VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Commonwealth Senior Living at the Ballentine
7211 Granby Street
Norfolk, VA 23505
(757) 440-7400

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date: March 16, 2021

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 BUILDING AND GROUNDS

Comments:

This investigation was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A complaint investigation was initiated on 03-16-2021 and concluded on 03-16-2021. A complaint was received by the department regarding buildings and grounds. 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 allegations of non-compliance with standards or law, and violations were issued. Any violations not related to the complaint but identified during the course of the investigation can be found on the violation notice.

Violations:

Standard #:	22VAC40-73-870-E
Complaint related:	Yes
Description:	Based on observation and interview, the facility failed to ensure all fixtures are kept in good repair. Evidence: 1. Photograph reportedly taken on 01-31-2021 of room #107 was provided on 03-01-2021; revealing right side of toilet paper holder detached from wall. 2. Conducted virtual tour of special care unit with staff #1 and staff #2, and observed right side of the toilet paper holder in room #107 detached from wall. Both staff acknowledged the detached toilet paper holder.
Plan of Correction:	Apartment 107 was severely damaged at discharge. At time of tour with LI, Apartment 107 was unoccupied and the door was locked because it had not had the opportunity to be made ?room ready? for a new occupant. Plans for repairs had been delayed because of the community COVID status and the inability of vendors to enter the community to complete repairs. In the future the Executive Director or designee will self report any apartments damaged day discharge to LI. Apartment 107 has been repaired.