VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Palmer Springs Family Care & Retirement Center
2450 Mineral Springs Road
Boydton, VA 23917
(434) 689-2113

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: July 20, 2020 and July 21, 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 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. 22VAC40-80 SANCTIONS.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was initiated on July 20, 2020 and concluded on July 21, 2020. The assistant administrator was contacted by telephone to initiate the inspection. The assistant administrator reported that the current census was 31. The inspector emailed the assistant administrator a list of items required to complete the inspection. The inspector reviewed 2 resident records, 2 staff records, physician's orders, Medication Administration Records (MARs), and other documentation submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the facility. 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-B
Description:	Based on a review of staff records, the facility failed to ensure that all direct care staff attended at least 18 hours of training annually. Evidence: Documentation of staff training for Staff # 1 was not submitted as the assistant administrator noted that Staff # 1 "has not attended any training within the last 12 months."
Plan of Correction:	Assistant Administrator will ensure that all direct care staff complete the 18 hrs. training annually and will check training hours quarterly.
Standard #:	22VAC40-73-210-F
Description:	Based on a review of staff records, the facility failed to ensure that at least two of the required annual staff training hours focused on infection control and prevention. Evidence: Record for Staff # 1 did not contain at least two hours of annual training on infection control and prevention.
Plan of Correction:	Assistant Administrator will monitor training hours quarterly to ensure all direct care staff receive two hours of training on infection control and prevention.