Shenandoah Place, Inc.
50 Burkholder Lane
New market, VA 22844
(540) 740-4300
Current Inspector: Laura Lunceford (540) 219-9264
Inspection Date: Aug. 6, 2021
Complaint Related: No
- Areas Reviewed:
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22VAC40-73 RESIDENT CARE AND RELATED SERVICES
- Comments:
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A non-mandated self-report inspection was initiated on 08/06/21 and concluded on 08/19/2021. A self-reported incident was received by the department relating to medication management. The acting administrator was contacted by telephone to conduct the investigation. The licensing inspector emailed the acting administration a list of documentation required to complete the investigation
The evidence gathered during the investigation supported the self-report of non-compliance with standards or law, and violations were issued. Any violations not related to the/self-report but identified during the course of the investigation can be found on the violation notice.
Upon receipt of this violation notice, a plan of correction is requested for each violation. The plan of correction should include:
1) steps to correct non-compliance;2) measures to prevent re-occurrence; 3) person(s) responsible for implementing each step and monitoring preventative measures; 4) the date by which the non-compliance will be corrected
- Violations:
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Standard #: 22VAC40-73-640-A Description: Based on document review and an interview, the facility failed to implement a written plan for medication management to ensure medications are refilled in a timely manner.
EVIDENCE:
1. The acting administrator reported to the licensing office on 07/23/21 that resident 1 did not receive three doses of scheduled medication due to medication not being available for administration.
2. The July 2021 Medication Administration Record (MAR) for resident 1 indicates Oxycodone was not available for administration on 07/18/21 at 6:00pm; 07/19/21 at 6:00am and 12:00pm.
3. Interview with acting administrator on 08/06/21 at 4:56pm confirmed medication was not available for administration.Plan of Correction: RMA supervisor is assigned to re-order medications in a timely manner according to the medication administration plan and report any potential difficulty with the process. Administrator will review medication re-orders with RMA supervisor once weekly to ensure that physician's orders are up to date and medications are on hand.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.