VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Harmony Collection at Roanoke Independent Living
4428 Pheasant Ridge Road
Roanoke, VA 24014
(540) 400-6482

Current Inspector: Holly Copeland (540) 309-5982

Inspection Date: Jan. 19, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-90 The Criminal History Record Report

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 1/19/2021 and concluded on 1/21/2021. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was 98. The inspector emailed the administrator a list of items required to complete the inspection. The inspector reviewed five resident records, five staff records, the Sworn Disclosure Statement and Criminal Record Report for all new staff members, resident roster, staff roster, staff schedule, facility health care oversight, fire and emergency drills, health department inspection, and dietitian oversight 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.

Violations:

Standard #:	22VAC40-73-440-D
Description:	440-D Based on record review, the facility failed to ensure that the uniform assessment instrument (UAI) is completed as required. EVIDENCE: 1. The UAI for resident 1, dated 1/1/2021, indicated that stairclimbing is not performed by the resident; however, the ISP for resident 1, dated 1/1/2021, indicated that the resident does perform stairclimbing and requires human supervision when doing so. 2. Interview with staff 13 indicated that the ISP accurately reflects the stairclimbing needs of the resident. 3. The UAI for resident 3, dated 1/6/2021, indicated that when bathing, the resident requires the mechanical assistance of grab bars and human physical assistance; however, the ISP for resident 3, dated 1/6/2021, indicated that the resident requires the mechanical assistance of grab bars and human supervision when bathing. 4. Interview with staff 13 indicated that the ISP accurately reflects the bathing needs of the resident.
Plan of Correction:	UAI?s were corrected for resident #1 & #3 to reflect the accurate assistance needed for each resident. All UAI?s and ISP?s will be reviewed upon completion to verify that all needs have been assessed.
Standard #:	22VAC40-73-450-C
Description:	450-C Based on record review, the facility failed to ensure that the comprehensive individualized service plan (ISP) shall include a description of identified needs based upon the (uniform assessment instrument (UAI). EVIDENCE: 1. The ISP for resident 1, dated 1/1/2021, indicated that when transferring, the resident requires mechanical assistance from the use of chair arms and physical assistance from staff; however, the UAI for resident 1, dated 1/1/2021, indicated that the resident only requires mechanical assistance of chair arms when transferring. 2. Interview with staff 13 indicated that the UAI for resident 1 accurately reflects the resident?s transferring needs. 3. The ISP for resident 3, dated 1/6/2021, did not address the resident?s needs for walking; however, the UAI for resident 3, dated 1/6/2021, indicated that the resident requires the mechanical assistance of a walker when walking. 4. Interview with staff 13 indicated that the UAI for resident 3 accurately reflects the resident?s walking needs.
Plan of Correction:	ISP?s were corrected for resident #1 & #3 to reflect the accurate assistance needed for each resident. All ISP?s will be reviewed upon completion to verify that all needs have been assessed.
Standard #:	22VAC40-90-40-B
Description:	22VAC40-90-40-B Based on record review the facility failed to ensure that the criminal history record report (CRC) shall be obtained on or prior to the 30th day of employment for each employee. EVIDENCE: 1. Documentation for staff 6 indicated a hire date of 7/13/2020, and the CRC results were dated 8/28/2020. 2. Documentation for staff 8 indicated a hire date of 6/24/2020, and the CRC results were dated 8/28/2020. 3. Documentation for staff 10 indicated a hire date of 9/3/2020, and the CRC results were dated 11/16/2020.
Plan of Correction:	Administrator or designee will approve any background before potential employee starts.