VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Brookdale Danville Piedmont
149 Executive Court
Danville, VA 24541
(434) 799-1930

Current Inspector: Cynthia Jo Ball (540) 309-2968

Inspection Date: July 16, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

A non-mandated self-report inspection was initiated on 7/16/2021 and concluded on 7/22/2021. A self-reported incident was received by the department regarding allegations in the areas of resident care and related services. The Administrator was contacted by telephone to conduct the investigation. The licensing inspector emailed the Administrator a list of documentation required to complete the investigation. The evidence gathered during the investigation supported the self-report of non-compliance with standards or law, and violations can be found on the violation notice.

Violations:

Standard #:	22VAC40-73-550-C
Description:	Based on a review of facility documentation and interviews with staff, the facility failed to ensure that resident rights were provided to residents. EVIDENCE: 1. A facility incident report dated 7/19/2021 has documentation that on 7/8/2021 staff person 2 was made aware of concerns in regards to resident 1. The concerns list that staff person 1 had been using her cell phone to voice record their interactions with resident 1 while in the residents room. It also has documentation that staff person 1 had made statements to resident 1 that she was going to get resident 1 kicked out of the facility. The incident report documents that during the investigation, staff person 1, who was suspended from employment pending the investigation, admitted to using a cell phone to voice record resident 1 as well as admitted to making comments about getting the resident 1 kicked out of the facility, of which both actions go against resident rights to be free from abuse or neglect.
Plan of Correction:	The following is Brookdale Danville Piedmont, formerly known as Abingdon Place of Danville, Plan of Correction to the Department of Social and Health Services Statement of Deficiencies dated July 23, 2021. This Plan of Correction is not to be construed as an admission of or agreement with the findings and conclusions outlined in the Statement of Deficiencies, or the proposed administrative penalty (with the right to correct) on the community. Rather, it is submitted as confirmation of our ongoing efforts to comply with all statutory and regulatory requirements. In this document, we have outlined specific actions in response to each allegation or findings. We have not presented all contrary factual or legal arguments, nor have we identified all mitigating factors. ? ED/designee will re-educate staff on resident rights ? ED/designee will re-educate staff on resident abuse/neglect ? BOC/designee will verify resident rights and abuse/neglect training is documented in associate files upon hire and annually thereafter.