VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Marian Manor of Stafford
177 Old Potomac Church Road
Stafford, VA 22554-7258
(540) 659-6375

Current Inspector: Jeffrey Marnien (540) 571-0189

Inspection Date: Dec. 30, 2019

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 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity

Comments:

Date of Inspection: December 30, 2019, 8:45am-3pm Type of Inspection: Renewal Inspection If you have any questions or email changes, please do not hesitate to contact me at Date laura.lunceford@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov. Census 39 Number of records reviewed and interviews conducted- 13 records, 7 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The Licensing Inspector and the Administrator discussed the risk assessment ratings for the violations for this inspection. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to the office. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:

Standard #:	22VAC40-73-870-A
Description:	Based on direct observation by the licensing inspector and administrative staff, it was determined that the facility physical plant was not in good repair. Evidence: The ceiling tiles located on the lower level were damaged and had water stains. There were tiles with cracks and holes throughout the lower floor.
Plan of Correction:	All ceiling tiles will be replaced and a complete physical plant review will be completed by the end of January to ensure compliance.