VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Brookdale Virginia Beach
937 Diamond Springs Road
Virginia beach, VA 23455
(757) 493-9535

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date:

Complaint Related: No

Violations:

Standard #:	22VAC40-73-1110-A
Description:	Based on record review and discussion, the facility failed to ensure prior to admitting a resident with a serious cognitive impairment due to a primary psychiatric diagnosis of dementia to a safe, secure environment, the licensee, administrator, or designee determined whether placement in the special care unit was appropriate, and the determination and justification for the decision as in writing and retained in the resident?s file. Evidence: 1. Resident #1 admitted 11-26-19, and resident #2 admitted 03-31-20. The residents? files did not contain determination and justification for placement into the safe secure environment by the licensee, administrator, or designee. 2. During discussion, Staff #1 acknowledged the determination and justification for placement by the licensee, administrator, or designee to a safe, secure environment was not completed. Staff #1 stated that resident #1 admitted prior to her time working at the facility.
Plan of Correction:	1. On the day of the inspection an immediate correction was made. The Executive Director/Health and Wellness Director completed or update documentation for placement into a safe secure environment for resident #1 and resident # 2. 2. The Executive Director or Designee will provide education for Health and Wellness Director and Resident Care Coordinator on Virginia required documentation for placement into a safe secure environment and Virginia regulations to be completed by 5/29/2020. 3. The Health and Wellness Director, Resident Care Coordinator or Designee will audit current resident records for documentation for placement into a safe secure environment to be completed by 6/30/2020. 4. The Health and Wellness Director, Resident Care Coordinator Designee will randomly audit current resident records for compliance with documentation for placement into a safe secure environment and regulations once a month for three months.