VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Continued Care LLC
2707 Catchpenny Road
Richmond, VA 23223
(804) 303-3741

Current Inspector: Belinda Dyson (804) 662-9780

Inspection Date: July 31, 2019 and Aug. 28, 2019

Complaint Related: Yes

Comments:

An unannounced complaint inspection was attempted on July 31, 2019, from 10:46 p.m. to 10:56p.m. Upon arrival to the facility, the facility staff failed to open the door in order for the inspection team to initiate the complaint investigation. A follow up visit will be conducted in order to complete the investigation. A second unannounced inspection visit was completed on August 28, 2019, from 6:48 a.m. to 9:49 a.m. for Continued Care, LLC. Upon arrival the direct care staff was on duty and the facility was accessible to conduct the complaint inspection. The licensing representative met with direct care staff and owner to address concerns regarding resident care and resident rights concerns. Based upon the allegation of the complaint specific documents were reviewed. Based upon the cumulative documentation collected during the inspection, the complaint is valid. Please submit a written plan of correction within the next ten calendar days. Your plan should specify how you will correct each violation, an intended plan for the future compliance, a date of correction for each violation, and the job title of the staff member responsible for implementing preventive measures. You may contact me at (804) 662-9432 or e-mail at Vashti. Colson @dss.virginia.gov to discuss any questions you may have. Thank you for your cooperation during this inspection.

Violations:

Standard #:	22VAC40-73-70-A
Complaint related:	Yes
Description:	VIOLATION: Based upon the record reviews and interviews, the facility failed to report to the regional licensing office within 24 hours any major incident that has negatively affected or that threatens the welfare of the resident in care. EVIDENCE: The facility failed to provide 24 hours notice to the Central Regional Licensing Office regarding an allegation that resident rights were being violated by one of the facility's staff members. The facility failed to provide evidence during the inspection that would dispute the cited violation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-70-C
Complaint related:	Yes
Description:	VIOLATION: Based upon the record review, the facility failed to submit a written incident report to the regional licensing office within in seven days from the date of the identified incident. EVIDENCE: During the complaint inspection and record review, the facility failed to provide evidence that an incident report was submitted to the Central Regional Licensing Office , within seven days, regarding an allegation of resident rights violations. The facility failed to provide evidence during the complaint inspection that would dispute the cited violation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-250-B
Complaint related:	No
Description:	VIOLATION: Based upon the record review and staff interviews, the facility failed to retain each staff record at the facility in a locked location. EVIDENCE: During the record review, staff #1 confirmed that the employee record #2 was removed from the facility by employee #2. The facility failed to provide evidence that would dispute the cited violation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-300-B
Complaint related:	Yes
Description:	EVIDENCE: Based upon the record review, the facility failed to have written communication logs that would identify significant happenings or problems experienced by the residents. VIOLATION: During the documentation review, the facility failed to provide documentation of the resident?s alleged hostile behavior towards staff or other residents. In the staff interviews, staff #1 stated several incidents where resident X failed to follow the house rules during the month of May 2019, but upon review of the communication logs the facility failed to have written documentation of the identified incidents.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-430-B
Complaint related:	Yes
Description:	VIOLATION: Based upon interviews and documentation , the facility failed to provide the resident?s eligibility worker with a discharge notice at least fourteen days prior to the date of the discharge. EVIDENCE: The discharge notice in the resident's record documents that resident X was discharged from the facility on 7/30/2019. Resident X is a public pay resident and resident X's eligibility worker/ assessor was notified of the discharge as of August 1, 2019, per the facility's documentation. The facility failed to provide evidence that would justify the immediate discharge. The facility notes the reason for discharge as the following: "Resident X has struggled with following CC, LLC rules since placement on 5/1/2019. He was caught with cigarettes and lighters on multiple occasions. Several meets were attempted to assist with the adjustment process; however resident X continued to struggle with house rules. On 07/25/2019, staff caught resident X with numerous packs of cigarettes again and a lighter. Resident X became extremely hostile towards staff ?stating I?m going to get you." Administrator received a phone call from APS worker... explaining that a complaint was filed by...... stating several rights were violated........" The facility failed to provide evidence during the inspection that would dispute the cited violation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-660-A
Complaint related:	No
Description:	VIOLATION: Based upon observation during the entrance conference, the facility failed to store all medications in a medicine cabinet, container, or compartment in a manner consistent with the current standards of practice. EVIDENCE: Upon arrival the licensing representative noticed a glass vial sitting on the entrance desk in the living room. Upon further inspection, it was noted that the vial was labeled as Lantus insulin. During the entrance conference meeting, the licensing representative notified the licensee/administrator that the medication was left out in the open. According to the licensee, one of the morning staff members left the medication on the desk for a resident to take to day support.
Plan of Correction:	Not available online. Contact Inspector for more information.