VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Regency at Augusta
43 Pinnacle Drive
Fishersville, VA 22939
(540) 213-4400

Current Inspector: Jill James (540) 418-2631

Inspection Date: Jan. 29, 2024

Complaint Related: Yes

Areas Reviewed:

Administration and Administrative Services Personnel Staffing and Supervision Buildings and Grounds

Comments:

Date of Inspection: January 29, 2024 Type of Inspection: Complaint Inspection If you have any questions or email changes, please do not hesitate to contact me at laura.lunceford@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov. Census 63 Number of interviews conducted- 8 interviews. There was an allegation of insufficient staff for residents in care as well as the unit being dirty. The complaint was found to be valid. There were violations found at the time of inspection. The Licensing Inspector and the Administrator discussed the risk assessment ratings for the violations for this inspection. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to the office. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:

Standard #:	22VAC40-73-1130-A
Complaint related:	No
Description:	1130A-Based on staff interview, it was determined that the facility did not have sufficient in numbers to be responsible for the care and supervision of residents in the safe, secure environment. Evidence: There was a pipe burst in the safe, secure unit. The residents were moved out to an adjacent area just past the unit. Seventeen residents were moved from the unit though only twelve remained at through the night. Five residents went back to the secured unit for the night due to wandering behaviors. There were not two direct care staff with the twelve residents nor with the five residents through the night as required.
Plan of Correction:	The Director of Health and Wellness and or Designee will ensure there are sufficient staffing numbers on both the secured and adjacent area for the duration of the relocation.
Standard #:	22VAC40-73-870-A
Complaint related:	Yes
Description:	Based on direct observation by the Licensing Inspector and facility staff, it was determined that the building was not clean and free of rubbish. Evidence: The rooms on the lower area of the building had used briefs in the bedrooms and in the bathrooms that had not been disposed of. The floors in the lower area of the building were dirty in both areas.
Plan of Correction:	Direct care team have a key to the soiled utility room int eh adjacent area where they can dispose of all waste appropriately. Housekeeping will be assigned to vacuum the area daily.