VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Greystone Manor
302 Greystone Drive
Castlewood, VA 24224
(276) 762-7929

Current Inspector: Crystal Mullins (276) 608-1067

Inspection Date: Sept. 14, 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 22VAC40-90 The Criminal History Record Report

Comments:

A monitoring inspection was initiated on 09/14/2021 and concluded on 09/16/2021. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was 27. The inspector emailed the administrator a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed three resident records and three staff records along with other items such as activities calendar and staff schedules which were submitted by the facility to ensure documentation was complete. The inspector conducted the on-site portion of the inspection on 09/16/2021. An exit interview was conducted with the Administrator on the date of the inspection, where finding 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-compliances with applicable standards or law, and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-250-D
Description:	Based on review of staff records, the facility failed to ensure that two staff members had an initial tuberculosis examination on or within seven days prior to the first day of work at the facility. EVIDENCE: 1. Staff #1 was hired on 06/17/2021 and her first day of work was 07/22/2021. Staff #1 had a tuberculosis examination dated for 07/09/2021. 2 Staff #3 was hired on 05/29/2021 and her first day of work was 06/14/2021. Staff #3 had a tuberculosis examination dated for 07/16/2021.
Plan of Correction:	In the future, new hires will have TB completed within the appropriate time frame. [sic]
Standard #:	22VAC40-73-980-H
Description:	Based on observations made during the tour of the building, the facility failed to ensure the availability of a 96 hour supply of emergency food and drinking water. At least 48 hours of the supply must be on site at any given time. EVIDENCE: 1. On the date of inspection (09/16/2021) there were 27 residents in care at the facility. 2. The facility had 26 gallons of water on site in case of an emergency.
Plan of Correction:	In the future, admin will check 96 hour supply monthly to ensure the correct amount is available. [sic]
Standard #:	22VAC40-90-40-B
Description:	Based on staff record review, the facility failed to ensure that one staff member had a criminal history record report obtained on or prior to the 30th day of employment at the facility. EVIDENCE: 1. Staff #1's hire date was 06/17/2021. Staff #1's first day of work was 07/22/2021. 2. Staff #1 had a background record report completed on 09/14/2021.
Plan of Correction:	Upon hire, in the future, admin will complete background check within the appropriate time frame. [sic]