VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Brandon Oaks Intensive Assisted Living
3837 Brandon Avenue
Roanoke, VA 24018
(540) 562-5443

Current Inspector: Angela Marie Swink (276) 623-6575

Inspection Date: Aug. 27, 2019

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

The licensing inspector conducted an unannounced complaint inspection in response to a complaint that was received by the licensing office on 08/15/2019. The inspection was conducted on 08/27/2019 starting at 3:00 p.m. and concluding at 3:45 p.m. Interviews were conducted with staff and documentation was reviewed regarding allegations involving resident care. The preponderance of the evidence gathered during the investigation does not support the allegation, so the complaint is determined to be not valid. However, as a result of this inspection one violation is being cited. An exit interview was conducted with the administrator and at that time opportunity was given to provide any additional evidence. Please complete the column for "description of action to be taken" and "date to be corrected for the violation cited on the violation notice, and then return a signed and dated copy to the licensing office within 10 calendar days (09/07/2019) of receipt. If you have any questions or concerns, please contact this inspector at 276-608-3571. Thank you for your cooperation and assistance.

Violations:

Standard #:	22VAC40-73-110-1
Complaint related:	No
Description:	Based on information received from a self reported incident, the facility failed to ensure that all staff treated one resident in care with respect and dignity. EVIDENCE: 1. Resident # 1 has a serious cognitive impairment and resides in the "Intensive Assisted Living" unit of the facility. 2. On the morning of 08/05/2019 resident # 1 was in the assisted side of the dining room and she was yelling and hollering, repetitively. 3. Staff # 1 was reportedly working on the nursing home side of the dining room but she had access to the assisted side of the dining room via a divider. 4. According to review of documented staff statements staff # 1 asked resident # 1 to stop yelling and resident # 1 continued yelling. Staff # 1 picked up a sugar packed and threw the packed at resident # 1. 5. Staff # 1 was scheduled to work on the nursing home side of the dining room but in her documented statement she clearly stated that she was in "the feeding room feeding the residents their breakfast" and she and resident # 1 were joking with one another. In this same statement staff # 1 references resident # 1 as one of her residents.
Plan of Correction:	Staff # 1 was suspended immediately and subsequently terminated following the conclusion of the investigation. There has been no effect on the resident, as the sugar packet did not make it to the resident and the resident was not aware of the situation. Other facility staff was re-inserviced and re-educated on resident dignity and respect, responding to different behaviors from resident and reporting requirements. [sic]