VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Runk & Pratt Residential Adult Care of Lynchburg
20212 Leesville Road
Lynchburg, VA 24502
(434) 237-7809

Current Inspector: Cynthia Jo Ball (540) 309-2968

Inspection Date: Sept. 27, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

A non-mandated monitoring inspection was initiated on 09/27/2021 and concluded on 10/01/2021. The Administrator was contacted by telephone to conduct the investigation. The licensing inspector emailed the Administrator a list of documentation required to complete the investigation. The evidence gathered during the investigation supported non-compliance with standards or law, and violations issued can be found on the violation notice.

Violations:

Standard #:	22VAC40-73-680-E
Description:	Based on a review of medication administration records (MARs), the facility failed to document medical procedures. EVIDENCE: 1. The August 2021 MAR for resident 2 has a physician order for weekly weights on Thursday for monitoring and to fax the results to the residents physician. The MAR does not have the recording of the residents weight on 08/12/2021 or 08/19/2021. The last page of the MAR has documentation that the weight was not completed due to the resident being on isolation but there is no documentation of a physician order to hold weights for these days.
Plan of Correction:	All Registered Med Aides will be in serviced on medication administration/treatments and will include proper documentation to ensure physicians orders are being followed as prescribed and recorded in the medication records.
Standard #:	22VAC40-73-680-I
Description:	Based on a review of resident medication administration records (MARs), the facility failed to ensure that all required information was documented on resident MARs. EVIDENCE: 1. The August 2021 MAR for resident 2 has documentation of a physician order for Novolog Flex Pen 19 units before dinner, hold for blood sugars less than 100. The MAR has documentation of resident 2's blood sugar being 81 at 4:30pm on 08/12/2021. Staff initials are present, without being circled, at 4:30pm on 08/12/2021 as administering this medication including the number "2" to reflect the injection site. The last page of the MAR is inconsistent as it has documentation that the Novolog Insulin was held due to the resident blood sugar being 81.
Plan of Correction:	All Registered Med Aides will be in serviced on medication administration/treatments and will include proper documentation to ensure physicians orders are being followed as prescribed and recorded in the medication records.