VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heritage Village Assisted Living and Memory Care
13650 Heathcote Boulevard
Gainesville, VA 20155
(703) 468-1895

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: Feb. 5, 2020

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Technical Assistance:

Discussed additions to the ISP process

Comments:

Date of Inspection: January 30, 2020 Type of Inspection: Complaint inspection Standards Investigated: Resident care Complaint was determined not valid If you have any questions, please do not hesitate to contact me at ken.koontz@dss.virginia.gov If you need a copy of any of the DSS Model forms or to review any inspection, you can find the information on the internet: www.dss.virginia.gov The Designated Charge Staff and the Licensing Inspector discussed the risk assessment ratings for the violations for this inspection.

Violations:

Standard #:	22VAC40-73-660-A-1
Complaint related:	No
Description:	Based on observations completed during the complaint inspection, it was determined the facility to ensure the medication carts were locked, when not under sight supervision, at all times. Evidence: During a facility inspection tour with Staff A, a medication cart was observed outside a resident?s room unlocked, and unsupervised. Staff B, the medication aide assigned to the cart, stated he was administering medication in the room, and had accidentally left the cart unlocked. Two other medication carts were checked located throughout the facility, and the these carts were locked.
Plan of Correction:	Director of Health Services ?DOHS? or her Designee will in-service all med techs & nurses on the severity of locking the med cart when they are not under sight or supervision, this training will be completed by 2/6/2020. DOHS or designee will do multiple rounds each day for 30 days to ensure that the carts are locked when not in sight supervision to be completed 3/6/2020. A reminder will be added ?CARTS MUST BE LOCKED AT ALL TIMES WHEN NOT IN SIGHT SUPERVISION?. All Directors have been instructed to check any cart as they walk by to ensure they are locked at all times. We will be in compliance as of 1/31/2020 and ongoing thereafter.