VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Auburn Hill at Swift Creek
5800 Harbour Lane
Midlothian, VA 23112
(804) 456-4455

Current Inspector: Coy Stevenson (804) 972-4700

Inspection Date: July 13, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity 32.1 Reported by persons other than physicians 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 COMPLAINT INVESTIGATION. 22VAC40-80 SANCTIONS.

Comments:

A renewal inspection was initiated on 7/13/2021 and concluded on 7/22/2021. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was 72. The inspector emailed a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed (4) resident records, (4) staff records, staff schedules, activity schedules, medication administration record, health care oversight, etc. submitted by the facility to ensure documentation was complete. The inspector conducted the on-site portion of the inspection on 7/22/2021. An exit interview was conducted with the Administrator and Director of Nursing on the date of inspection, where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. 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 #:	22VAC40-73-680-D
Description:	Based on the review of resident records, the facility failed to administer medications in accordance with the physician's or other precriber's instructions and consistent with standards of practice outlined in the current registered medication aide curriculum approved by the Virginia Board of Nursing. Evidence: Upon review of the Medication Administration Records (MAR) scheduled medications were not administered to the following residents as prescribed: (The boxes on the MAR for the dates and times listed were blank). a) Resident #1: One medication scheduled for administration at 1700 hours on June 3,7,18 was not documented as given. Diagnois for this medication is COPD. Ten medications scheduled for administration at 2100 hours on June 3,4,7,12,18 were not documented as given. Diagnosis for these medications included Osteoarthritis; COPD; Anticoagulants; Ulcer, Hypertension, Depression, and Dementia. b) Resident #3: Six medications scheduled for administration at 2100 hours on June 3,4,7,12,18, 2021 were not documented as given. Diagnosis for these medications include Vitamin supplement, Glaucoma, Macular Degeneration, Anxiety, and Hyperlipidemia.
Plan of Correction:	Not available online. Contact Inspector for more information.