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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: Oct. 30, 2020 , Nov. 4, 2020 , Nov. 16, 2020 and Dec. 11, 2020

Complaint Related: Yes

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

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 complaint inspection was initiated on 10-30-20. A complaint was received by the department regarding allegations in the area of resident personal funds. The administrator was contacted by telephone to conduct the investigation. The licensing inspector emailed the administrator a list of documentation required to complete the investigation.
The evidence gathered during the investigation did not support the allegation regarding personal funds. Any violations not related to the complaint but identified during the course of the investigation can be found on the violation notice.

Violations:
Standard #: 22VAC40-73-400
Complaint related: Yes
Description: Based on record review and staff interview, the facility failed to ensure it provided to each resident or the resident's legal representative, if one has been appointed, a monthly statement that itemizes any charges made by the facility and any payments received from the resident or on behalf of the resident during the previous calendar month and shall show the balance due or any credits for overpayment. The facility shall also place a copy of the monthly statement in the resident's record.

Evidence:
1. During the remote complaint allegation, a review of resident #1's uniformed assessment instrument (uai) dated 5-24-20, documented the resident having a legal guardian. This information is not documented on the resident's individualized service plan (ISP) dated 6-25-20.
2. Interview with staff #1, staff stated not knowing resident had a legal guardian. Staff also stated resident's legal representative did not receive monthly statements.
3. Resident was admitted to the facility on 5-24-20, and monthly statements of charges and payments were not sent to resident #1's representative noted on the resident's uai. Staff #1, stated not sending statement to representative as the facility is the resident's representative payee..

Plan of Correction: Not available online. Contact Inspector for more information.

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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