VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Birmingham Green Adult Care Residence-Willow Oaks Assisted Livin
8595 Centreville Road
Manassas, VA 20110-8457
(703) 257-6280

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: July 3, 2019 and July 11, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

Date of Inspection: July 3 and 11, 2019 Type of Inspection: Monitoring Inspection, non-mandated If you have any questions or email changes, please do not hesitate to contact me at ken.koontz@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov. Census 88 All facility self-reported incidents since the last inspection were reviewed on this date.

Violations:

Standard #:	22VAC40-73-470-G
Description:	Based on interviews and chart review as part of a monitoring inspection, it was determined the facility did not assess whether it could continue to meet the resident's needs when a resident refused medical attention. Evidence: Resident A has refused most of her medication and treatment over the last two week period. This includes blood sugar checks and insulin administration. Recordation in the resident chart is not clear when her TED hoses were placed and removed. The resident has also been involved in altercations with other residents. Resident A UAI of 1/9/2019, assess the resident as residential living. The facility's current documentation would support the level of care has now increased. The resident record does document follow-up with medical staff, but does not specify the assessment of whether the facility can continue to meet the resident's needs.
Plan of Correction:	Will complete a head to toe assessment today for any skin alterations and notify MD for interventions - Effective today, Nurses will apply Ted hose/compression socks daily and assess resident skin Qshift and notify MD for refusals -DON or designee will complete an audit of complaince weekly for 90 days -Will notify county liaison today to complete UAI assessment -IDT will assess for appropriate level of care for resident at risk for non complaince with their paln of care including medications and treatments -Dr Lebedun our consulting psychologist will evaluate resident and help determine the appropriate level of care