VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Aarondale Retirement & Assisted Living Community
6929 Matthew Place
Springfield, VA 22151
(703) 813-1800

Current Inspector: Jacquelyn Kabiri (703) 397-3017

Inspection Date: Aug. 23, 2019

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

Licensing Inspector (LI) conducted unannounced complaint investigation on 8/23/2019 regarding resident care, resident medication, food service, activities and housekeeping in the safe, secure unit. LI reviewed five resident records, including medication and other documentation. Residents were observed at lunch and dinner and engaging in activities. Safe, secure areas and rooms were observed. LI conducted staff and resident interviews. Spoke with Executive Director and Director of Nursing. While the preponderance of evidence gathered during the investigation did not support all of the allegations, complaint regarding Standard 660.B is deemed valid as a preponderance of evidence gathered supported the allegation. During the investigation, a violation not related to the complaint was observed regarding standard 710.E and was cited. Exit interview with Executive Director and Director of Nursing conducted on 8/23/2019 and the violation and risk ratings regarding the standards deemed valid were discussed for correction.

Violations:

Standard #:	22VAC40-73-660-B
Complaint related:	Yes
Description:	Based on observation and record review, facility failed to ensure that a resident may be permitted to keep his own medication in an out-of-sight place in his room if the UAI has indicated that the resident is capable of self-administering medication and the medication shall not be accessible to other residents. Evidence: Resident #1 most recent UAI dated 8/5/2019 indicates medication administered/monitored by layperson; bottles of Tylenol 500mg, Aleve 220 mg, Quetiapine Fumarate 25mg and Nystop 100,000 units/gm powder were observed in Resident #1's bathroom cabinet that was not locked and the door to the resident's room in the safe, secure area and was not locked.
Plan of Correction:	The Wellness Director will conduct a mandatory staff in-service regarding the safeguard of medications. Implement nightly room audit on Inspritias unit where each apartment is inspected for medication/creams brought in by family members that need to be locked and secured in medication cart.
Standard #:	22VAC40-73-710-B
Complaint related:	No
Description:	Based on observation, record review and interview, facility failed to ensure that physical restraints may only be used as a medical/orthopedic restraint for support, according to a physician's written order and with the written consent of the resident or his legal representative. Evidence: Bed rails were observed on the beds belonging to Resident #1, Resident #2, Resident #3 and Resident #4; and resident records of Resident #1,#2, #3 and #4 did not include a physician order for bed rails as a medical/orthopedic restraint for support; and resident records of Resident #1, #2, #3 and #4 did not include a written consent of the resident or legal representative.
Plan of Correction:	Obtain physician order for bed rails as a medical/orthopedic restraint for support for Resident #1, #2, #,3 and #4. Ensure Responsible Party has signed RUI/Restraint Consent/Assessment form. Include order and written consent form in resident records. Conduct audit of all residents in the community to ensure facility has a physician order and written consent for every resident using a bed rail as a medical/orthopedic restraint for support.