VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Villages of Rosemont
3751 Sentara Way
Virginia beach, VA 23452
(757) 901-1550

Current Inspector: Margaret T Pittman (757) 641-0984

Inspection Date: March 1, 2021 and March 2, 2021

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 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS

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 complaint inspection was initiated on 3/1/21 and concluded on 3/2/21. A complaint was received by the department regarding allegations in the area of a resident only given a shower once a week and not being served food that is liked. 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 allegation of no ?compliance with standards or law, and violations were issued. Any violations not related to the complaint but identified during the course of the investigation can be found on the violation notice.

Violations:

Standard #:	22VAC40-73-440-A
Complaint related:	No
Description:	Based on record review and discussion, the facility failed to complete the Uniform Assessment Instrument (UAI) whenever there is a change in the resident?s condition. Evidence: 1. Resident #3?s UAI dated 6/11/2020 documented Human Help Supervision for walking. Resident #3?s Individualized Service Plan (ISP) dated 6/11/2020 documented physical assistance was needed for walking. 2. Staff #4 acknowledged the aforementioned UAI was not accurate.
Plan of Correction:	Resident Care Director (RCD) or designee will ensure accuracy of the UAI assessment. RCD or designee will ensure all updates of ISP are reflected on UAI. DRC or designee will pause and review all information before filing UAI and ISP for accuracy to ensure both documents convey the same information.