Cary Adult Home
7336 Cary Avenue
Gloucester, VA 23061
Current Inspector: Willie Barnes (757) 439-6815
Inspection Date: May 10, 2018 and May 16, 2018
Complaint Related: No
- Areas Reviewed:
22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES
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
An unannounced renewal study was conducted at Cary Avenue Adult Home on May 10, 2018 and May 16, 2018 (11:00 A.M.- 4:30 P.M.). Licensing inspector was accompanied by another inspector from the Eastern Regional Office. The purpose of a renewal team inspection is to conduct an unannounced review of this facility with a primary focus on the above standards. There were 59 residents in care. Observations, reviews of facility's records and interviews with residents and staff members were conducted during this inspection visit. Violations cited were discussed with the administrator.
Standard #: 22VAC40-73-310-H Description: Based on resident record review, three of nine, the facility failed to ensure it did not retain individuals with the following conditions: psychotropic medication without an appropriate treatment plan. Evidence: On 5/16/2018, licensing review of physician?s orders for Residents #6, #7 and #8 revealed the following medications without appropriate treatment plan: 1. Resident #2 has a physician?s order dated for 5/1/2018 for Aripiprazole 30mg, Clonazepam 1mg, Divalproex 500mg and Escitalopram 20mg. 2. Resident #6 has a physician order dated 3/18/2018 for Risperdal 2mg, Risperdal 50mg and Sertraline 100mg. 3. Resident #7 has a physician order dated 4/19/2018 for Paroxetine 40mg, Aripiprazole 5mg, Clonazepam 1mg, Mirtazapine 15mg and Lithium Carbonate 300mg. Staff #8 acknowledged Residents #6, #7 and #8 did not have a treatment plan in their records. Plan of Correction: Administrator will send model form letter to physician to address all psychotropic medication for an appropriate treatment plan. Administrator will ensure upon admission and at the time of a new physician's order for psychotropic medication that the treatment plan be documented and place in the resident's record.
Standard #: 22VAC40-73-870-E Description: Based on observation during physical plant tour, the facility failed to maintain all furnishings and equipment clean and in good repair. Evidence: On 5/10/2018, licensing inspector observed the following with Staff #1: 1. The dresser drawer panel in room #14 was missing, completely detached. 2. The end table in room #15 was in need of repairs with two screws protruding outward, not secured. The walls in this same room had black scuffmarks and a visible one-inch hole at the baseboard trimming. 3. The wardrobe in room #20 was missing a door handle. Plan of Correction: Administrator has contacted maintenance man to repair dresser drawer, wardrobe door handle and secure the screws at the end table. Maintenance man conduct daily preventive maintenance to ensure that all furnishings, fixtures, and equipment are in good repair and compliance with the standards.
Standard #: 22VAC40-73-960-B Description: Based on observation during physical plant tour, the facility failed to ensure that the fire and evacuation drawing was complete to include the appropriate items and or designated areas. Evidence: On 5/1/2018 at 2:15 p.m., licensing inspectors observed that the posted fire and emergency drawing did not show area of refuge, as appropriate. Plan of Correction: Owner will revise evacuation drawings throughout the facility to ensure that all the appropriate items are included as required by the standards.
Standard #: 22VAC40-73-980-A Description: Based on observation, the facility failed to have a complete first aid kit on hand. Evidence: During physical plant tour at1:40 p.m. on 5/16/2018, the first aid kit was incomplete evidenced by missing hand cleaner. Plan of Correction: Administrator and head RMA will complete monthly checklist to ensure all of the appropriate items are in the first aid kit.
A compliance history is in no way a rating for a facility++.
The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.