Click Here for Additional Resources
Search for an Assisted Living Facility
|Return to Search Results | New Search |

Hunters Woods at Trails Edge
2222 Colts Neck Road
Reston, VA 20191
(703) 429-1130

Current Inspector: Marshall G Massenberg (703) 431-4247

Inspection Date: June 30, 2021 and July 7, 2021

Complaint Related: Yes

Areas Reviewed:
22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES
22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:
A non-mandated complaint inspection was initiated on 6/30/2021 and concluded on 9/30/2021. Additional review of medication orders conducted week of 10/25/2021. A complaint was received by the department regarding allegations in the areas of staffing and resident care. The Executive Director was contacted by telephone to conduct the investigation. The licensing inspector emailed a list of documentation required to complete the investigation. The licensing inspector conducted an on-site observation at the facility on 6/30/2021 and 7/07/2021.

The evidence gathered during the investigation supported the allegation of non-compliance with standards or law, and violations were issued. Any violation not related to the complaint but identified during the course of the investigation can be found on the violation notice.

Exit interview with the Administrator.

Areas of non-compliance are identified on the violation notice. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to the licensing office within 10 calendar days.

Please specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. The plan of correction must contain: 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the non-compliance from occurring again, 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s), and 4) date that that plan of correction will be completed.

Thank you for your cooperation and if you have any questions please call (703) 895-5627 or contact me via e-mail at jeannette.zaykowski@dss.virginia.gov.

Violations:
Standard #: 22VAC40-73-50-A
Complaint related: Yes
Description: Based on document review, the facility failed to provide a statement to the prospective resident and his legal representative that discloses information fully and accurately in plain language about the facility.

EVIDENCE: The facility's disclosure statement documents staff per shift as "RN, LPN" between the hours of 7:00 am -11:00 pm and did not disclose fully and accurately that the staff per shift would be an RN and/or LPN; only an LPN worked at the facility at the time of the inspection.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-73-460-H
Complaint related: Yes
Description: Based on interview and document review, the facility failed to ensure that personal assistance and care are provided to each resident as necessary so that the needs of the resident are met, including assistance or care with bathing at least twice a week, but more often if needed or desired.

EVIDENCE: Resident 1's most recent ISP dated 05/13/2021 documents resident "requires mechanical and physical assistance with bathing task". The facility was able to provide a shower log for residents however Resident 1 was not listed. Interview with Staff 3 confirmed that there was no documentation to show that Resident 1 received showers.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-73-470-F
Complaint related: No
Description: Based on record review, the facility failed to ensure that when the resident suffers serious accident, injury, or medical condition, medical attention from a licensed health care professional shall be secured immediately and the circumstances involved and the medical attention received shall be documented in the resident's record. The date and time of occurrence, as well as the personnel involved shall be included in the documentation and a notation shall be made in the resident's record.

EVIDENCE: An incident report was created regarding Resident 1's hospitalization on 05/22/2021-05/23/2021 and Resident 1's record did not include a progress note regarding the hospitalization and circumstances.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-73-530-C
Complaint related: Yes
Description: Based on observation and interview, the facility failed to provide freedom of movement for the residents to their personal spaces and residents in the Safe, Secure Unit (SSU) were locked out of their rooms.

EVIDENCE: Locked doors require residents to have a key fob to unlock the doors and licensing inspector observed residents without the fobs. Interviews with staff confirmed that the residents in the SSU do not have the fobs.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-73-640-A
Complaint related: Yes
Description: Based on record review, the facility failed to implement a written plan for medication management that shall include methods to ensure that each resident's prescription medications ordered for the resident are filled and refilled in a timely manner to avoid missed dosages, and methods for verifying that medication orders have been accurately transcribed to medication administration records (MARs) within 24 hours of receipt of a new order.

EVIDENCE:

1. Resident 1's MAR showed that Clonazepam 0.5 MG Tab ordered on 03/4/2021 was not available on 03/6/2021, 03/08/2021, 03/09/2021 and 03/10/2021.

2. Resident 1's MAR showed an as needed (PRN) medication Acetaminophen 325 MG Tab was not available on 05/25/2021, 05/29/2021 and 05/30/2021.

3. Hospital discharge order dated 05/22/2021 for Acetaminophen 325 MG Tab 650 MG oral every 6 hours 7 days was not accurately transcribed to Resident 1's MAR.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-73-720-B
Complaint related: Yes
Description: Based on record review and interview, the facility failed to have a system to ensure that all staff are aware of residents who have a valid Do Not Resuscitate (DNR) Order.

EVIDENCE:

1. Non-direct care staff interviewed stated to go to the direct care staff for the code status and the direct care staff interviewed stated to look in the resident record for the code status.

2. The record for Resident 1 included a DNR dated 01/06/2021.

3. The Individualized Service Plan (ISP) for Resident 1 dated 05/13/2021 showed a DNR.

4. A Physician Order dated 06/26/2021 shows code status as "FULL CODE".

Plan of Correction: Not available online. Contact Inspector for more information.

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.

Google Translate Logo
×
TTY/TTD

(deaf or hard-of-hearing):

(800) 828-1120, or 711

Top