VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Starling View Manor #1
301 Starling Avenue
Martinsville, VA 24112
(276) 632-0820

Current Inspector: Holly Copeland (540) 309-5982

Inspection Date: Oct. 19, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Technical Assistance:

450-C

Comments:

A monitoring inspection was initiated on 10/19/2021 and concluded on 10/22/2021. The owner and the assistant administrator were contacted by telephone to initiate the inspection. The owner reported that the current census was seven. The inspector emailed the owner a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed two resident records, two staff records, resident roster, staff roster, staff schedule, facility healthcare oversight, fire and emergency drills, health department inspection, and dietician oversight submitted by the facility to ensure documentation was complete submitted by the facility to ensure documentation was complete. The inspector conducted the on-site portion of the inspection on 10/22/2021. 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 violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-650-B
Description:	650-B Based on record review, the facility failed to ensure that physician or other prescriber orders, both written and oral, for administration of all prescription and over-the-counter medications and dietary supplements shall identify the diagnosis, condition, or specific indications for administering each drug. EVIDENCE: 1. The current physician?s orders for resident 1 did not contain a diagnosis, condition, or specific indications for administration for the following medications: Quetiapine 100 mg tablet, Trazadone 100 mg tablet, Aripiprazole Lauroxil ER 44 mg/1.6 mL suspension, Lisinopril Hydrochlorothiazide 20-1, Metformin HCL 1,000 mg tablet, Lovastatin 10 mg tablet, Metformin HCL 500 mg tablet, Clonidine HCL 0.1 mg tablet. 2. The current physician?s orders for resident 2 did not contain a diagnosis, condition, or specific indications for administration for the following medications: Aspirin 81 mg Ec tablet, Docusate Na 100 mg capsule, Ergocalciferol 1250 mg (50,000 unit) capsule, Furosemide 20 mg tablet, Haloperidol Decanoate 100 mg/mL Vial 1 mL, Insulin Aspart (Novolog) 100 unit/MI Vial 10 mL, Lantus 100U/mL injection 50U, Lisinopril 10 mg tablet, Olanzapine 15 mg rapid disintegrating tablet, Omeprazole 20 mg Ec capsule, Simvastatin 40 mg tablet, Dorzolamide HCL 2% drops, Latanoprost 0.005% drops.
Plan of Correction:	Office Manager will coordinate with the doctors to have them list diagnosis, condition, and indications for each drug being written and dispensed. Office Manager has been trying since 10/6/2021 to get resident an appointment with his primary care physician.
Standard #:	22VAC40-73-700-1
Description:	700-1 Based on record review, when oxygen therapy is provided, the facility failed to ensure that physician?s orders include the oxygen source, such as compressed gas or concentrators. EVIDENCE: 1. The physician?s orders for resident 2, dated 10/6/2021, did not indicate the source of the prescribed oxygen therapy.
Plan of Correction:	Office Manager will coordinate with the doctor to have them write the source of oxygen on prescription for resident. Resident has an appointment at VA Medical Center Oxygen Clinic on January 6, 2022 at 10:00 AM.