VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hilton Plaza, Inc.
311 Main Street
Newport news, VA 23601
(757) 596-6010

Current Inspector: Willie Barnes (757) 439-6815

Inspection Date: June 3, 2022 , June 10, 2022 and July 12, 2022

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

Type of inspection: Complaint An unannounced complaint inspection was conducted on 6-3-22 (AR 08:30 a.m./dep 12:30 p.m.) The Acknowledgement of Inspection form was sent to the Administrator for signature A complaint was received by VDSS Division of Licensing on 5-24-22 regarding allegations in the area of resident care and resident care. The evidence gathered during the investigation supported the allegation of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Willie Barnes, Licensing Inspector at 757-439-6815 or by email at willie.barnes@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-460-D
Complaint related:	Yes
Description:	Based on record reviewed, documentation and staff interviewed, the facility failed to ensure it provided supervision of a resident schedules, care and activities, including attention to specialized needs, such as prevention of falls and wandering from the premises. Evidence: 1. On 6-3-22, a-site visit was conducted for a complaint inspection of resident #1 being out of the facility and located in a neighboring city approximately 6.6 miles from the facility on a wet rainy day May 24, 2022. The resident was noted to be wet when picked up and returned to the facility. According to interview with staff #1, resident #1 frequently would leave the facility and would be gone sometimes for days at time. Staff also stated the resident would leave and is usually headed north and trying to go to northern Virginia area. This is the area the resident resided prior to coming to this facility. Staff also stated facility staff would go searching in the community to locate resident and return resident to the facility. According to staff #1, resident also is known to eat out of the trash can. The resident?s uniformed assessment instrument (UAI) dated 2-9-22 documented resident disoriented to time and date and also have problems with judgement. Also noted on the UAI -resident assessed as having long-term and short-term memory problems. 2. A request was made for documentation in the resident?s record of times/dates the resident leaves the facility and did not return. There were no documentation in the resident?s record provided. The facility?s communication log book noted resident out of facility, but the dates and times were not specific for leaving and returning. The resident?s May 2022 medication administration record documented times when the resident was out of the facility and did not receive medication. The times were not clear as some staff document refusal as out of facility and others documented out of facility as when resident was out per that particular staff?s documentation. According to interviews with other facility staff, the resident would leave the facility and staff would be gone for different periods of time. 3. On 6-23-22, staff #1 acknowledged resident #1 did leave the facility and was gone and was wet when the resident returned.
Plan of Correction:	Facility staff will take measures to relocate any resident whereby wandering becomes an issue with the safety of said resident and maintain schedules for care and activities