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: July 8, 2024

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS 22VAC40-80 COMPLAINT INVESTIGATION

Technical Assistance:

None

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: 07/08/2024, 9:15am ? 10:44am The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 6/24/2024 regarding allegations in the areas of physical abuse. 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: 1 Number of staff records reviewed: 1 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 4 Additional Comments/Discussion: none An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Jessica Gale, Licensing Inspector at 540-571-0358 or by email at Jessica.gale@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-70-A
Complaint related:	Yes
Description:	Based on record review and staff interview, the facility failed to report to the regional licensing office within 24 hours any major incident that has negatively affected or that threatens the life, health, safety, or welfare of any resident. Evidence: 1. A report of a physical altercation between a staff person and a resident was received by the regional licensing office from another local agency on 6/24/2024. 2. Staff 1 stated during an interview ?No, I only reported to (state agency)? when asked if the incident was reported to the regional licensing office.
Plan of Correction:	Staff that had physical altercation was terminated two days after the altercation once admin completed an investigation. ISP and UAI was updated as the state inspector was here! Resident since then had been moved to a nursing home!
Standard #:	22VAC40-73-310-A
Complaint related:	No
Description:	Based on record review and staff interview, the facility failed to ensure that no resident be retained who requires a level of care or service or type of service for which the facility is not licensed. Evidence: 1. The facility is currently licensed as a residential only, ambulatory only facility. 2. Staff 3 stated during an interview that resident 1 required physical assistance with transferring, dressing, bathing, toileting, and physical and mechanical assistance with ambulation. 3. Staff 1 stated when asked in an interview when the change in condition occurred, that the resident had a fall at the end of may and [resident 1] needed total assistance with Activities of Daily Living (ADL) after.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-440-H
Complaint related:	No
Description:	Based on record review and staff interview, the facility failed to ensure that annual reassessments and reassessments due to a significant change in the resident's condition, using the UAI, are utilized to determine whether a resident's needs can continue to be met by the facility and whether continued placement in the facility is in the best interest of the resident. Evidence: 1. Resident 1 had a UAI dated 2/9/2023 indicating no assistance needed with activities of daily living (ADL?s). 2. Staff 3 stated during an interview that resident 1 required physical assistance with transferring, dressing, bathing, toileting, and physical and mechanical assistance with ambulation. 3. Staff 1 confirmed during an interview that the UAI was not current and that resident 1 required physical assistance with all ADL?s and mechanical and physical assistance with ambulation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-450-F
Complaint related:	No
Description:	Based on record review and staff interview, the facility failed to ensure that Individualized Service Plan (ISP) reviewed and updated at least once every 12 months and as needed for a significant change of a resident?s condition. Evidence: 1. Resident 1 had an ISP dated 2/9/2023. 2. Upon request the facility did not provide a reviewed or updated ISP for 2024. 3. Staff 1 stated ?I do not have an updated one? when asked if there was a reviewed or updated Uniform Assessment Instrument (UAI) or ISP.
Plan of Correction:	Not available online. Contact Inspector for more information.