22VAC40-61 GENERAL PROVISIONS 22VAC40-61 ADMINISTRATION 22VAC40-61 PERSONNEL 22VAC40-61 SUPERVISION 22VAC40-61 ADMISSION, RETENTION, AND DISCHARGE 22VAC40-61 PROGRAMS AND SERVICES 22VAC40-61 BUILDINGS AND GROUNDS 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2(19.2) Criminal Procedures. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report
Comments:
On 3/28/2022 one inspector conducted a mandated monitoring visit (11:40 AM to 2 PM). 34 participants were in care with seven direct care staff with them. Three participant, three staff records, and other documents were reviewed. The participants were observed in activities and a meal. A physical plant tour was done. An exit meeting was held on-site the day of the inspection, and the facility was given an opportunity to provide additional evidence. A final telephone exit interview was done on 4/14/2022.
Based on participant record review, the facility failed to include some needs and services on a plan of care.
EVIDENCE:
1. A uniform assessment instrument in the file for participant 1 dated 10/4/2021 shows this person needs help with bladder incontinence - weekly or more, transferring - Human Help Supervision, and toileting, Human Help Supervision. The plan of care for participant 1 dated 10/11/2021 does not identify nor address these needs.
Plan of Correction:
The Virginia Private Pay UAI will be utilized for every participant prior to admission and annually. The identified needs will be implemented on the participant's Plan of Care.
Standard #:
22VAC40-61-250-B
Description:
Based on participant record review, the facility failed to obtain some required personal information.
EVIDENCE:
1. The records for participants 1, 2, and 3 lacked information concerning mental health, substance abuse, or behavioral concerns.
2. The record for participant 2 lacked a photograph or narrative physical description of the participant.
Plan of Correction:
Participant Record will be revised to cover all information within the VDSS standard.
Standard #:
22VAC40-61-260-A
Description:
Based on participant record review, the facility failed to obtain a physical examination for a participant with in 30 days prior to admission.
EVIDENCE:
1.. Participant 2 was admitted on 3/22/2022. The physical examination was dated 2/14/2022.
Plan of Correction:
Facility will use an admission checklist to ensure physical and admission dates follow VDSS standards.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
Find this content at:
http://www.dss.virginia.gov/facility/search/adc.cgi