VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Pearl at Watkins Centre
650 Watkins Centre Parkway
Midlothian, VA 23112
(804) 893-0067

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: Aug. 20, 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 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity

Comments:

An unannounced monitoring inspection was conducted at the facility on 8/20/2019 to monitor compliance with the IPOC (Intensive Plan of Correction) issued on 6/17/2019. Compliance with all identified problem areas were reviewed.The facility was determined to be in compliance with the IPOC. One noncompliance was found and cited unrelated to the IPOC. The facility has 10 calendar days from receipt of the inspection reports to complete a plan of correction, sign the inspection reports and return them to the licensing office. A copy of the inspection reports shall be retained to be posted at the facility. Results of the inspection are subject to public disclosure and will be posted on the VDSS website within 15 days, regardless of whether the plan of correction is completed. Just writing the word "corrected" is not acceptable. The plan of correction shall include the following: (1) Step(s) the facility will take to correct the violations cited; (2) Measures that will be put in place to prevent reoccurrence of the violation; (3) Person(s) responsible for implementation and monitoring of preventive measures; and (4) Date by which the violation will be corrected.

Violations:

Standard #:	22VAC40-73-1100-C
Description:	Based on a review of five resident files on 8/20/2019, the facility failed to follow the order of priority in obtaining a written approval for one resident who was placed in the safe, secure environment. Evidence: The written approval for resident # 1 was signed by a nurse practitioner. The facility failed to document that the order of priority for the written approval was followed as as specified in subsection A of 22VAC 40-73-1100.
Plan of Correction:	ED or designee to ensure paperwork is filed in appropropriate places when reviewing after all is collected. ED found written approval form signed by wife on 8/15/2019; however, it was not filed in the at the time of the inspection visit.