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: May 2, 2022

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 BUILDINGS AND GROUNDS

Technical Assistance:

None.

Comments:

The licensing inspector for Bellaire at Stone Port conducted an unannounced complaint inspection in response to a complaint that was received by the licensing office on 4/20/2022. Interviews were conducted with residents and staff relating to the allegation of neglect and falsifying documentation. Resident and staff records, call bell logs and services checklists were reviewed. The information gathered during the investigation does not support the allegation, so the complaint is determined to be ?not valid.? One violation, not related to the complaint, was found in the area of individualized service plans not being signed. If you have any questions, contact your licensing inspector at (540) 430-9258.

Violations:

Standard #:	22VAC40-73-450-E
Complaint related:	No
Description:	Based upon interviews and documentation, the facility failed to ensure four of the five individualized service plans (ISPs) reviewed were signed by all involved parties. Evidence: 1. The ISPs for resident 1 (completed 12/19/2021), 3 (completed 11/10/2021) and 5 (completed 12/16/2021) were not signed by anyone, including the residents and staff. 2. The ISP for resident 2 (completed 4/18/2022) was not signed by the resident. 3. On 5/2/2022, the licensing inspector (LI) interviewed the administrator who stated the ISPs for residents 1, 3 and 5 had not been signed by anyone and the ISP for resident 2 had not been signed by the resident.
Plan of Correction:	An audit will be completed by Director of Health and Wellness, Director of Memory Care and or Designee, to ensure all ISP and UAI?s are up to date and have been reviewed and signed by the resident and or responsible party by 5/20/22. Director of Health and Wellness and Director of Memory care will review the community?s policy on assessments and Individualized Service Plans, and the DSS Standards, to ensure that the process is being followed appropriately. To be completed by 5/10/22. ED to review each ISP and assessment following each care plan meeting to ensure signature is present prior to being filed in resident chart. To be implemented by 5/11/22.