VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Commonwealth Senior Living at Georgian Manor
651 River Walk Parkway
Chesapeake, VA 23320
(757) 436-9618

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date: May 24, 2021 , May 25, 2021 and May 27, 2021

Complaint Related: No

Areas Reviewed:

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 renewal inspection was initiated on May 24, 2021 and concluded on May 27, 2021. The (person in charge) was contacted by telephone to initiate the inspection. The Senior Executive Director reported that the current census was 51. The inspector emailed the Senior Executive Director a list of items required to complete the inspection. The inspector reviewed 4 resident records, 4 staff records, health and fire inspections, healthcare, dietary, and pharmacy oversights, activities calendar, staff schedules submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standard or law, and a violation was documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-450-D
Description:	Based on record review and discussion, the facility failed to ensure when hospice care is provided to a resident, the services provided by each is included on the individualized service plan (ISP). Evidence: 1. Resident #1?s ?Progress Notes? dated 04-20-2021 documented resident returned from the hospital on hospice care. 2. Resident #1?s ISP dated 05-10-2021 identified hospice, however; did not identify the hospice services provided.
Plan of Correction:	What Has Been Done to Correct? Resident?s ISP has been updated to include the frequency of Hospice PA, RN, Aide, Social Worker & Chaplain visits. How Will Recurrence Be Prevented? When Residents return from the hospital on Hospice the Resident Care Director or Assistant Resident Care Director will input the specific details on their ISP. Person Responsible: Resident Care Director and or Assistant Resident Care Director.