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Cary Adult Home
7336 Cary Avenue
Gloucester, VA 23061
(804) 693-7035

Current Inspector: Willie Barnes (757) 439-6815

Inspection Date: Aug. 6, 2020 and Aug. 18, 2020

Complaint Related: Yes

Areas Reviewed:
22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS

Comments:
This inspection was conducted by licensing staff using an alternative remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

Information gathered during the inspection determined non-compliance with discharge standards or law, and violations were documented on the violation notice issued to the facility.

Violations:
Standard #: 22VAC40-73-430-B
Complaint related: Yes
Description: Based on document review and staff interview, the facility failed to ensure, when actions, circumstances, conditions, or care needs occur that will result in the discharge of a resident, discharge planning shall begin immediately, and there shall be documentation of such, including the beginning date of discharge planning. The resident shall be moved within 30 days.

Evidence:
1. During a complaint inspection regarding discharge notice to resident #1, a review of the document received from staff #2 via email on 7-30-20 noted a 5-day notice discharge for resident #1.
2. Further review of the document noted the letter was dated November 3, 2014 and did not include resident #1's address. The document also was not signed by the administrator, licensee, nor designee.
It was not clear to whom the 5 day notice was written.
3. On 8-5-20 the licensing inspector received a complaint regarding the 5-day notice of discharge for resident #1.
4. On 8-14-20, during interview with staff #1, the administrator was informed of the regulation for licensed facility and the discharge time-frame and facility requirements.
5. On 9-10-20 during discussion with staff #1, the inspector was informed that the letter received was not correct. The inspector sent staff #1 and staff #2 a copy of the letter the inspector received regarding "5 day discharge" with a 2014 year and no resident's name. On 9-10-20, staff #2 sent the inspector an email informing the inspector that the inspector should not have received that document. On 9-11-20 the inspector received a copy of the letter dated July 20, 2020 to which, staff #2 stated is the correct discharge letter.
6. A review of the corrected letter to resident #1, dated July 30, 2020, noted, the resident was being given a "five day letter of discharge due to non-payment. Resident #1 would be discharged August 5th".. if bills for July was not paid and the amount for August 1, 2020 was also noted. The letter also noted resident #1 was admitted to facility on July 14, 2020. During conversation with staff #1 on 9-8-20, resident #1 was admitted as an auxillary grant recipient.
7. A thirty day discharge notice is not indicated in either documents presented to the inspector by the provider in respect to the complaint to the office of licensure regarding a notice of discharge to resident #1.

Plan of Correction: We now have a policy in place to provide residents with 30 day notice of discharge

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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