VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bentley Commons at Lynchburg
1604 Graves Mill Road
Lynchburg, VA 24502
(434) 316-0207

Current Inspector: Angela Marie Swink (276) 623-6575

Inspection Date: Sept. 14, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Comments:

A non-mandated monitoring inspection was initiated on 09/10/2021 and concluded on 09/14/2021. 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 licensing inspector conducted remote observations at the facility on 09/14/2021.The evidence gathered during the investigation supported the non-compliance with standards or law, and violations were issued.

Violations:

Standard #:	22VAC40-73-270-1
Description:	Based on a review of staff records, the facility failed to ensure that direct care staff were trained in methods of dealing with residents who have a history of aggressive behavior or of dangerously agitated states prior to being involved in the care of such residents. EVIDENCE: 1. The records for staff person 16, hired on 4/18/2019, does not have documentation that they have received training in methods of dealing with residents who have a history of aggressive behavior or of dangerously agitated states. The facility currently serves a mixed population of residents, of which some resident have a diagnosis of dementia/cognitive impairments and have a history of aggressive behaviors.
Plan of Correction:	Director of Business Administration and Operations Specialist will conduct an audit of all current associate files to verify completion of training modules. Understanding Alzheimer's Disease and working with difficult and combative residents. Training modules will be completed by any associate who is found to not have this on file. DBA will ensure training completed for all new hires.
Standard #:	22VAC40-90-40-B
Description:	Based on a review of staff records, the facility failed to ensure that a criminal history report from the Virginia State Police was obtained on new staff on or prior to their 30th day of employment. EVIDENCE: 1. The records for staff persons 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 and 13 all of whom have been employed at the facility for longer than 30 days, does not contain documentation that the facility has obtained a criminal history record report from the Virginia State Police for these employees.
Plan of Correction:	Director of Business Administration and Operations Specialist will conduct an audit of all current associate files. Any file found not to have criminal history record report from the Virginia State Police will be completed and put in the file. DBA will ensure documentation in place for all new hires ongoing.