VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bellaire at Stone Port
1684 Port Hills Drive
Harrisonburg, VA 22801
(540) 246-0888

Current Inspector: Jeffrey Marnien (540) 571-0189

Inspection Date: Dec. 7, 2021

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 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Technical Assistance:

None.

Comments:

An unannounced non-mandated monitoring inspection was conducted on 12/7/2021 from approximately 1:15 pm to 4:30 pm in response to an incident of staff to resident abuse that was reported to the licensing office on 11/28/2021. Staff and resident records, staff schedules, training, qualifications and criminal record reports were reviewed. Interviews were also conducted with staff and the resident involved. The area of non-compliance was in personal care services. Please complete the columns for "description of action to be taken" and "date to be corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office within 10 calendar days of receipt. If you have any questions contact your licensing inspector at (540) 430-9258.

Violations:

Standard #:	22VAC40-73-460-A
Description:	Based upon documentation and interviews, the facility failed to ensure the safety and well-being of a resident while providing care to resident 1 on 11/28/2021. Evidence: 1. Incident report submitted to licensing on 12/3/2021 stated, "It was reported that a direct care aide had witnessed another team member hitting the resident several times after the resident became physically aggressive with the RMA." 2. On 12/7/2021, the licensing inspector (LI) interviewed staff 4 who stated, "Resident 1 was resisting care and punched staff 1 in the face and spit on her and staff 1 started trying to yank her shirt off. I told staff 1 she could walk out and I would handle it but she just tried to get her clothes off. Resident 1 punched her two more times and that is when staff 1 started getting aggressive back. She slapped resident 1 two times on the mouth and there was a little bit of blood on her lips. She then yanked her back up on her feet and pulled her over to the bed, spun her around in the bed and walked away." 3. On 12/7/2021, the LI interviewed staff 5 who assessed the resident following the incident on 11/28/2021, "I performed the assessment on the resident, noting slight puffiness in the upper lip, but no other apparent signs of new injury. The resident did not have any recollection of the incident and had no complaints of pain at the time of assessment."
Plan of Correction:	The community emphasizes the importance of recognizing and reporting abuse in new hire orientation. The community will also provide a live in-service training monthly for the next three months for Wellness Staff regarding challenging behaviors and communication barriers when caring for residents with a cognitive impairment. The community utilizes on-line education and has assigned courses to Wellness Staff on dementia and cognitive impairment in compliance with the education standard, including handling aggressive behaviors. The executive director will ensure recognizing and reporting abuse is emphasized in new hire orientation. The director of memory care will be responsible for coordinating in-service trainings and tracking the training compliance of all team members who work in memory care. The business office manager will be responsible for assigning the Relias training to all current employees and all future hires.