VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Lincolnian Senior Residences
4710 N. Chambliss Street
Alexandria, VA 22312
(703) 914-0330

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: Oct. 30, 2018

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.

Technical Assistance:

If you have not already done so you must submit a completed Renewal Application prior to the expiration of your current license. The application can be obtained from our web site or you may call the main office at 703-934-1505 to request an application be sent

Comments:

An unannounced renewal inspection was conducted on 10/30/2018. At the time of entrance 50 residents were in care. The sample size consisted of nine resident records, two volunteer records, five staff records including a review of criminal background checks for new hires since the last mandated inspections. Additionally, two individual interviews were conducted. Residents were observed eating breakfast. Medication administration was observed. Violation notice issued with the assessed risk reviewed and exit interview held with Administrator. Areas of non-compliance are identified on the violation notice. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to the licensing office within 10 calendar days in a word document. Please specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. The plan of correction must contain: 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the non-compliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s). Thank you for your cooperation and if you have any questions please e-mail tammy.pruitt@dss.virginia.gov or call 703-314-0604.

Violations:

Standard #:	22VAC40-73-680-M
Description:	Based on observation and interview the facility failed to ensure medications ordered for PRN administration shall be available, properly labeled for the specific resident, and properly stored at the facility. Based on: Resident #1 doctors ordered medication, throat lozenger cherry flavored 15mg-3.6mg was not available to administered to resident if needed.
Plan of Correction:	Director of Nursing took the initiative and drove to the pharmacy to obtain the prescribed medication. This was corrected during the inspection.
Standard #:	22VAC40-73-990-B
Description:	Assisted living facilities shall have a written plan for resident emergencies. The procedures in the plan for resident emergencies required in subsection A of this section shall be reviewed by the facility at least every six months with all staff. Documentation of the review shall be signed and dated by each staff person.
Plan of Correction:	The facility currently covers the information, however has not been documenting the training. A training will be held in November to come into compliance. Starting January 2019 the trainings will be held in January and July of each year.