The Harbor at Renaissance
422 William Mills Drive
Stanardsville, VA 22973
(434) 985-4481
Current Inspector: Sarah Pearson (540) 680-9469
Inspection Date: June 3, 2020 and June 4, 2020
Complaint Related: No
- Areas Reviewed:
-
22VAC40-73 GENERAL PROVISIONS
22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES
22VAC40-73 PERSONNEL
22VAC40-73 STAFFING AND SUPERVISION
22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
22VAC40-73 EMERGENCY PREPAREDNESS
22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS
Article 1
Subjectivity
22VAC40-90 Background Checks for Assisted Living Facilities
22VAC40-90 The Sworn Statement or Affirmation
22VAC40-90 The Criminal History Record Report
- Technical Assistance:
-
Be sure and have physician include a source for the oxygen on their order, transcribe to the MAR and have on service plan (refer residents B and C).
Census: 52
- Comments:
-
This inspection 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 monitoring inspection was initiated on 6/01/2020 and concluded on 6/03/2020. The administrator and director of nursing were contacted by email to initiate the inspection. The administrator reported that the current census was 52. The inspector emailed the administrator and director of nursing a list of time required to complete the inspection. The inspector reviewed four resident charts including notes and 4 additional medication records.Discharge assistance planning agreements were also reviewed. Four staff records were reviewed that included training,any certification requirements and staff scheduling. The inspection also included review of fire and health inspections, emergency drills, health care, dietary and pharmacy over site all submitted by the facility to ensure documentation was complete.
Information gathered during this monitoring inspection determined non-compliance with one applicable standard or law, and the violation was documented on the violation notice issued to the facility.
Thank you to staff and administration for your patience and assistance during this desk review process. Should you have additional questions or concerns please call
(540) 332-2330 or e-mail this inspector at sharon.deboever@dss.virginia.gov.
- Violations:
-
Standard #: 22VAC40-73-680-K Description: Based on review of physician orders and medication administration records (MARs), resident A has hospice medication with multiple diagnosis for use, resident B has 2 medications for pain as does resident E who also has 2 medications for nausea. Resident G has a PRN/as needed medication noted for schizophrenia. All these individuals reside in a memory care facility so cannot ask for medication. The staff should further be describing what they are seeing to represent such diagnosis as anxiety or aggression and not just the diagnosis when administering medication. (Note: It would appear all medication has been discontinued for resident H) Plan of Correction: Orders will be clarified when respective physician. Staff will receive additional documented training regarding the use of PRN medication and documentation. The administrator in conjunction with the director of nursing will ensure correction and future compliance and monitoring.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.