VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Woodland Hills Independent Living, Assisted Living & Memory Care
3365 Ogden Road
Roanoke, VA 24018
(540) 682-7500

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

Inspection Date: Nov. 4, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

A non-mandated self-report inspection was initiated on 11/04/2021 and concluded on 12/09/2021. A self-reported incident was received by the department regarding allegations in the areas of resident care and related services. 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 the self-report of non-compliance with standards or law, and violations cited can be found on the violation notice.

Violations:

Standard #:	22VAC40-73-450-F
Description:	Based on a review of resident records, the facility failed to ensure that individualized service plans (ISPs) were updated to address all identified needs. EVIDENCE: 1. The record for resident 1 admitted to the facility on 11/05/2019 has documentation on a history and physical exam completed 10/30/2019 that resident 1 has a diagnosis of depression and that they take medication for this diagnosis. A physician progress noted dated 10/28/2021 has documentation that resident 1 was seen for anxiety with depression and had expressed suicidal ideations with the physician during the visit. A referral for a geriatric psychiatry evaluation was documented on the progress note dated 10/28/2021. The ISP dated 10/19/2021 in the record for resident 1 does not address the identified need for monitoring for signs of increased symptoms or suicidal ideations related to residents 1's diagnosis of depression.
Plan of Correction:	A 100% review of all resident's diagnosis will be conducted to identify anyone with needs for monitoring for signs of increased symptoms or suicidal ideations related to a diagnosis of depression. Individualized service plans will be updated accordingly to outline treatment plan and monitoring. This will be completed by January 15, 2022. Wellness Director and Executive Director will monitor ISP's for accuracy.