VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Greendale Home
18180 Rich Valley Road
Abingdon, VA 24210
(276) 628-8595

Current Inspector: Rebecca Berry (276) 608-3514

Inspection Date: March 1, 2021

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 ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was initiated on 03/01/2021 and concluded on 03/09/2021. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was 55. The inspector emailed the administrator a list of items required to complete the inspection. The inspector reviewed 4 resident records, 4 staff records, staff schedules for the past two weeks, health care and dietitian oversights for the past year, the most recent fire and health inspection reports, and the fire and emergency drills for the past year submitted by the facility to ensure documentation was complete. 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 #:	22VAC40-73-320-A
Description:	Based on review of resident records and the physical examination reports, the facility failed to ensure the physical examination report contained all of the required information for two residents in care. EVIDENCE: 1. Resident # 1 was admitted to the facility on 12/11/2020. The physical examination report for resident # 1 dated 12/11/2020 did not include this resident's blood pressure. 2. Resident # 4 was admitted to the facility on 01/24/2020. The physical examination report for resident # 4 dated 01/23/2020 did not include this resident's address.
Plan of Correction:	DON will monitor all physicals prior to admission to assure all required information is completed on physical. Office staff will review physical when admission forms are completed to assure compliance. [sic]
Standard #:	22VAC40-90-40-B
Description:	Based on review of staff records and criminal history record reports, the facility failed to obtain a criminal history record report on or prior to the 30th day of employment for two staff members. EVIDENCE: 1. Staff # 2 has a hire date of 07/30/2020, the criminal history record report for staff # 2 was received on 10/01/2020 exceeding the 30th day of employment. 2. Staff # 3 has a hire date of 08/07/2020, the criminal history record report for staff # 3 was received on 09/25/2020 exceeding the 30th day of employment.
Plan of Correction:	Office will monitor new staff's criminal history report to assure the 30th day of employment is not exceeded. Administrator will monitor on 30th day to assure compliance. [sic]