VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Timberview Crossing
351 New Market Road
Timberville, VA 22853
(540) 896-9858

Current Inspector: Jill James (540) 418-2631

Inspection Date: Jan. 5, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

A non-mandated self-report inspection was initiated on 01/05/2022 and concluded on 01/05/2022. A self-reported incident was received by the department regarding allegations in the areas of resident care. 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 a violation was issued.

Violations:

Standard #:	22VAC40-73-460-D
Description:	Based on documentation and an interview the failed to provide supervision to prevent a fall. EVIDENCE: 1. Documentation received from the facility on 12/23/2021 indicates resident 1's wheelchair tipped backwards and resident fell due to staff not locking the wheelchair wheels. 2. The LI interviewed the administrator on 12/23/2021 who confirmed staff were interviewed and the wheelchair break lock was not engaged at the time of the fall.
Plan of Correction:	Not available online. Contact Inspector for more information.