VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Harbor at Renaissance
422 William Mills Drive
Stanardsville, VA 22973
(434) 985-4481

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: Jan. 28, 2021 and Feb. 12, 2021

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 63.2 General Provisions. 63.2 Protection of adults and reporting. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Technical Assistance:

1. Discuss with pharmacist adding a line to the medication administration record to allow for units given to be included with sliding scale insulin; and 2. For individuals receiving medication to assist with the management of behavior (refer new PRN prescription for resident A - January 19, 2021) the behavior needs to be defined and addressed in the individualized service plan. Census: 47

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 renewal inspection was initiated on 1/28/2021 and concluded on 2/12/2021. The administrator and director of nursing were contacted by email to initiate the inspection. The administrator reported that the current census was 47. This is the second desk review inspection the facility has had during the pandemic. The inspector emailed the administrator and director of nursing a list of time required to complete the inspection. The inspector reviewed three resident charts including notes and six additional medication records reflecting the use of sliding scale insulin, hospice services and prn medication for behavior management. Three staff records were reviewed that included training, any certification requirements and staff scheduling. Three additional new staff background checks were reviewed as were the current registration for three medication aides. 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. The kitchen certificate from the health department has been extended through 12/31/21 due to the pandemic without an additional inspection at this time. The previous violation had been corrected. The information contained in this inspection report was reviewed with the administrator and director of nursing. The information gathered during this inspection determined no violations of applicable standards or law. No violations were issued. The facility has had no complaints during this licensure period. 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.