VIRGINIA DEPARTMENT OF SOCIAL SERVICES

International Rejuvenation Center
221 West Main Street
Marion, VA 24354
(276) 782-1819

Current Inspector: Crystal Mullins (276) 608-1067

Inspection Date: Nov. 21, 2019

Complaint Related: No

Areas Reviewed:

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 ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS

Comments:

Two licensing inspectors conducted a one day unannounced mandated renewal inspection at the International Rejuvenation Center in Marion, Virginia on 11/21/2019. The inspection started at 9:30 am and concluded at 11:19 am, and again beginning at 6:30 pm and concluding at 6:55 pm. The facility had 12 residents in care on the day of the inspection. The focus of this inspection was to conduct a full licensing renewal study and compliance with standards following the current inspection protocol. A sample of resident and staff files were reviewed. The required postings were checked. The building was observed. The medication carts and medication administration records were reviewed. The evening medication pass was observed. Lunch was observed being served. Staff and resident interactions were observed. An exit meeting was held with the administrator on 11/21/2019 and at that time an opportunity was given to find items that were not readily available in files. As a result of this inspection, 6 violations are being cited. Please develop a plan of correction for each violation along with a date of correction and return a signed and dated copy back to the licensing office within 10 calendar days (12/05/2019) of receipt. If you have any questions or concerns please contact your licensing inspector at 276-608-1067. Thank you for your cooperation and assistance.

Violations:

Standard #:	22VAC40-73-250-C
Description:	Based on review of resident records, the facility failed to ensure verification that one staff person received a copy of their job description in a sample of three. EVIDENCE: 1. Staff # 1?s file did not contain verification that she received her job description.
Plan of Correction:	The job description was added to file. Administration will make sure these are complete. [sic]
Standard #:	22VAC40-73-290-A
Description:	Based on observations made of the current staff schedule, the facility failed to include an indication of whomever is in charge at any given time. EVIDENCE: 1. The current staff schedule did not indicate the staff person in charge at any given time. Staff # 2 stated this was not posted on the schedule.
Plan of Correction:	Staff schedule will be maintained regularly. Administration will monitor regularly. [sic]
Standard #:	22VAC40-73-450-C
Description:	Based on review of resident records, one Individualized Service Plan (ISP) did not include a description of identified needs and date identified. EVIDENCE: 1. Resident # 4 has a Uniform Assessment Instrument(UAI) dated 02/02/2019. His ISP is dated 02/02/2019. Bladder continence was not identified as a need on the UAI or the ISP. 2. A strong urine smell was observed coming from Resident # 4's room. Pull ups were observed on the night stand of Resident #4. 3. Staff # 2 stated that Resident # 4 has a problem with continence of bladder and wears pull ups on a daily and nightly basis. Staff # 2 stated that Resident #4 requires verbal prompting to remind him to change his pull up after it has been soiled.
Plan of Correction:	1. UAI & ISP will be updated and will include occasional urinary incontinence. 2. The staff was cleaning his room. 3. The cleaning staff will be asked to clean his room first thin in morning. Administrator with the manager will make sure the resident follows instructions and staff keeps room clean on regular basis. [sic]
Standard #:	22VAC40-73-860-D
Description:	Based on observations made during the tour of the building, the front door did not open and close effectively. EVIDENCE: 1. Upon entering the facility on the day of the inspection, the licensing inspector could not open the door, it was as if it was locked. The second licensing inspector was finally able to open the door. 2. While conducting the inspection a visitor came to the facility. The visitor was not able to open the front door to the facility due to the door sticking and Staff # 3 had to open the door for the visitor.
Plan of Correction:	the building is being painted and refurbished. The door was painted that is why hard to open. It has been sanded and grinded. Staff will monitor door close easily. [sic]
Standard #:	22VAC40-73-870-D
Description:	Based on observations made during the morning tour of the building, the facility failed to ensure the building is kept free from infestations of insects and vermin. EVIDNECE: 1. In the common shower room located next to Resident # 6?s room the licensing inspector observed roaches in the floor in this shower room when she opened the door.
Plan of Correction:	The pest control service will be told to come more often. The residents bring lot of stuff possibly infested. Staff will monitor regularly to prevent pests. [sic]
Standard #:	22VAC40-73-870-E
Description:	Based on the observations made during the morning tour of the building, the facility failed to ensure all furnishings including furniture are kept clean and in good repair and condition. EVIDENCE: 1. The licensing inspector observed several chairs in the common living room area to be stained, torn, and the seat covers to be duct taped together.
Plan of Correction:	The chair with torn seat were removed and replaced. Administrator or stuff will monitor regularly and make sure this is repaired. [sic]