VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sunrise at Mount Vernon
8033 Holland Road
Alexandria, VA 22306
(703) 780-9800

Current Inspector: Nina Wilson (703) 635-6074

Inspection Date: July 11, 2022 , Aug. 4, 2022 , Aug. 11, 2022 and Aug. 23, 2022

Complaint Related: No

Areas Reviewed:

63.2 FACILITIES AND PROGRAMS

Comments:

Unannounced monitoring inspections were conducted on 7/22, 8/4/22, 8/11/22 and 8/23/22. Interviews were conducted and one staff record was observed. 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 has the 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. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Marshall Massenberg, Licensing Inspector at (703) 431-4247 or by email at m.massenberg@dss.virginia.gov.

Violations:

Standard #:	63.2-1808-A-11
Description:	Based on documentation and interview, the facility failed to ensure that each resident is treated with courtesy, respect, and consideration as a person of worth, sensitivity, and dignity. Evidence: A facility reported incident, involving Residents #1 and #2, was provided to the licensing office on 6/3/22. Staff #1 was hired on 7/1/21 as a care manager. The care manager job description includes information about promoting the dignity and physical safety of each resident. The care manager description also indicates that the staff member will adhere to standards of resident rights and Sunrise principles of service. Resident and staff statements indicate that Staff #1 yelled at Resident #2 on 6/1/22.
Plan of Correction:	Residents #1 and #2 experienced no negative outcomes and Staff #1 is no longer employed in our community.Following being informed of an allegation, the Executive Director immediately placed Staff #1 on administrative leave and began a comprehensive investigation. The Executive Director was unable to complete the investigation as Staff #1 declined and failed to cooperate with the investigation process. The Executive Director terminated Staff #1 for failure to participate in an active investigation of the alleged abuse. The Executive Director/Designee retrained all team members on resident rights and mandated reporting. The Resident Care Director/Designee will evaluate the resident for signs and symptoms of abuse through verbal interview and/or physical evaluation for 90 days. The Executive Director and/or designee will conduct monthly Elder Abuse Preventative and Resident Rights Training at Town Hall Meetings, over the next 3 months. The results of the monthly wellness visits, actual investigations conducted, and the training sessions will be presented at the Quality Assurance and Performance Improvement (QAPI) Meetings for 3 months. The QAPI meetings will include tracking and trending. During and after each month, the QAPI committee will re-evaluate and initiate necessary action or extend the review period. The Executive Director is responsible for confirming implementation and ongoing compliance with the components of this Plan of Correction; along with addressing and resolving variances that may occur.