VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hillside Residential Living
403 N. Coalter Street
Staunton, VA 24401
(540) 885-0191

Current Inspector: Jessica Gale (540) 571-0358

Inspection Date: March 25, 2024

Complaint Related: Yes

Areas Reviewed:

Resident Care and Related Services

Comments:

Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 03/25/2024 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 50 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of staff records reviewed: 1 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: LI observed residents sitting outside listening to music and residents sitting in the kitchen eating snacks. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegations; area(s) of non-compliance with standard(s) or law were: Personnel and Resident Care and Related Services. A violation notice was issued. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-120-A
Complaint related:	No
Description:	Based on staff record review, the facility failed document the orientation and training required for staff within the first seven working days of employment. Evidence: There was no record of required orientation and training in the staff files for Staff A or B.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-680-D
Complaint related:	No
Description:	Based on resident record review, the facility failed to administer medications in accordance with the physician?s or other prescriber?s instructions. Evidence: Evidence: 3 out of 3 resident?s Medication Administration Records (MAR) for February 2024 contained documentation that the following medications were not administered on February 13, 2024 and February 14, 2024. 1. Resident A was not administered the following medications at 7:00am on either February 13, 2024 or February 14, 2024: Advair 100/50 Diskus, inhale 1 puff by mouth 2 times a day, prescribed 2/5/2024, Famotidine 20 MG TAB, take 1 Tablet by mouth Twice Daily Before Meals, prescribed 1/17/2024, Gabapentin 600 MG TABLET, Take 1 Tablet by Mouth 2 Times a Day, prescribed 1/17/2024, Loratadine 10 MG TABLET, Take 1 tablet by Mouth Every Day, prescribed 11/2/2023, ONE-DAILY MULTI-VITAMIN TAB, Take 1 Tablet by Mouth Daily, prescribed 12/23/2023, MYRBETRIQ ER 50 MG TABLET, Take 1 Tablet by Mouth Every Day, prescribed 12/20/2023, POLYETHYLENE GLYCOL 3350 238GM, Mix 17g in Liquid and Take by Mouth 2 Times a Day, prescribed 12/27/2023, REGULOID PSYLLIUM PWD 538, Mix 1 Tablespoon in 8-12 Ounces of Water and Drink Every Morning for Constipation, prescribed 11/2/2023, SPIRONOLACTONE 100 MG TAB, Take 1 Tablet by Mouth in the Morning, prescribed 11/2/2023, TRIAMCINOLONE 0.1% OINT JAR, Apply Topically Daily, Apply to Affected Skin Daily, prescribed 11/2/2023. 2. Resident B was not administered the following medications at 7am on either February 13, 2024 or February 14, 2024: Aspirin 81 MG CHEW TAB, Chew and Swallow 1 Tablet by Mouth Every Morning, prescribed 7/7/2023, CALCITRIOL 0.25 MCG CAPSULE, Take 1 Capsule by Mouth Every Morning, prescribed 6/8/2023, DOCUSATE SOD 100 MG, Take 1 CAPSULE BY MOUTH 2 TIMES A DAY (7:00am & 11:00am doses missed), prescribed 12/20/2023, PANTOPRAZOLE 40MG DR TAB, Take 1 Tablet by Mouth Every Morning Before Breakfast for Gerd, prescribed 5/15/2023, FIBER-LAX CAPTABS, Take 1 by Mouth Every Morning, prescribed 4/13/2023, LORATADINE 10 MG TABLET, Take 1 Tablet by Mouth Every Day for Seasonal Allergies, prescribed 5/15/2023, ACETAMINOPHEN 500 MG CAPL MCD, Take 2 Tablets by Mouth 2 Times a Day, prescribed 5/26/2023, LISINOPRIL 20 MG TABLET, Take 1 Tablet by Mouth Every Day for Htn, prescribed 6/2/2023, LISINOPRIL 5 MG TAB, Take 1 Tablet by Mouth Every Day Along With 20mg to = 25mg for Htn, prescribed 6/11/2023, AMLODIPINE 10 MG TABLET, Take 1 Tablet by Mouth Every Day, prescribed 7/22/2023, POLYETHYLENE GLYCOL 3350 238GM, Mix 17g in Water and Take by Mouth Every Day prescribed 10/20/2023, TRULANCE 3 MG TABLET, Take 1 Tablet by Mouth Every Day, prescribed 10/21/2023, SERTRALINE 50 MG TAB, Take 1 tablet by Mouth Every Day, prescribed 1/17/2024, LEVOTHYROXINE 137 MCG TAB, Take 1 Tablet by Every Day by Oral Route, prescribed 10/31/2023, MONTELUKAST SOD 10 MG TAB, Take 1 Tablet by Mouth Daily for Allergies, prescribed 11/11/2023, LINZESS 290 MCG CAPSULE 30 Minutes Before Breakfast Every Day, prescribed 2/1/2024. 3. Resident C was not administered the following medications at 7am on either February 13, 2024 or February 14, 2024: CITALOPRAM 20 MG TAB, Take 1 Tablet by Mouth Every Day, prescribed on 3/12/2024, ELIQUIS 5 MG TABLET, Take 1 Tablet by Mouth 2 Times a Day, prescribed 3/12/2024 (missed 7:00am and 4:00pm dose), GLIMEPIRIDE 4 MG TAB, Take 1 Tablet by Mouth Every Morning Before Breakfast, prescribed on 3/12/2024, JANUMET XR 50-1,000 MG TABLET, Take 2 Tablets by Mouth Every Day, prescribed 3/12/2024, LISINOPRIL 20 MG TABLET, Take 1 Tablet by Mouth Every Day, prescribed 3/12/2024, Vitamin B-12 5000MCG CAPSULE by Mouth Every Day, prescribed 2/24/2024.
Plan of Correction:	Not available online. Contact Inspector for more information.