VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Crossings at Ironbridge
6701 Ironbridge Parkway
Chester, VA 23831
(804) 748-7000

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: Feb. 8, 2022

Complaint Related: Yes

Areas Reviewed:

22VAC40-80 COMPLAINT INVESTIGATION

Comments:

Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 2-8-22 from 10:27 a.m.- 12:20 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on regarding allegations in the area(s) of: administration and resident care. Number of residents present at the facility at the beginning of the inspection: 61 Number of resident records reviewed: 1 Number of interviews conducted with staff: 3 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegation(s); area(s) of non-compliance with standard(s) or law were: administration and resident care A violation notice was issued; any violation(s) not related to the complaint(s) but identified during the course of the investigation can also be found on the violation notice. 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. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact (name), Licensing Inspector at (804) 662-7578 or by email at Kimberly.M.Davis@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-70-A
Complaint related:	Yes
Description:	Based on a complaint received and interviews with facility staff the facility failed to report to the regional licensing office within 24 hours any major incident that has negatively affected or that threatens the life, health, safety, or welfare of any resident. Evidence: The facility failed to report to the regional licensing office an allegation of physical abuse of a resident by a staff member. The licensing inspector learned of the allegation when the complainant reported it to the licensing office.
Plan of Correction:	Staff was educated on self-reporting regarding all allegations of abuse and moving forward the Executive Director or her/his designee will report within the state regulations time frame of 24 hours from incident.
Standard #:	22VAC40-73-430-H-2
Complaint related:	No
Description:	Based on a review of resident records the facility failed to ensure that at the time of discharge a copy of the discharge statement shall be retained in the resident?s record. Evidence: The record for Resident # 1 (discharge date: 1-8-22) did not contain a discharge statement. The administrator stated that staff forgot to complete the discharge statement.
Plan of Correction:	The correction was made on March 21, 2022, and a discharge statement was placed with the records of resident #1. Moving forward the completion of all discharge statements will be completed by the Business office manager or his/her designee.