VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bickford of Spotsylvania
5000 Spotsylvania Parkway
Fredericksburg, VA 22407
(540) 898-1205

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: April 29, 2020

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES

Comments:

Date of Inspection: April 29, 202 and May 5, 2020 Type of Inspection: Complaint inspection Standards Investigated: As stated above There was an allegation that the facility failed to fill and refill medications for residents in care. The complaint was determined to be valid. There were violations found during he inspection. If you have any questions, please do not hesitate to contact me at (540) 347-6251 or laura.lunceford@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection, you can find the information on the internet: www.dss.virginia.gov The Administrator and the Licensing Inspector discussed the risk assessment ratings for the violations for this inspection.

Violations:

Standard #:	22VAC40-73-40-A
Complaint related:	No
Description:	Based on resident record review and staff interviews, it was determined that the facility failed to follow its own policies for resident medication orders and refills. Evidence: The facility failed to fill and refill physician ordered medications for residents in care. The policy states that the facility will fill and refill medications as ordered by the physician for residents. The families will be billed if failure to bring requested medications in the time frame requested. The facility did not fill residents medications as ordered. Resident A (5 medication doses), B (1 medication dose), C (11 medication doses), D (1 medication dose), E (7 medication doses), F (4 medication doses), G (6 medication doses), H (8 medication doses), I (31 medication doses), J (34 medication doses), K (4 medication doses), L (7 medication doses), M (18 medication doses), N (15 medication doses), O (37 medication doses), P (4 medication doses).
Plan of Correction:	All physician ordered medication for residents in care will be filled and refilled as ordered. The facility will follow the policy to fill with the pharmacy and backup pharmacy and bill resident families for medications not brought to the facility as requested. The nursing staff will audit files and ensure compliance.