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Palmer Springs Family Care & Retirement Center
2450 Mineral Springs Road
Boydton, VA 23917
(434) 689-2113

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: Sept. 20, 2021 and Sept. 24, 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
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.

Comments:
A monitoring inspection was initiated on September 20, 2021 and concluded on September 24, 2021. The assistant administrator was contacted by telephone to initiate the inspection. The assistant administrator reported that the current census was 30. The inspector emailed the assistant administrator a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed 3 resident records, 3 staff records, physician's orders, Medication Administration Records (MARs), and other facility documentation submitted by the facility to ensure documentation was complete. The inspector conducted the on-site portion of the inspection on September 24, 2021. An exit interview was conducted with the assistant administrator 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 a violation was documented on the violation notice issued to the facility.

Violations:
Standard #: 22VAC40-73-520-I
Description: Based on a review of the facility's current month activity schedule as well as the observation of resident's, the facility failed to ensure that an activity occurred according to the posted activity schedule.


Evidence: According to the facility's activity schedule for the month of September, the activity scheduled for September 24, 2021 stated "Morning Devotions 10:00 a.m. - 11:00 a.m." However, the inspector observed that the residents were not engaged in Morning Devotion or a substitute activity during the 10:00 a.m.- 11:00 a.m. timeframe.

Plan of Correction: Administrator will ensure that activities occur according to the posted activity schedule.

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.

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