VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Morningside House of Leesburg
316 Harrison Street, SE
Leesburg, VA 20175
(703) 777-2777

Current Inspector: Amanda Velasco (703) 397-4587

Inspection Date: July 15, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 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 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS.

Comments:

A monitoring inspection was initiated on 7/15/21 and concluded on 7/27/21. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was 40. The inspector emailed the administrator a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed three resident records, three staff records, activities calendar, fire inspection, and health inspection submitted by the facility to ensure documentation was complete. The inspector conducted the on-site portion of the inspection on 7/21/21. An exit interview was conducted with the administrator on the date of inspection where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-680-D
Description:	Based on record review, the facility failed to ensure that medications are administered in accordance with the physician's or other prescriber's instructions and consistent with the standards of practice outlined in the current registered medication aide curriculum approved by the Virginia Board of Nursing. Evidence: Resident #1's June Medication Administration Record (MAR) was reviewed during the inspection. The MAR indicated that Resident #1's Acetaminophen 500mg wasn't administered on 6/9/21 (9 AM administration) or 6/10/21 (2 PM administration), as the facility was waiting for the pharmacy to deliver the medication. The MAR indicated that Resident #1's Gabapentin wasn't administered on 6/21/21 (8 PM administration), as the facility was unable to provide the medication. The MAR indicated that Resident #2's Med Pass 2.0 Supplement Drink was not available for administration on: 6/22/21 (8 PM administration), 6/23/21 (8 PM administration), 6/24/21 (8 AM administration and 8 PM administration), 6/25/21 (8 AM administration), 6/26/21 (8 PM administration), 6/28/21 (8 PM administration), 6/30/21 (8 PM administration). The MAR indicated that Resident #3's Visine wasn't administered on 6/3/21 (8 AM administration), as the facility was waiting for pharmacy to deliver the medication.
Plan of Correction:	Not available online. Contact Inspector for more information.