VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rosewood Village Hollymead Assisted Living, LLC
2029 Lockwood Drive
Charlottesville, VA 22911
(434) 963-7673

Current Inspector: Tamara Watkins (804) 662-7422

Inspection Date: April 15, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 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 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity 32.1 Reported by persons other than physicians 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 COMPLAINT INVESTIGATION. 22VAC40-80 SANCTIONS.

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 monitoring inspection was initiated on 4/15/2021 and concluded on 4/19/2021. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was 55. The inspector emailed the administrator a list of items required to complete the inspection. The inspector reviewed (4) four resident records, (4) four staff records, and other required documentation were 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 #:	22VAC40-73-680-E
Description:	Based on a review of the residents medication administration record documentation procedures ordered by a physician were not provided according to his instruction. Evidence: An order for Accu checks to be obtained at 9pm x 5 days for resident #2 were not followed. Accu checks on 3-4, 3-5, 3-8, 3-9- 2021 were documented "not in stock"; 3-6-2021 " do not have equipment to do check"; 3-7-2021 "not available-back order".
Plan of Correction:	Each RMA on that floor has been instructed on the proper procedure for procuring equipment to perform accu checks either from the pharmacy or another vendor. All RMA's say they understand the process and abide by it vs writing "not in stock", "not available", "do not have equipment to do check". Director of Health and Wellness will monitor accu checks monthly.