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Golden Years Assisted Living Facility, Inc.
40 Hunt Club Boulevard
Hampton, VA 23666
(757) 825-2425

Current Inspector: Alyshia E Walker (757) 670-0504

Inspection Date: June 8, 2020

Complaint Related: No

Areas Reviewed:
Resident Care and Related Services

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol
necessary due to a state of emergency health pandemic declared by the Governor of
Virginia. A renewal inspection was initiated on 5/18/2020 and concluded on 5/18/2020. The
Administrator was contacted by telephone to initiate the inspection. The Administrator reported the current census. The inspector emailed the Administrator a list of items required to complete the inspection. The inspector reviewed 4 resident records, 4 staff records, and additional documentation submitted by the facility to ensure documentation was complete.

Information gathered during the inspection determined non-compliance(s) with applicable
standards or law, and violations were documented on the violation notice issued to the
facility.

Violations:
Standard #: 22VAC40-73-450-C
Description: Based on resident record review the facility failed to ensure the comprehensive individualized service plan included a written description of identified need. Evidence#1: On 05/19/2020 while reviewing resident #1's record, the fall risk assessment scored resident #1's assessment level at 45. Resident #1's individualized service plan did not reflect the needs for fall prevention.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-73-680-I
Description: Based on resident record review the facility failed to ensure the medication administration record included any medication errors or emissions.

Evidence: On 05/19/2020 while reviewing resident record #1, the medication administration record for the month of April 2020 was blank on the 16 and 19, 2020 for the medication Quetiapine.

Plan of Correction: Not available online. Contact Inspector for more information.

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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