VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Commonwealth Senior Living at Abingdon
860 Wolf Creek Trail NW
Abingdon, VA 24210
(276) 628-1621

Current Inspector: Crystal Mullins (276) 608-1067

Inspection Date: Feb. 14, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

Two licensing inspectors conducted an unannounced focused monitor inspection and looked at a self-reported medication error at Commonwealth Senior Living-Abingdon on 02/14/2019. The inspection started at 11:30 am and concluded at 12:00 pm. The purpose of this inspection was to determine compliance and correction of previously cited violations and to review the self-reported medication error. Staff records, resident records, and Medication Administration Records (MARs) were reviewed. As a result of this inspection, one violation is being cited. An exit meeting was conducted with facility representatives on 02/14/2019 and at that time the opportunity was given to find items that could not be located in files. Please provide a plan of correction and date to be corrected for each violation cited and return a signed and dated copy of the violation notice to your licensing inspector within 10 days (02/24/2019) of receipt. If you have any questions or concerns, please feel free to contact your inspector at 276-608-1067. Thank you for your cooperation and assistance.

Violations:

Standard #:	22VAC40-73-680-D
Description:	Based on documentation and staff report, the facility failed to administer medications in accordance with the physician's instructions and consistent with the standards of practice outlined in the current registered medication aide curriculum approved by the Virginia Board of Nursing. EVIDENCE: 1. Staff #1 admitted to administering a one tablet dose (milligram unknown) of Tylenol to Resident #1 on 01/01/2019. 2. Resident #1 resides in the memory care unit of the community and does not have a physician's order for administration of Tylenol on a scheduled basis nor on an as needed basis.
Plan of Correction:	All nurses and RMAs to be re-in serviced on the importance of medications being administered in accordance with the physician orders and Board of Nursing Standard of Practice. There was no adverse effect to the residents. Associates will be educated on the Management Plan upon hire, annually, and as needed. Resident Care Director or designee will randomly audit the medication documentation records of a minimum of 5 residents per month, conduct a random medication pass and med cart audit a minimum of 2 times per month to ensure ongoing compliance and provide any necessary coaching on medication administration concerns. [sic]