VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Westmont at Short Pump
14399 N. Gayton Road
Glen allen, VA 23059
(804) 495-8880

Current Inspector: Angela Rodgers-Reaves (804) 662-9774

Inspection Date: March 29, 2022 and March 31, 2022

Complaint Related: Yes

Comments:

The inspector was onsite at the facility on the following days to conduct an unannounced non-mandated follow up inspection: On 03/29/2022 between the approximate time of 11:01 a.m. until 4:00 p.m; On 03/31/2022 between the approximate time of 12:51p.m until 2:08p.m 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 A violation notice was 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 Angela Rodgers-Reaves, Licensing Inspector at (804) 840-0253 or by email at angela.r.reaves@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-70-A
Complaint related:	Yes
Description:	Based on the review of facility records and interviews conducted with facility staff 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: Resident #1-Documented date of admission The review of facility records and interviews conducted with facility staff on 03/29/2022 revealed the following: Resident #1 had a fall at the facility on 03/27/2022 during the 11-7 shift change that required outside emergency medical intervention. Due to the injuries sustained the resident was admitted to the hospital. The facility did not submit an incident report regarding this matter until 04/04/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.