VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Aarondale Retirement & Assisted Living Community
6929 Matthew Place
Springfield, VA 22151
(703) 813-1800

Current Inspector: Jacquelyn Kabiri (703) 397-3017

Inspection Date: July 24, 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 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.

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 inspection was initiated on 7/24/2020 and concluded on 7/28/2020. 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 resident records and staff records. Criminal record checks and sworn statements of all staff hired since last inspection and other documentation submitted by the facility was reviewed 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 #:	22VAC40-73-320-A
Description:	Based on record review, facility failed to ensure that within the 30 days preceding admission, a person shall have a Physical Examination (PE) by an independent physician and shall contain the following: Weight; Any known allergies and description of the person's reactions; General physical condition; and Any diagnosis or significant problems. Evidence: 3/4 residents were admitted with an incomplete PE. Resident #3 was admitted with a PE dated 5/7/2020 and weight was not documented. Resident #4 was admitted with a PE dated 7/13/2020 and Diagnosis or Significant Problems and General Physical Condition were not documented. Resident #1 was admitted with a PE dated 11/26/2019 and documented on page 1 of 5 "allergies - facesheet; reactions - rash"; on page 3 of 5 documented "Allergies - erythromycin, base, percocet, tramadol, losartan, verapamil, hydrochlorothiazide, valsartan, benzoyl peroxide" and did not document reactions; on the attached detailed summary dated 11/27/2019, after the PE signature and date of 11/26/2019, documented "Medicinal Allergies - Erythromycin, Base, Percocet, Tramadol, Hydrochlorothiazide, Losartan, Verapamil, Valsartan, Benzoyl Peroxide" and did not document reactions; and "Medications - see attached" was documented on Resident #1's PE and the attached medication list was dated 11/30/2019, after the PE signature and date of 11/26/2019.
Plan of Correction:	Wellness Director and Assistant Wellness Director will review and ensure Health and Physical application for new admission?s are completed within 30 days prior to physical admission to include: weight, allergies, reactions to allergies, general physical condition, and any diagnosis or significant problem. Wellness Director and Assistant Wellness Director will review and ensure Health and Physical application and medication list have the same date.