VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Retreat at Berryville
450 Mosby Blvd.
Berryville, VA 22611
(540) 837-4447

Current Inspector: Jill James (540) 418-2631

Inspection Date: July 6, 2021 and July 14, 2021

Complaint Related: No

Areas Reviewed:

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 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity 63.2 Protection of adults and reporting. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Technical Assistance:

When reviewing diagnosis for medication be sure that the actual reason for the medication is included as the diagnosis as opposed to the standard diagnosis for which the medication is typically described. An example would be Depakote that although the standard diagnosis is seizures is actually being given to assist in managing behaviors.

Comments:

A renewal inspection was initiated on 07/06/2021 and concluded on 07/14/2021. The administrator was contacted by email to initiate the inspection. The administrator reported that the current census was 52. The inspector emailed the administrator a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed 4 resident records, 4 staff records,13 additional background checks for staff hired since last inspection, fire and health inspection information, healthcare oversight, dietary oversight, staff schedules, and emergency drill information submitted by the facility to ensure documentation was complete. The inspector conducted the on-site portion of the inspection on 07/14/2021. An exit interview was conducted with the Administrator and Director of Nursing on the date of inspection, where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. The information gathered during the inspection determined no violations with applicable standards or law. No violations were issued. Thank you to the staff and residents for your cooperation during this hybrid inspection process. If you have additional questions or concerns please call (540) 332-2330 or email this inspector at sharon.debeoever@dss.virginia.gov