VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Vitality Living West End Richmond
1800 Gaskins Road
Henrico, VA 23238
(804) 741-8880

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: Aug. 15, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 8-15-2023, 9:40 ? 10:25 a.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 6-23-2023 regarding allegations in the area of Resident Care and Related Services. Number of residents present at the facility at the beginning of the inspection: 92 Number of resident records reviewed: 1 Number of staff records reviewed: 1 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Alex Poulter, Licensing Inspector at (804)662-9771 or by email at alex.poulter@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-320-A
Description:	Based on record review, the facility failed to ensure within the 30 days preceding admission, a person shall have a physical examination by an independent physician that contained a description of the person?s reactions to any known allergies. Evidence: 1.Resident #1 admitted 5-02-2023. Resident #1?s Report of Resident Physical Examination dated 4-28-2023 documented the following allergies with no description of reactions for any: chocolate, penicillins, sulfa, milnacipran, oxybutynin, wheat, clarithromycin, colesevelam, and metoprolol. 2.Staff #1 confirmed the nine allergies of Resident #1 were not identified with a description of reactions.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-550-C
Description:	Based on record review and interview with staff, the facility failed to ensure a resident had the rights and responsibilities as provided in ? 63.2-1808 of the Code of Virginia and this chapter. Evidence: 1.A final incident report received 6-23-2023 documented, ?On 6/22/2023, [Resident #1] reported that she experienced physical and verbal abuse by [Staff #2] on 6/19/2023 in the form of little pinches on the back and a threatening tone of voice.? 2.According to interview with Staff #1, this was the only known incident that had occurred between Staff #2 and Resident #1. Resident #1 was not available for interview by the licensing inspector. 3.Staff #1 confirmed the incident took place and that Staff #2 was terminated as a result of incident with Resident #1.
Plan of Correction:	Not available online. Contact Inspector for more information.