VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Gray Ridge Village LLC
155 Ridgefield Rd
Marion, VA 24354
(276) 521-0784

Current Inspector: Rebecca Berry (276) 608-3514

Inspection Date: March 9, 2020

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS

Comments:

One licensing inspector conducted an inspection regarding a complaint received by the licensing office involving resident care at Gray Ridge Village on 03/09/2020. The complaint was received on 02/25/2020. The inspection started at 9:45 am and concluded at 10:07 am. During the inspection resident records were reviewed and staff interviews were conducted, documentation was also gathered in regards to the complaint information. An exit meeting was held with the administrator on 03/09/2020 and at that time opportunity was given to find items not available during the inspection. As a result of this inspection 2 violations are being cited. Please complete a plan of correction for each violation cited along with a date of correction. Please return a signed and dated copy back to the licensing office within 10 calendar day (03/28/2020) of receipt. If you have any questions or concerns please contact your inspector at 276-608-3514. Thank you for your cooperation and assistance.

Violations:

Standard #:	22VAC40-73-270-1
Complaint related:	No
Description:	Based on information as part of a complaint and interviews with staff, the facility failed to ensure all direct care staff had completed training in methods of dealing with residents who are aggressive prior to being involved in the care of such residents. EVIDENCE: 1. The licensing office received information through a complaint on this facility regarding resident care on February 25, 2020. 2. Resident # 2 was admitted to the facility in January 2020. 3. The facility informed the licensing office on February 22, 2020 resident # 2 was being discharged on an emergency basis due to him pushing an employee multiple times and threatening harm to the employee. Resident # 2 had a history of aggressive behavior according to staff and the police had been called earlier that same evening due to resident # 2's behavior. 4. The Licensing Inspector requested to see that staff had completed training in dealing with aggressive residents and staff # 1 stated staff has not completed the required training as of the day of the inspection.
Plan of Correction:	All staff will complete training on aggressive behavior. [sic]
Standard #:	22VAC40-73-310-A
Complaint related:	No
Description:	Based on review of resident records including Uniform Assessment Instruments (UAIs), Individualized Service Plans (ISPs) the facility retained a resident in care who requires a level of care for which the facility is not licensed to provide. EVIDENCE: 1. Resident # 1 was admitted to the facility on 09/19/2020. This facility is licensed for residential care only. 2. Resident # 1 was discharged from a previous residential only facility before being admitted to this facility because he met a higher level of care. 3. Staff # 1 stated she had concerns that resident # 1 might meet assisted living criteria and he needs to be re-screened. Staff # 1 also stated there was a private pay UAI completed for this resident that could not be located on the day of inspection. 4. The public pay UAI completed by a local department of social services for resident # 1 dated 08/14/2019 rated him dependent in 5 out of 7 Activities of Daily living, mobility, and medication administration and dependent in all Instrumental Activities of Daily living and states he is in imminent danger of Nursing Home placement. 5. According to resident # 1's UAI and ISP he meets assisted living criteria at the time of placement.
Plan of Correction:	Resident will be re-screened as needed. Resident will be transferred to higher level of care. When accepted at another facility if he screens for higher level of care. [sic]