Purcellville Home Assisted Living Facility Inc.
16764 Hillsboro Road
Purcellville, VA 20132
Current Inspector: Jamie Eddy (703) 479-5247
Inspection Date: Sept. 18, 2018
Complaint Related: No
- Areas Reviewed:
22VAC40-73 GENERAL PROVISIONS
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
- Technical Assistance:
Please note: MSDS are required to be printed out a available to staff for all cleaning/disinfecting agents used in the facility. Please ensure that the residents or family members sign off annually that they do not need a formal resident council.
An unannounced renewal study was conducted on 9/18/2018. At the time of entrance seven residents were in care with two staff present. The sample size consisted of four resident records, two staff records, one volunteer record and two individual interviews. Resident and staff records and other documentation were reviewed. No new staff have been hired since the previous inspection conducted on 9/18/2017. Residents were observed eating breakfast and engaging in activities including current events, painting and watching television. Medication administration was observed. Violation notice issued, risk ratings reviewed and exit interview held. Thank you for your cooperation and if you have any questions please call 703-479-4708 or contact me via e-mail at firstname.lastname@example.org.
Standard #: 22VAC40-73-100-B Description: The facility failed to ensure that the Infection Control Program included the sanitation of rooms, including cleaning and disinfecting procedures, agents, and schedules. Plan of Correction: Owner/Administrator has procedures in place and will update the Infection Control Plan to reflect these procedures.
Standard #: 22VAC40-73-640-A Description: Facility failed to ensure that the facility's medication plan shall address procedures for administering medication and shall include: the facility's standard dosing schedule; methods to ensure that staff who are responsible for administering medications are adequately supervised, including periodic direct observation of medication administration; procedures for internal monitoring of the facility's conformance to the medication management plan and methods for verifying that medication orders have been accurately transcribed to medication administration records (MARs) within 24 hours of receipt of a new order or change in an order. Plan of Correction: Owner/Administrator has systems in place and will update the facility Medication Management Plan.
Standard #: 22VAC40-73-660-A-1 Description: Facility failed to ensure that the medication storage area shall be locked. Evidence: Medications were found in an unlocked storage area in the second floor kitchenette. Plan of Correction: Medications were immediately removed from the unlocked storage area and placed in the locked medication cart. Owner/Administrator will put a lock on the medication storage area in the second floor kitchenette.
Standard #: 22VAC40-73-660-A-6 Description: Facility failed to ensure that when it is necessary to store medications in a refrigerator that is routinely used for food storage, the medications shall be stored together in a locked container in a clearly defined area. Evidence: Prescription cream was found in a refrigerator in the second floor kitchenette that is routinely used for food storage the medication was being stored in the refrigerator door and was not locked in a defined storage area. Plan of Correction: Owner/Administrator will purchase lock box to place in the second floor refrigerator for medication storage.
Standard #: 22VAC40-73-680-B Description: Facility failed to ensure that medications shall remain in the pharmacy issued container, with the prescription label or direction label attached, until administered to the resident. Evidence: Pill planners containing medications were found in a cabinet in the second floor kitchenette. Plan of Correction: Medications were immediately removed from the cabinet and medications were disposed according to disposal procedures.
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.