VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Aable Rest Home
31 Stoney Point Road
Cumberland, VA 23040
(804) 492-4135

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: Feb. 28, 2020

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 32.1 Reported by persons other than physicians 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. 22VAC40-80 COMPLAINT INVESTIGATION.

Comments:

An unannounced renewal inspection was conducted by two licensing representatives on February 28, 2020 from 1:00 p.m. to 4:00 p.m. A census of 19 residents was reported. Previous violations were reviewed and corrected. The following items were reviewed/observed: tour of the facility, sample of 6 resident and 3 staff records, menu/activity schedule, facility documentation, resident/staff interviews, first aid kit supplies, and medication pass observation/physician's orders/Medication Administration Records (MARs). Violations cited are identified in this report. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to the licensing office within 10 calendar days. Please specify how the violation will be corrected. The plan must contain: 1) step(s) to correct the non-compliance with the standard(s), 2) measures to prevent the non-compliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s). Thank you for your cooperation during this inspection. I can be reached at Kimberly.M.Davis@dss.virginia.gov or (804) 662-7578.

Violations:

Standard #:	22VAC40-73-210-A
Description:	Based on a review of staff records, the facility failed to ensure that each staff attend at least 14 hours of training annually. Evidence: Record for Staff # 3 did not contain documentation of 14 hours of annual training.
Plan of Correction:	Going forward staff training hours will be clearly documented on staff training sheet.
Standard #:	22VAC40-73-950-E
Description:	Based on a review of facility documentation, the facility failed to document semi-annual review of emergency preparedness and response plan for all staff, residents, and volunteers. Evidence: The facility could not provide documentation of the semi-annual review of their emergency preparedness and response plan for all staff, residents, and volunteers.
Plan of Correction:	Emergency preparedness will be rewritten and will be reviewed by all staff, residents, and volunteers in the correct time frame.
Standard #:	22VAC40-73-980-A
Description:	Based on a review of the facility's first aid kit, the facility filed to ensure that the first aid kit contained items that were not past the expiration date. Evidence: The first aid kit contained antibiotic ointment (Neosporin) that had an expiration date of 2017.
Plan of Correction:	The expired Neosporin has been thrown away and replaced with a new tube. There will be a review of the first aid kit every month.
Standard #:	22VAC40-73-990-C
Description:	Based on a review of facility documentation, the facility failed to document that staff participated in practice exercises for resident emergencies at least every six months. Evidence: The facility could not provide documentation that staff had participated in an exercise in which the procedures for resident emergencies were practiced at least every six months.
Plan of Correction:	There has been a plan written and procedures will be practiced every quarter.