VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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:

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:

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.