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Harmony at Falls Run
60 Brimley Drive
Fredericksburg, VA 22406
(540) 479-3788

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: Nov. 20, 2020 and Nov. 23, 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 renewal inspection was initiated on November 20, 2020 and concluded on November 23, 2020. The Administrator was contacted by telephone to initiate the inspection. The Administrator reported that the current census was 71. The inspector emailed the Administratpr a list of items required to complete the inspection. The inspector reviewed 5 resident records, 4 staff records, staff schedules, fire drills, emergency drills, health care oversight and dieticians reports 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.

Violations:
Standard #: 22VAC40-73-40-A
Description: Based on resident record review and staff interviews, it was determined that the facility failed to follow its own policies for medication refills for residents in care.
Evidence:
Resident B had documentation in the record on November 5 and 6, 2020 that Pradaxa 75mg and Risperidone 0.5mg were not available: waiting on pharmacy. Resident E had documentation in the record on November 1, 2020 that Sambrinza 1%-0.2% was unavailable. The facility failed obtain or refill the medications within a timely manner as the policy states.

Plan of Correction: All medications will be filled and refilled as ordered by the physician as the policy indicates. The nursing staff will audit the medications for residents in care monthly to ensure compliance and report to the Administrator.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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