VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Runk & Pratt Residential Adult Care of Lynchburg
20212 Leesville Road
Lynchburg, VA 24502
(434) 237-7809

Current Inspector: Cynthia Jo Ball (540) 309-2968

Inspection Date: Aug. 5, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 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 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity 32.1 Reported by persons other than physicians 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 COMPLAINT INVESTIGATION. 22VAC40-80 SANCTIONS.

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 monitoring inspection was initiated on 7/3/2020 and concluded on 7/5/2020. The Administrator was contacted by telephone to initiate the inspection. The Administrator reported that the current census was 55. The inspector emailed the Administrator a list of items required to complete the inspection. The inspector reviewed 4 resident records, 4 staff records, staff schedules, fire and health inspections, dietitian and health care over sights and fire drill logs submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance 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 a review of resident records, the facility failed to ensure that all identified needs were addressed on individualized service plans (ISPs). EVIDENCE: 1. The record for resident 1 has a physician order dated 6/17/2020 for knee high Ted Hose to be applied in the mornings and removed in the evenings. The record also has documentation in the residents progress notes dated 7/3/2020 that resident 1 is non-compliant with wearing the Ted Hose at times. The comprehensive ISP dated 4/7/2020 in the record for resident 1 does not address the identified need for Ted Hose or the residents non-compliance with wearing. 2. The record for resident 4 has documentation of the resident falling on 7/10/2020, 7/21/2020, 7/23/2020 and 8/4/2020. The comprehensive ISP dated updated on 7/10/2020 has documentation from 6/23/2020 that the resident is a risk for falls but the ISP does not include any additional interventions that were initiated to prevent or reduce risk of subsequent falls. 3. The uniform assessment instrument (UAI) dated 6/23/2020 in the record for resident 4 has documentation that the resident is independent with eating/feeding. The comprehensive ISP updated on 7/10/2020 is inconsistent as it has the resident is spoon fed by staff. A phone interview with staff person 5 indicated that the ISP is incorrect and that the resident does not require assistance with eating/feeding.
Plan of Correction:	Resident 1's ISP has been updated to reflect the need for TED Hose and non-compliance. Resident 4, facility will follow fall policy procedure protocol for additional interventions to reduce the risk of subsequent falls for resident. ISP updated to reflect interventions. Resident 4's care plan updated to reflect UAI, resident independent with eating and feeding.