Alert Icon

Hurricane Helene Recovery Resources

 -  

Learn more.

×
Click Here for Additional Resources
Search for an Assisted Living Facility
|Return to Search Results | New Search |

Morningside of Bellgrade
2800 Polo Parkway
Midlothian, VA 23113
(804) 379-2800

Current Inspector: Tamara Watkins (804) 662-7422

Inspection Date: Nov. 22, 2021 , Dec. 2, 2021 , Dec. 14, 2021 and Dec. 15, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-73 STAFFING AND SUPERVISION
22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:
A non-mandated self-report inspection was initiated on November 22, 2021 and concluded on December 16, 2021. A self-reported incident was received by the department regarding allegations in the areas of resident care and related services. The Executive Director was contacted by telephone to conduct the investigation. The licensing inspector emailed the Executive Director a list of documentation required to complete the investigation. The licensing inspector conducted an on-site observation at the facility on December 2, 2021.

The evidence gathered during the investigation supported the non-compliance with standards or law, and violations were issued. Any violations not related to the self-report but identified during the course of the investigation can be found on the violation notice.

Violations:
Standard #: 22VAC40-73-300-B
Description: Based on record review and interview with staff, the facility failed to ensure a method of written communication was utilized as a means of keeping direct care staff on all shifts informed of significant happenings experienced by residents including incidents related to mental conditions.

Evidence:

1. Resident #1?s incident of wandering from the facility on 11-01-2021 was not documented in the in written communications between shifts in the facility?s shift log.

2. Staff #1 confirmed the incident the incident was not documented to inform staff of Resident #1?s incident.

Plan of Correction: All direct care staff including nurses and medication aides will complete a documentation inservice to include shift reporting and nursing file charting.

Standard #: 22VAC40-73-450-A
Description: Based on record review and interview with staff, the facility failed to ensure a preliminary plan of care addressed the basic needs of the resident that adequately protects his health, safety, and welfare.

Evidence:

1. Resident #1 admitted 10-21-2021. The resident?s ?Report of Resident Physical Examination? dated 10-11-2021 documented in four places regarding resident?s cognitive impairment:

A. ?Significant Medical History: Cognitive Impairment?;

B. ?General physical condition, including systems review as is medically indicated: Most relevant condition is cognitive impairment/worsening short term memory?;

C. ?Diagnosis or significant problems: 1. Cognitive impairment/short term memory deficit?; and

D. ?Ambulatory? may need some directing due to short term memory issues?

2. The resident?s preliminary ISP dated 10-21-2021 did not identify Resident #1?s cognitive impairment as addressed on resident?s ?Report of Resident Physical Examination?.

Plan of Correction: Staff who are responsible for ISPs and ISP maintenance will be retrained on correct ISP completion and reminded of
the importance of what is necessary to add to the ISP.

Standard #: 22VAC40-73-460-D
Description: Based on record review and interview with staff, the facility failed to provide supervision of resident activities including wandering from the premises.

Evidence:

1. A self-reported incident received from the facility by the central licensing office on 11-02-2021 documented, ?[Resident #1] 11/1/21 Resident Wandering outside community? Resident was outside walking her dog and left the property. This is an assisted living resident with some MCI [mild cognitive impairment]?Resident [#1] was confused? Family meeting at 12 noon today to discuss memory care placement here??

2. The resident?s ?Report of Resident Physical Examination? dated 10-11-2021 documented, ?Most relevant condition is cognitive impairment/worsening short term memory?? and ?Ambulatory? may need some directing due to short term memory issues?.

3. Staff #1 stated in email dated 12-14-2021, ?[Resident #1] was out walking her dog and wandered off the property?. [Resident #1?s] family was notified and they looked at the GPS on [Resident #1?s] phone to let us know where [Resident #1] was. We saw [Resident #1] walking on [Street Name] and picked [Resident #1] and the dog up and returned them to the community.?

4. Resident #1 was out of the community and walked approximately half a mile and was gone approximately 30 minutes according to Staff #1.

5. Resident #1 was admitted to the Safe, Secure Environment (SSE) on 11-29-2021.

Plan of Correction: It is the policy of Five Star to comply with all regulations and standards for ALF's in VA. Based on the violation noted, the community will continue to monitor all conditions of the resident population and follow all guidelines for the safety and welfare of the residents. ED will review all admission paperwork prior to accepting residents with MCI in the AL
side of the community.

Standard #: 22VAC40-73-460-E
Description: Based on record review and interview with staff, the facility failed to ensure any notable change in a resident?s condition including altered behavior and any corresponding action taken was documented in the resident?s record.

Evidence:

1. Resident #1?s Nurse?s Notes on 11-01-2021 documented, ?Resident [#1] took several of [Resident #1] belongings from [Resident #1?s] room. Pictures, clothes, roll of paper towels. Writer asked [Resident #1] to take them back to [Resident #1?s] room so they won?t get lost, resident [#1] refused but later did so?? Note was signed by Staff #2.

2. There was no mention of Resident #1 wandering from the facility on 11-01-2021 as reported by Staff #1.

Plan of Correction: Staff will be reminded and retrained on what to report to the DON/ED. Resident cognitive changes will be
noted and documented as changes occur.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

Google Translate Logo
×
TTY/TTD

(deaf or hard-of-hearing):

(800) 828-1120, or 711

Top