VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Legacy at North Augusta, Inc.
1410 A N. Augusta Street
Staunton, VA 24401
(540) 885-5454

Current Inspector: Jessica Gale (540) 571-0358

Inspection Date: Sept. 30, 2020 , Oct. 1, 2020 and Oct. 2, 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 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 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. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS.

Technical Assistance:

Topics discussed/questions answered on the following: 1) Since expiration dates are no longer being printed on licenses and certifications, ensure staff are checking the appropriate website to make sure they are still current. 2) Recommended elopement drills be documented on a separate form from the fire drills. 3) Even though family members may sign the resident orientation form for those residents who are seriously cognitively impaired, the resident still also needs to sign the form (which can be a signature, mark, etc). 4) Ensure the trainer initials and dates each blank and does not draw a line through all except the last blank on the staff orientation form. 5) Even though fall risk was documented on the individualized service plan; recommended the level of fall risk also be indicated.

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 9/30/20 and concluded on 10/2/20. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was 82 (73 in assisted living and 9 in the secured unit). The inspector emailed the administrator a list of items required to complete the inspection. The inspector reviewed five resident, one discharge, one volunteer, one contract staff and five staff records. Selected sections of one additional resident and three staff records were also reviewed. The inspector also reviewed fire drill log sheets, activities calendars, menu, staff schedules, dietary/medication/health care oversights, required postings, resident council meeting minutes, emergency food and water, staff rounds log sheet and a virtual tour of various areas of the facility was also conducted. Information gathered during the inspection determined no violations with applicable standards or law. No violations were issued.