VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Hamilton West Adult Home
309 W. Washington Street
Petersburg, VA 23803
(804) 732-4530

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: July 5, 2022

Complaint Related: No

Areas Reviewed:

AREAS OF STANDARDS 22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUND 22VAC40-73 EMERGENCY PREPAREDNESS

Comments:

Type of inspection: Renewal File # 718306 Date of inspection and time the licensing inspector was on-site at the facility for the inspection: 7/5/22 10am-12 noon The Acknowledgement of Inspection form was signed and left at the facility on the date of the inspection. Number of residents present at the facility at the beginning of the inspection: 1 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of staff records reviewed: 4 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: physical plant, medication storage and administration, postings, emergency food supply Additional Comments/Discussion: The facility recently added a handicap ramp, modified physical plant (bathrooms and bedrooms) to accommodate new residents in care discharged from a facility that closed. An exit meeting was conducted to review the inspection findings on 7/5/2022. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee was given an opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected.

Violations:

Standard #:	22VAC40-73-325-A
Description:	Based on a review of two resident files, one resident assessed at for assisted living care did not have a written fall risk rating completed at the time of completion of the comprehensive individualized service plan (ISP). Evidence: The file for resident # 1 did not contain a fall risk rating.
Plan of Correction:	The Manager/Administrator will ensure all residents are given a fall risk assessment prior to or on admittance and document the finding appropriately on the correct forms.
Standard #:	22VAC40-73-560-I
Description:	Based on a review of two resident files, a current picture was not maintained in two resident files. Evidence: The files for residents # 1 and # 2 did not contain a current picture of the resident.
Plan of Correction:	The Manager/Administrator will ensure all residents' pictures are taken on admittance and will review the files quarterly to ensure all files stay in compliance.
Standard #:	22VAC40-73-660-A-2
Description:	Based on an inspection of medication administration, schedule II drugs and other drugs subject to abuse are not kept under a double lock (a locked storage compartment within a locked cart or cabinet). Evidence: All medications were stored together. Schedule II drugs and other drugs subject to abuse were not stored in a separate locked storage cabinet or container. Note: The licensee had a locked container on site, corrected during inspection.
Plan of Correction:	The Manager/Administrator will ensure all residents schedule II drugs and other drugs subject to abuse are stored in a double locked area. The Manager/Administrator will review all medications daily to ensure all medications are stored in accordance with the standards.