VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Russell Road Assisted Living Facility
3802 Russell Road
Woodbridge, VA 22192
(571) 989-5209

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: July 20, 2022

Complaint Related: No

Areas Reviewed:

Administrative and Administrative Services Personnel Staffing and Supervision Admission, Retention and Discharge of Residents Resident Care and Related Services Resident Accommodations and Related Provisions Building and Grounds Emergency Preparedness

Comments:

Date of Inspection: July 20 and 22, 2022 at 1:30pm Type of Inspection: Renewal inspection If you have any questions or email changes, please do not hesitate to contact me at sarah.pearson@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov. Census 8 Number of records reviewed and interviews conducted- 6 records, 8 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The Licensing Inspector and the Administrator discussed the risk assessment ratings for the violations for this inspection. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to the office. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). The completed corrective action needs to be in the licensing office by August 3, 2022

Violations:

Standard #:	22VAC40-73-990-C
Description:	Based on records review and staff interview, it was determined that the facility failed to perform resident emergency exercises every six months.
Plan of Correction:	Beginning 8/10/22, all staff will participate in a resident emergency exercise. These exercises will be conducted at least every six months and documentation of the type of exercise and staff participation will be maintained on-site.