VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Harmony at Spring Hill
8350 Mountain Larkspur Drive
Fairfax, VA 22079
(571) 348-4970

Current Inspector: Amanda Velasco (703) 397-4587

Inspection Date: June 22, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

An unannounced monitoring inspection was conducted on 6/22/23 in response to facility reported incidents. Resident records and facility documents were observed. Interview was conducted. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Marshall Massenberg, Licensing Inspector at (703) 431-4247 or by email at m.massenberg@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-460-D
Description:	Based on record review and interview, the facility failed to provide supervision of resident schedules, care, and activities including attention to specialized needs, such as wandering from the premises. Evidence: Resident #1 was admitted into the memory care unit on 5/16/23. Resident #1?s record contained an Assessment of Serious Cognitive Impairment form, dated 5/12/23, that states that Resident #1 has a serious cognitive impairment with an inability to recognize danger or protect his own safety and welfare. On 6/21/23, Resident #1 eloped from the facility through a window on the special care unit. Facility staff reported that Resident #1 was observed outside the building, and the resident was assisted back to the special care unit.
Plan of Correction:	Not available online. Contact Inspector for more information.