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Indian River Assisted Living
1012 Justis Street
Chesapeake, VA 23325
(757) 523-4659

Current Inspector: Margaret T Pittman (757) 641-0984

Inspection Date: Feb. 20, 2020

Complaint Related: Yes

Areas Reviewed:
22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES
22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS

Comments:
An unannounced complaint inspection was conducted on February 20, 2020 from 9:34 a.m. to 12:15 p.m. in response to allegations of financial exploitation of residents. There were 101 residents in care. The following was discussed: Resident agreement signatures and dates, resident rates listed on resident agreement, obtaining personal data information on residents, reports of financial abuse to regional licensing office, written assurance, and posting who is in charge. The complaint is valid.

Please submit your ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it within 10 calendar days. The plan of correction must indicate how the violation will be or has been corrected. The plan of correction must include: 1. Step(s) to correct the noncompliance with the standard(s) 2. Measures to prevent reoccurrence 3. Person(s) responsible for implementing each step and/or monitoring any preventative measures.

Violations:
Standard #: 22VAC40-73-50-A
Complaint related: No
Description: Based on record review and interview, the facility failed to ensure the statement to the prospective resident and his legal representative that discloses information about the facility and includes fees charged for accommodations, services, and care, including clear information about what is included in the base fee and all fees for additional accommodations, services, and care, was provided.

Evidence:

1. A review of the facility?s ?Assisted Living Facility Disclosure Statement? does not disclose fees charged for accommodations, services, and care, including clear information about what is included in the base fee and all fees for additional accommodations, services, and care.

2. Staff #1 and staff #2 acknowledged the ?Assisted Living Facility Disclosure Statement? did not contain information regarding fees.

Plan of Correction: 1. Disclosure statement was revised after department meeting on 1/22/20.

2. Disclosure statement now includes addendum with rates for both Private Pay and Aux. Grants.

Standard #: 22VAC40-73-80
Complaint related: No
Description: Based on record review and interview, the facility failed to document the request and delegation to assist residents with the management of personal funds, signed and dated by the resident and the administrator and maintained in the resident?s record.

Evidence:

1. A complaint was received by the regional licensing office on 02-18-20 regarding suspected financial exploitation of resident #1 and resident #2.

2. Staff #1 and staff #2 confirmed that resident #1 and resident #2 needed assistance with obtaining the Auxiliary Grant (AG) as that is their source of payment for the facility. Staff #1 additionally stated that resident #1 and resident #2?s relative had previously taken funds from both residents? account, and staff was assisting in securing both residents? accounts.

3. Staff statements written by staff #1 and staff #3 confirmed that resident #1 and resident #2 were taken to the bank by staff to assist in obtaining financial details in order to apply for the AG, as well as to withdraw money to provide rent to the facility.

4. Staff #1 and staff #2 acknowledged there was no documentation of the request and delegation for the facility to assist resident with management of personal funds signed and dated by resident #1 or resident #2 and the administrator.

Plan of Correction: 1. Resident contract was updated to include Authorization.

2. All current residents without this designation will be asked to complete an addendum to their current contract by 4/1/20.

3. Administrator or her designee will ascertain we have documentation of the resident?s authorization for all current and future residents.

Standard #: 22VAC40-73-320-A
Complaint related: No
Description: Based on record review and interview, the facility failed to ensure results of a risk assessment documenting the absence of tuberculosis in a communicable form was completed within the 30 days preceding admission.

Evidence:

1. Resident #1 admitted on 12-19-19. Resident #1?s tuberculosis screening was dated as read on 12-21-19.

2. Resident #2 admitted on 12-19-19. Resident #2?s tuberculosis screening was dated as read on 12-21-19.

3. Staff #1 acknowledged resident #1 and resident #2?s tuberculosis screenings documenting the absence of tuberculosis in a communicable form were not completed within the 30 days preceding admission.

Plan of Correction: All future referrals even if from Adult Protective Services will not be admitted until Tuberculosis screening is completed.

Standard #: 22VAC40-73-350-B
Complaint related: No
Description: Based on record review and interview, the facility failed to ascertain prior to admission whether a potential resident is a registered sex offender and stays longer than three days and shall document in the resident?s record that this was ascertained and the date the information was obtained.

Evidence:

1. Resident #1 admitted on 12-19-19. Resident #1?s sex offender screening was not completed until 12-27-19.

2. Resident #2 admitted on 12-19-19. Resident #2?s sex offender screening was not completed until 12-27-19.

3. Staff #1 acknowledged resident #1 and resident #2?s sex offender screenings were not completed prior to admission.

Plan of Correction: 1. Administrator will ascertain sex offender registry is completed prior to Admission.

2. Business office manager will audit all admission records to check for Sex Offender Registry check before they are filed.

3. Monthly audit will be completed to make sure that all sex offender registry checks are maintained in record.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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