VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tribute at The Glen
4151 Old Bridge Road
Woodbridge, VA 22192
(571) 402-1870

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: Oct. 8, 2020 and Oct. 9, 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 10/08/2020 and concluded on 10/09/2020. A complaint was received by the department regarding allegations in the areas of resident care. 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. 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 #:	22VAC40-73-310-C
Complaint related:	Yes
Description:	Based on interview with the administrator and record review, it was determined the facility retained individuals not permitted by its use and occupancy classification and certificate of occupancy. Evidence: The facility?s license has a stipulation that no more than 5 residents can require 2 person assist to transfer and exit the building. The facility has determined they have 12 residents in care that require two person assist to ambulate.
Plan of Correction:	Community will reassess all 12 residents identified as requiring the assistance of two people to ambulate. As 10 of these 12 residents are currently on therapy or hospice service and there is reason to believe their conditions will either improve or the resident will pass away, the reassessment will be completed on or after 10/23/20. Of the residents still identified as requiring the assistance of two people to ambulate, five will be identified to remain a resident of Tribute at the Glen, and the remaining residents will be notified that they have until 11/30/20 to find another place of residence, assuming on that date they are still requiring the assistance of two people to ambulate. Community will conduct an all-team re-education of fire/life safety expectation, completed on/before 10/16/20. Community will inform the new management company, to be in place on or about 11/1/20, of the ongoing expectation of the facility?s license stipulation that no more than 5 residents can require 2 person assist to transfer and exit the building. This will be completed on/before 10/16/20.