VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Riverside Assisted Living at Smithfield
101 John Rolfe Drive
Smithfield, VA 23430
(757) 357-3282

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date: May 20, 2020 and May 21, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity

Comments:

This inspection was conducted by licensing staff using an alternative remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was conducted on May 20, 2020 and concluded on May 21, 2020. The administrator was contacted by telephone to conduct the inspection. The licensing inspectors emailed the administrator a list of documentation required to complete the renewal inspection. The licensing representatives reviewed staff schedule for the past 2 weeks, most recent Health Care Oversight, most recent Fire Inspection Report, most recent Health Department Inspection Report, Fire and Emergency drills for the past 3 months, resident records, and staff records.

Violations:

Standard #:	22VAC40-73-440-A
Description:	Based on record review and discussion, the facility failed to ensure the Uniform Assessment Instrument (UAI) was completed at least annually, and whenever there is a significant change in the resident?s condition. Evidence: 1. Resident #2 current UAI was completed and dated 10-22-18. 2. Resident #1 UAI dated 8-8-19 documented resident needs human help and physical assistance for bathing, however the resident?s Individualized Service Plan (ISP) dated 8-17-19 documented resident requires human help, mechanical and physical assistance for bathing with the use a grab bar. The resident?s UAI dated 8-8-19 documented resident required human help and supervision for dressing, however the resident?s ISP documented the resident requires human help and physical assistance for dressing. 3. During discussion, Staff #1 confirmed resident # 2?s UAI was not updated annually, and confirmed resident #1?s ISP was correct and the UAI was incorrect regarding bathing and dressing assistance needed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-650-B
Description:	Based on record review and discussion, the facility failed to ensure physician or other prescriber orders identified the diagnosis, condition, or specific indications for administering each drug. Evidence: 1. The following residents? physician or other prescribed orders did not identify the diagnosis, condition, or specific indications for administering each drug: a. Resident #1?s physician?s orders dated 12-24-19 for Acetaminophen 325mg; b. Resident #2?s physician?s orders dated 3-10-20 for Aspirin Chew 81mg, Acetaminophen 325mg, Calcium Carbonate Chew 500mg, Ipratropium/Albuterol, Levetiracetam 750mg, Midrodrin 2.5mg, and Omeprazole 40mg; and c. Resident #3?s physician?s orders dated 5-6-2020 for Amlodipine 10mg, Clonazepam 0.5 mg, Glucosamine, Memantine 10mg, Sertraline 100mg, and Quetiapine 25mg. 2. During discussion, Staff #1 acknowledged the residents? physician orders did not identify the diagnoses, conditions, or specific indications for the aforementioned drugs.
Plan of Correction:	Not available online. Contact Inspector for more information.