VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Abundant Care Assisted Living
5556 Paca Lane
Va beach, VA 23462
(757) 519-9100

Current Inspector: Margaret T Pittman (757) 641-0984

Inspection Date: March 8, 2021 and March 9, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

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 monitoring inspection was initiated on 3/8/21 and concluded on 3/9/21. The Administrator was contacted by telephone to initiate the inspection. The Administrator reported that the current census was 6. The inspector emailed the Administrator a list of items required to complete the inspection. The inspector reviewed 2 resident records, 2 staff records, and staff schedules 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 #:	22VAC40-73-320-A
Description:	Based on record review and discussion, the facility failed to ensure the physical examination report listed the descriptions of the person?s reactions to known allergies. Evidence: 1. Resident #1?s physical examination report dated 12/8/2020 did not document a description of reactions to the known allergies (Sulfa drugs). 2. Staff #3 acknowledged Resident #1 physical examination dated 12/8/2020 did not include the aforementioned information.
Plan of Correction:	Resident #1's sulfa allergy reaction has been included on the physical examination report (hives) and signed by Dr. Patterson. Administrator will ensure that all allergies and reactions will be included in the physical examination document.
Standard #:	22VAC40-73-450-C
Description:	Based on record review and discussion, the facility failed to ensure the Individualized Service Plan (ISP) included description of identified needs and date identified, written description of what services will be provided to address identified needs, who will provide them, when and where services will be provided, and the expected outcome and time frame for expected outcome based upon the Uniform Assessment Instrument (UAI). Evidence: 1. Resident #1?s UAI dated 12/11/2020 documented money management, specifically by Jewish Family Services (JFS). Resident #1?s ISP dated 12/12/2020 did not document the need for money management. 2. Resident #2?s UAI dated 11/24/2020 documented walking human help supervision and money management, specifically by JFS. Resident #2 ISP dated 11/24/2020 did not document the need for assistance with walking or money management. 3. Staff #3 acknowledged Resident #1?s ISP did not document the need for money management and Resident #2?s ISP did not document the need for assistance with walking nor money management.
Plan of Correction:	Resident #1's revised ISP already reflects money management care of JFS signed by case worker. Resident #2's UAI already reflects supervision need when walking. Resident #2's revised ISP already reflects money management care of JFS signed by case worker. Resident #1's ISP has been corrected for money management.
Standard #:	22VAC40-73-490-D
Description:	Based on record review and discussion, the facility failed to ensure the licensed health care professional identified the specific residents for whom the oversight was provided. Evidence: 1. Health Care Oversight dated 10/1/2020 to 12/30/2020, did not document the names of the residents for whom the oversight was provided. 2. Staff #3 acknowledged that the health care oversight review did not identify the specific residents that were reviewed.
Plan of Correction:	Health Care Oversight dated 10/1/2020 to 12/30/2020 conducted for Resident #2 has been updated and signed. Administrator will ensure that Health Care Oversight will include the name of the resident being reviewed.