Charter Senior Living of Newport News
655 Denbigh Boulevard
Newport news, VA 23608
(757) 890-0905
Current Inspector: Willie Barnes (757) 439-6815
Inspection Date: June 22, 2020 and June 23, 2020
Complaint Related: No
- Areas Reviewed:
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22VAC40-73 STAFFING AND SUPERVISION
22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS
22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS
Article 1
Subjectivity
- 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 6/22/2020 and concluded on 06/23/2020. The Administrator was contacted by telephone to initiate the inspection. The Administrator reported that the current census was 61. The inspector emailed the Administrator a list of items required to complete the inspection. The inspector reviewed 4 resident records, 4 staff records, fire drill, staff schedules, health inspection and additional required 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. 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:
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Standard #: 22VAC40-73-1140-E Description: Based on record review and staff interview, the facility failed to ensure one of four staff completed training in cognitive impairment within the first month of employment.
Evidence:
1. During the remote renewal inspection, a review of staff #5?s submitted training record noted safe, secure training started on 4-7-20 and completed on 4-8-20. Further review of the training record noted other cognitive training on 3-25-20. Staff #5?s date of hire submitted was documented as 2-18-20.
2. Staff #1 acknowledged staff?s cognitive training not conducted within the first month of hire.Plan of Correction: Staff#5 completed 2 hour training requirements on cognitive impairment was met on 6/25/2020.
Business office manager will audit all non-direct care staff records to ensure 2 hours of training for cognitive impairment was completed from June 2019 to June 2020. Training will be completed if needed.
The community will completed the required 2 hour cognitive impairment training with new hires during orientation or within the first month of employment.
BOM will audit completion of required 2 hour cognitive impairment training education monthly and report to ED.
Standard #: 22VAC40-73-310-H Description: Based on record review and staff interview, the facility failed to ensure it did not retain an individual in the facility with psychotropic medication without a treatment plan.
Evidence:
1. During the remote renewal inspection, on 6-22-20 review of resident #3?s medication administration record and the submitted physician?s orders noted the resident prescribed Zoloft.
2. Further review of the record, two faxed documents to the physician dated 5-22-20 and 6-22-20 requesting treatment plan. However, the documents were not signed by the physician.
3. A request for the treatment plan was made by the inspector or 6-23-20. The requested document received on 6-23-20 for resident #3?s treatment plan for Zoloft submitted on 6-23-20 was dated 6-22-20.
4. Staff #1 acknowledged the treatment plan for resident #3 was not received prior to the first date of the renewal inspection.Plan of Correction: Resident's psychotropic treatment plan was faxed to physician with follow up call for new psychotropic medication prior to inspection. Treatment plan was signed and returned to community 6/22/2020.
DRC/designee to complete 100% audit to ensure all residents with psychoactive medications have treatment plans in place and signed by physician.
Current LPN's and RMA's will be re-educated to ensure that a treatment plan is received with all new psychoactive medication orders.
DRC/designee will review all psychoactive medications monthly for three months to ensure treatment plan is in place to begin 7/1/2020 and end 9/30/2020.
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.
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.