VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lillian's Loving Care
3736 Turnpike Road
Portsmouth, VA 23701
(757) 393-9241

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date: May 13, 2021 and May 14, 2021

Complaint Related: No

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 May 13, 2021 and concluded on May 14, 2021. The Administrator was contacted by telephone to initiate the inspection. The Administrator reported that the current census was 16. The inspector emailed the Administrator a list of items required to complete the inspection. The inspector reviewed 2 resident records, 2 staff records, menus, activities calendar, staff schedules, fire drills, resident council, pharmacy oversight, health and fire inspections, healthcare oversight submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards or law, and a violation documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-440-A
Description:	Based on record review and discussion, the Uniform Assessment Instrument (UAI) will be completed whenever there is a significant change in the resident?s condition. Evidence: 1. Resident #1?s UAI dated 12-01-2020 documented transferring assistance as human help, physical assistance; however, the resident?s Individualized Service Plan dated 03-07-2021 documented resident requires mechanical help with transferring as a hoyer lift is used. 2. Staff #1 confirmed during discussion that Resident #1?s UAI did not reflect the most recent change in the resident?s condition.
Plan of Correction:	Staff will check and update the UAI when there are any changes to residents' conditions and care. Facility will include on the UAI the use of Hoyer Lift in transferring the resident.