VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heatherwood Independent and Assisted Living
9642 Burke Lake Road
Burke, VA 22015
(703) 425-1698

Current Inspector: Jacquelyn Kabiri (703) 397-3017

Inspection Date: June 17, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

An unannounced focused monitoring inspection was conducted on 6/17/19 to follow-up on a high-risk violation that was cited on 4/22/19. Medication administration was observed and physician orders were reviewed. Violations were discussed and an exit meeting was held. 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. 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 standards, 2) Measures to prevent the non-compliance from occurring again, and 3) Person responsible for implementing each step and/or monitoring any preventative measures. Thank you for your cooperation and if you have any questions, please contact me via e-mail at m.massenberg@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-680-D
Description:	Based on documentation and observation, the facility failed to ensure that medications are administered in accordance with the physician's or other prescriber'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: Resident #1's morning medication was observed during the inspection. On 6/17, Resident #1's medication was placed in a pill cup and the medication packages were returned to the medication cart. Before the medication was given to Resident #1, the licensing inspector asked about the resident's Meclizine. The Meclizine had expired, as the expiration date on the bottle was 6/16/19.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-680-I
Description:	Based on documentation, the facility failed to ensure that the medication administration record (MAR) includes the correct medication strength. Evidence: The MAR, for Resident #2, included Actonel 35mg (ordered 2/19/19). A physician's order, dated 2/25/19, changed the strength of Resident #2's Actonel to 30mg. The change, to Actonel 30mg, was not reflected on the MAR.
Plan of Correction:	Not available online. Contact Inspector for more information.