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Spring Arbor of Williamsburg
935 Capitol Landing Road
Williamsburg, VA 23185
(757) 565-3583

Current Inspector: Kimberly Rodriguez (757) 586-4004

Inspection Date: Feb. 10, 2020

Complaint Related: Yes

Areas Reviewed:
Resident Care and Related Services

Comments:
A Representative with the Division of Licensing, conducted an unannounced, non-mandated, complaint inspection on 02/10/2020 from approximately 9:30am to 1:34pm. At the point of entrance the facility Administrator was available and present. The inspection was a result of a complaint regarding resident related care. During the facility inspection there was not enough evidence to support the allegation and the allegation is found to be not valid. Areas of non-compliance are found within this violation notice. Please complete the "plan or correction" and "date to be corrected" for each violation cited on the violation notice and return to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring preventative. Please contact the facility Licensing Inspector Kimberly Rodriguez at 757-586-4004 or by email at kimberly.rodriguez@dss.virginia.gov for additional questions or concerns.

Violations:
Standard #: 22VAC40-73-680-D
Complaint related: No
Description: Based on resident record review, the facility failed to ensure medications are administered in accordance with the Physicians or other prescriber's instructions and consistent with the standards of practice outlines in the current registered medication aide curriculum approved by the Virginia Board of Nursing.

Evidence: On 02/10/2020 with the facility Administrator, as evidenced by resident #1's medication administration record for the month of November, 2019, December 2019, January 2020 AND February 2020 resident #1 had a total of 114 medication refusals. The facility was unable to provide documentation of any notification made to resident #1's physician regarding resident #1's medication refusal.

Plan of Correction: 22VAC 40-73-(6)-680 D
Administration of medications and related provisions

It is Spring Arbor of Williamsburg?s policy to comply with all state regulations regarding medications shall be administered in accordance with the physician's or other prescriber's instructions and consistent with the standards of practice outlined in the current registered medication aide curriculum approved by the Virginia Board of Nursing. The Resident Care Supervisors-In-Charge and Registered Medication Aides received an in-service on 02/10/2020 and 03/06/2020 conducted by Kenneth Gibson, ED and Victoria Anderson, RN regarding the assurance that medication refusals are handled in accordance with the standards of practice outlined in the current registered medication aide curriculum. The community?s Resident Care Director, or designee, will audit all refusals weekly in order to ensure compliance with notifications of responsible parties for the next 60 days.

Disclaimer:
A compliance history is in no way a rating for a facility++.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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