VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tidewater Cove, Operated by Western Tidewater CSB
2536 East Washington Street
Suffolk, VA 23434
(757) 935-1415

Current Inspector: Margaret T Pittman (757) 641-0984

Inspection Date: March 17, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 BUILDING AND GROUNDS 22VAC40-80 THE LICENSE.

Comments:

An unannounced monitoring inspection to follow-up on a B-2 violation was conducted by a Licensing Inspector and Licensing Administrator on 03-17-2022 from 10:12 am to 11:07 am. The Administrator for the facility was not on-site to be present for the inspection. A tour of the facility was completed and the areas previously cited in regards to building and grounds were reviewed. The findings following the tour were reviewed with the Nursing Administrator, Finance Manager, Nursing Supervisor and ACT Program Manager. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-290-B
Description:	Based on observation, the facility failed to develop and implement a procedure for posting the name of the current on-site person in charge in a place in the facility that is conspicuous to the residents and the public. Evidence: 1. Upon entering the facility, the current on-site person in charge was not posted in the facility. Staff could not identify who was the designated on-site person in charge at the time of the inspection.
Plan of Correction:	The on-site person in charge was updated and posted in the front of the facility after the inspection.
Standard #:	22VAC40-73-550-F
Description:	Based on observation, the facility failed to post the rights and responsibilities of residents conspicuously in a public place. Evidence: 1. During the tour of the facility with Staff #1, an outdated copy of the rights and responsibilities of residents was posted in the multipurpose room.
Plan of Correction:	Resident rights and responsibilities were posted in public location (lobby) following the inspection.
Standard #:	22VAC40-73-610-B
Description:	Based on observation and documentation, the facility failed to ensure menus for meals for the current week are dated and posted in an area conspicuous to residents. Evidence: 1. During the tour of the facility with Staff #1, the meal menus dated 03/07/2022-03/13/2022 was posted in the multipurpose room. The current meal menu for 03/14/2022-03/20/2022 was not posted.
Plan of Correction:	Current weeks menu had been removed to make a change for the following day. We will continue to be complaint with state regulations.
Standard #:	22VAC40-73-870-A
Description:	Based on observation, the facility failed to the interior and exterior of all buildings are maintained in good repair and kept clean and free of rubbish. Evidence: 1. During the tour of the facility with Staff #1, the exposed plumbing and missing drywall around the tub in the women?s shower room was observed in the same condition as 11/18/21. The facility submitted a Plan of Correction stating the drywall around the tub in the women?s shower room was repaired on 12/3/21.
Plan of Correction:	Dry wall around tub in ladies shower room was repaired on 3/18/2022.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation, the facility failed to post the findings of the most recent inspection of the facility. Evidence: 1. During the tour of the facility with Staff #1, the findings of the most recent inspection of the facility were not observed to be posted.
Plan of Correction:	The findings of the most recent inspection were posted in the front lobby for public to view.