VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Wybe & Marietje Kroontje Health Care Center
1000 Litton Lane
Blacksburg, VA 24060
(540) 953-3200

Current Inspector: Rebecca Berry (276) 608-3514

Inspection Date: June 24, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

The licensing office received a facility self report from The Wybe & Marietje Kroontje Health Care Center on June 21, 2019 regarding issues with supervision of one resident in the secure unit. Information was obtained and correspondence between the licensing inspector and the facility social worker was conducted. The resident's documents were reviewed regarding the self reported incident. As a result of this inspection one violation is being cited. The "description of action to be taken" for the violation cited, along with the "date to be corrected" must be returned to the licensing office signed and dated within 10 calendar days (07/04/2019) of receipt. If you have any questions or concerns please contact your inspector at 276-608-3514. Thank you for your cooperation and assistance.

Violations:

Standard #:	22VAC40-73-460-D
Description:	Based on information received from staff by a facility self reported incident, the facility failed to provide supervision for the specialized needs of one resident to prevent wandering from the premises. EVIDENCE: 1. It was reported to licensing that resident # 1 wandered from the facility and was witnessed behind the building heading towards a neighboring facility about two tenths of a mile away on June 21, 2019 at approximately 1:30 pm. 2. The staff member that witnessed this resident wandering from the premises alerted the nursing staff on the secure unit. The nursing staff that was alerted immediately went to get resident # 1 and he was re-directed back into the courtyard of the secure unit. 3. Resident # 1was admitted to the safe, secure unit on 06/21/2018 with a primary diagnosis of dementia with exit seeking behavior and agitation. 4. The social worker from the facility reporting the incident stated the mowing contractor had left the gate located in the courtyard of the secure unit unlocked. The resident walked out of the facility and through the gate where staff # 1 notified staff # 2 that the resident had left the gated area. 5. Based on information received in the report to licensing the resident was out of the secure unit for approximately three minutes. This standard was cited on November 1, 2018 at this facility for the same incident regarding a different resident.
Plan of Correction:	All gates leaving the secured unit were checked to make sure a lock was in place and working properly. To prevent outside contractors form utilizing the gated area, the facility will no longer contract lawn services for the gated area of the secured unit. The facility employees staff that will maintain the lawn care needs of this secured area to ensure gates remain locked at all times. Nursing staff will monitor each shift and verify gates remained locked at all times. All nursing staff have been educated. Security staff will round the gated areas during the overnight hours to ensure gates remain locked. [sic]