VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Pearl at Watkins Centre
650 Watkins Centre Parkway
Midlothian, VA 23112
(804) 893-0067

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: April 12, 2021

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 BUILDING AND GROUNDS

Comments:

This inspection was conducted by licensing using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A complaint was received regarding the administration of medication, resident rooms, staff qualifications and communication with families. Previous risk violations cited during inspections initiated in November 2020 and January 2021 were reviewed for compliance. The violations cited during this inspection are in areas of the standards cited during a January 2021 inspection. All other risk violations were found in compliance. Evidence gathered during the complaint investigation supported one of the allegations. A violation was also cited unrelated to the complaint. Any violations cited are documented on the Violation Notice.

Violations:

Standard #:	22VAC40-73-680-D
Complaint related:	Yes
Description:	Based on a review of medication administration records for four residents, two medications for one resident were not administered in accordance with the physician's or other prescriber's instructions and consistent with the standards of practice outlined in the current registered medication aide curriculum approved by the Virginia Board of Nursing. Evidence: The physician orders for resident # 2 for March 2021 found physician orders with a start date of 3/25/2021 for (1) acetaminophen 2 tabs by mouth 3xs a day x 5 days; and (2) ibuprofen 2 tablet by mouth 3xs daily x 5 days. The medications were not documented as being given in March 2021. Staff # 1 documented on 3/30/2021 "med not available from pharmacy".
Plan of Correction:	100% audit of all POS to ensure accurate instructions/orders are reflected in MAR. All Med Techs will have a Med Tech refresher class to include the importance of documentation A designated Lead Med Tech will be assigned and trained to receive and process new orders to pharmacy. Med techs will be in-serviced on the process of receiving medications. Quarterly POS reviews by MD
Standard #:	22VAC40-73-680-I
Complaint related:	No
Description:	Based on a review of medication administration records (MARs) for four residents, staff failed to document the effectiveness of a medication that was administered for one resident. Evidence: Resident # 4 was administered lorazepam 1 mg on 3/29/2021 at 8:40 pm, staff # 1 documented N/A for results/effectiveness of medication.
Plan of Correction:	100% audit of all POS to ensure accurate instructions/orders are reflected in MAR. All Med Techs will have a Med Tech refresher class to include the importance of documentation A designated Lead Med Tech will be assigned and trained to receive and process new orders to pharmacy. Med techs will be in-serviced on the process of receiving medications. Quarterly POS reviews by MD