VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Brighter Living Assisted Living and Memory Care
5301 Plaza Drive
Hopewell, VA 23860
(804) 458-5830

Current Inspector: Coy Stevenson (804) 972-4700

Inspection Date: July 29, 2019

Complaint Related: No

Areas Reviewed:

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

Comments:

A Representative with the Division of Licensing, conducted an unannounced, mandated, renewal inspection on 07/29/2019 from 9:45am to 5:55pm. At the point of entrance the facility had 60 residents in care. The facility Licensing Administrator was available and present during the Inspection. The Licensing Inspector reviewed 10 resident and 5 Staff records, interviewed residents and family members, toured the facility physical plant, observed the facility emergency food supply, observed residents engaged during meals and activities and reviewed the facility medication administration pass. Areas of non-compliance are identified on the violation notice. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring preventative measures. Please contact the facility Licensing inspector Kimberly Rodriguez at 804-662-9787 or by e-mail at kimberly.rodriguez@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-210-B
Description:	Based on Staff record review the facility failed to ensure all direct care staff attended at least 18 hours of training annually. Evidence: On 07/29/2019 with a Representative with the Division of Licensing, documentation showed that Staff #6 was hired on 05/17/2017. Staff #6 had completed 13 out of 18 hours of required training that were to be completed from 05/17/2018 to 05/17/2019.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-310-D
Description:	Based on resident record review the facility failed to ensure the assisted living facility administrator provided written assurance to the resident that the facility has the appropriate license to meet his care needs at the time of admission. Evidence: On 07/29/2019 with a Representative with the Division of Licensing and Staff #1 and #2, documentation showed that resident #3 was admitted to the facility on 07/08/2019. Resident #3 did not have a written assurance on file provided by the licensed facility.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-390-A
Description:	Based on resident record review the facility failed to ensure at or prior to the time of admission, there was a written agreement/acknowledgment of notification dated and signed by the resident or applicant for admission or the appropriate legal representative. Evidence: On 07/29/2019 with a Representative with the Division of Licensing and Staff #1 and #2, documentation showed that resident #6 was admitted to the facility on 06/10/2019, however resident #6's record did not have a written agreement/acknowledgment signed by the resident or application or the appropriate legal representative.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-450-A
Description:	Based on resident record review the facility failed to ensure on or within seven days prior to the day of admission that a preliminary plan of care was developed to address the basic needs of the resident that adequately protects his health, safety and welfare. Evidence : On 07/29/2019 with a Representative with the Division of Licensing and Staff #2, documentation showed that resident #6 was admitted to the facility on 06/10/2019, however the preliminary plan of care was not completed until 06/11/2019.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-680-I
Description:	Based on resident record review the facility failed to ensure the medication administration record included any medication errors or omissions. Evidence: On 07/29/2019 with a representative with the Division of Licensing, the July 2019 Medication Administration Record showed that resident #11 was to be administered Baclofen 10MG tablet at 9:00am, 1:00pm and 5:00pm. Based on the facility July Medication Administration Record that was blank on 07/06/2019 at 1:00pm, 07/09/2019 at 5:00pm and 7/17/2019 at 1:00pm, the medication administration record did not provide documentation for any omissions or errors as to why the medication administration record was left blank.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-920-C
Description:	Based on observation of the facility physical plant, the facility failed to eliminate foul odors. Evidence: On 07/29/2019 with a representative with the Division of Licensing and Staff #1, it was observed that resident room #211 contained a foul odor. When Staff #1 removed the bedding there was a visible stain accompanied by a foul urine odor.
Plan of Correction:	Not available online. Contact Inspector for more information.