for participant 3 shows this person is allergic to Cardura and PNCs [penicillins]. These medication allergies are not addressed on the POC, dated 5/20/2019.
Plan of Correction:	1. Updated Care Plan for Participant 2 on 11/8/19 to prescribed Diabetic Diet. 2. Updated POC for Participant 3 to include allergies to Cardura and PNCs (penicillin?s) on 11/8/19. Will compare H& P to all additional supporting documentation to ensure they are correct moving forward.
Standard #:	22VAC40-60-698-D-2
Description:	Based on observation, the facility failed to have a medication labeled with the participant's name. EVIDENCE: 1. A tube of Abrevia was not labeled with a participant name. Staff identified it as belonging to participant 5, the only participant that uses this.
Plan of Correction:	1. Provided In-Service to RMA?s, LPN and Assistant Director to include DSS regulations on Medication Management and our policies and procedures about labeling medications on 11/6/19.