VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Morningside at Skipwith (West End)
3000 Skipwith Road
Richmond, VA 23294
(804) 270-3990 (320)

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: March 6, 2020

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 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Comments:

An unannounced monitoring inspection was conducted by 2 licensing inspectors on 3/6/2020 from approximately 11:40 a.m. - 4:30 p.m. The current census reported is 83, with 19 in the secure unit. During the inspection, a tour of the facility was conducted, a sample of 10 resident records and 4 staff records was reviewed, facility documentation was reviewed, (both noted in reports received), facility documentation, required facility postings was reviewed, lunch meal was observed, medication pass was observed, medication administration records and physician orders were reviewed and staff were interviewed. All new personnel records were reviewed since the last inspection for criminal history record reports and all were in compliance. An exit meeting was held with the resident care director. Violations were cited during this inspection. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to the Inspector within 10 days. You will need to specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. Your plan of correction must contain: 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). Please contact me by e-mail at T.Lesley@dss.virginia.gov if further assistance is needed.

Violations:

Standard #:	22VAC40-73-260-A
Description:	Based on review of staff records and facility documentation, the facility failed to ensure that all staff maintain current first aid certification. Evidence: 1. At the time of inspection, the facility was not able to produce proof of current first aid certification for Staff #3 and #4.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-550-G
Description:	Based on review of resident records and facility documentation, the facility failed to ensure that the rights and responsibilities of residents be reviewed annually with each resident or his legal representative or responsible party. Evidence: 1. Resident #2 (DOA 12/29/18) record contained acknowledgement of resident rights and responsibilities review dated 12/26/18. 2. Resident #4 (DOA 12/4/17) record contained acknowledgement of resident rights and responsibilities review dated 11/29/17. 3. Resident #4 (DOA 10/17/13) record did not contain acknowledgement of resident rights and responsibilities review. As stated by the reident care coordinator during intervew, "the business office could not locate the binder" with signed acknowledgements of resident rights and responsibilities review; "the activities person used to be responsible for this task, but no longer manages this task."
Plan of Correction:	Not available online. Contact Inspector for more information.