22VAC40-60 ADMINISTRATION 22VAC40-60 PERSONNEL. 22VAC40-60 SUPERVISION. 22VAC40-60 BUILDINGS AND GROUNDS. 22VAC40-60 ADMISSION, RETENTION AND DISCHARGE. 22VAC40-60 PROGRAMS AND SERVICES. 22VAC40-60 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 11/1/2019 one inspector conducted a renewal study (10:30AM to 2:30PM). 16 participants were in care. Four participant records, three staff records, and one volunteer record were reviewed. There have been no new staff hired since the prior inspection. A meal and multiple activities were observed. The medications were checked (no medication pass during the inspection), and a physical plant tour was done.
Based on participant record review, the facility failed to address some participant needs on Plans of Care (POC).
EVIDENCE:
1. The record for participant 2 shows an order for a "diabetic diet" was faxed in on 7/8/2019. This prescribed diet is not addressed on the POC, dated 8/19/2019.
2. The file for participant 3 shows this person is allergic to Cardura and PNCs [penicillins]. These medication allergies are not addressed on the POC, dated 5/20/2019.
Plan of Correction:
1. Updated Care Plan for Participant 2 on 11/8/19 to prescribed Diabetic Diet.
2. Updated POC for Participant 3 to include allergies to Cardura and PNCs (penicillin?s) on 11/8/19.
Will compare H& P to all additional supporting documentation to ensure they are correct moving forward.
Standard #:
22VAC40-60-698-D-2
Description:
Based on observation, the facility failed to have a medication labeled with the participant's name.
EVIDENCE:
1. A tube of Abrevia was not labeled with a participant name. Staff identified it as belonging to participant 5, the only participant that uses this.
Plan of Correction:
1. Provided In-Service to RMA?s, LPN and Assistant Director to include DSS regulations on Medication Management and our policies and procedures about labeling medications on 11/6/19.
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