VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Vero at Chesapeake
757 Cedar Road
Chesapeake, VA 23322
(757) 263-0011

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

Inspection Date: Oct. 17, 2023

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 ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUND 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION 22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT

Technical Assistance:

22VAC40-73-210 22VAC40-73-450 22VAC40-73-1140

Comments:

Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/17/2023. 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: 67 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 3 Observations by licensing inspector: Lunch and an activity were observed. A medication pass observation was completed for 4 residents. The following were reviewed: resident and staff records, medication carts, water temperatures, and the call bell system. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-260-A
Description:	Based on record review, the facility failed to ensure each direct care staff member maintain current certification in first aid from the American Red Cross, American Heart Association, National Safety Council, American Safety and Health Institute, community college, hospital, volunteer rescue squad, or fire department. Evidence: 1. Staff #5 (hired 7/11/23) works as direct care staff and does not have a current certification in first aid.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-310-H
Description:	Based on record review, the facility failed to ensure residents admitted or retained with psychotropic medications have treatment plans. Evidence: 1. Resident #1 has orders for Citalopram HBR F/C 10mg daily and Trazodone HCL 50mg PRN; however, there are not treatment plans for these psychotropic medications in Resident #1?s record. 2. Resident #2 has orders for Ramelteon 8mg daily and Trazodone HCL 50mg daily; however, there are not treatment plans for these psychotropic medications in Resident #2?s record. 3. Resident #3 has an order for Escitalopram Oxalate F/C 5mg daily; however, there is not a treatment plan for this psychotropic mediation in Resident #3?s record. 4. Resident #4 has an order for Trazodone HCL 50mg PRN; however, there is not a treatment plan for this psychotropic mediation in Resident #4?s record. 5. Resident #5 has orders for Venlafaxine HCL ER 150 mg daily and Trazodone HCL 50mg daily; however, there are not treatment plans for these psychotropic medications in Resident #5?s record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-640-A
Description:	Based on observation, the facility failed to ensure their written plan for medication management includes methods to prevent the use of outdated medications. Evidence: 1. The following expired medications were observed in the medication carts at the facility: 2 bottles of Eye Health Lutein Ocutab 2mg tablets expired 7/2023 for Resident #9.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-680-D
Description:	Based on record review, the facility failed to ensure medications be administered in accordance with the physician's or other prescriber?s instructions and consistent with the standards of practice outlines in the current medication aide curriculum approved by the Virginia Board of Nursing. Evidence: 1. An order dated 10/10/2023 for Resident #2 indicates to start Risperdal .25mg daily at 5pm; however, the MAR for Resident #2 does not include the new order. The medication was also not observed or available on the medication cart for administration.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-720-A
Description:	Based on record review, the facility failed to ensure a valid written Do Not Resuscitate (DNR) order has been issued by the resident's attending physician; and that the written order is included in the individualized service plan. Evidence: 1. Upon review of Resident #1?s record, their ISP (dated 5/26/23) indicates the resident as a DNR; however, the resident does not have a signed DNR order or Durable DNR in their record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-90-40-B
Description:	Based on record review, the facility failed to obtain a criminal history record report on or prior to the 30th day of employment for each employee. Evidence: 1. The following staff did not have a criminal history record report completed on or prior to the 30th day of employment: Staff #6 (hired 8/28/2023) completed 10/4/2023, Staff #8 (hired 9/12/2023) not completed at the time of inspection on 10/17/2023, Staff #9 (hired 9/6/2023) not completed at the time of inspection on 10/17/2023, Staff #10 (hired 9/12/2023) not completed at the time of inspection on 10/17/2023, and Staff #11 (hired 9/5/2023) not completed at the time of inspection on 10/17/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.