VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Green Valley Commons Assisted Living
549 Valley Mill Road
Winchester, VA 22602
(571) 359-1499

Current Inspector: Jill James (540) 418-2631

Inspection Date: May 24, 2023

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 ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUND 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS ARTICLE 1 ? SUBJECTIVITY 32.1 REPORTED BY PERSONS OTHER THAN PHYSICIANS 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 22VAC40-80 COMPLAINT INVESTIGATION 22VAC40-80 SANCTIONS

Technical Assistance:

Be sure and put a date on your fall risk assessments.

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: 5/24/23 The Acknowledgement of Inspection form was signed and left at the facility for the date of the inspection. Number of residents present at the facility at the beginning of the inspection: 27 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. The facility was clean and odor free. Two bathrooms had been remodeled. The drain work in the kitchen was almost completed. Previously during cleaning, the drain the snake had been broken off in the system causing a back up and odor. The facility also has approval to replace additional flooring in common areas/hallways and that process has begun. As a part of this monitoring inspection a complaint regarding odor and pets in the building was also addressed and that information can be found in the complaint report. The facility has no pets onsite. They do however, allow visits by therapy animals for the residents which they indicated they really enjoy. Number of resident records reviewed: 9 Number of staff records reviewed: 6 Number of interviews conducted with residents: 4 Number of interviews conducted with staff: 2 Observations by licensing inspector: Residents and staff were engaged in various activities upon arrival at the facility. Postings were as required and observed to be followed. Outside inspection were current as were any applicable drills. A review of the schedule indicated staffing to meet the needs of the residents. Med review met Board of Nursing guidelines including review of medication administration records (MARs), orders and inspection of the cart and count for schedule II medication. Resident interviewed voiced no issued with services or care in general. Additional Comments/Discussion: Fire ? 4/6/23 Fire plan reviewed during fire inspection and evacuation location onsite changed with approval of Fire Marshall. Health ? 12/31/22 An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. Thank you to residents and staff for your cooperation during this inspection process. 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. Should you have any questions, please contact Sharon DeBoever, Licensing Inspector at (540) 292-5930 or by email at sharon.deboever@dss.virginia.gov