VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Runk & Pratt of Forest
208 Gristmill Drive
Forest, VA 24551
(434) 385-0297

Current Inspector: Jennifer Stokes (540) 589-5216

Inspection Date: Oct. 19, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity

Comments:

A focused, non-mandated monitoring inspection was initiated on 10/19/2021 and concluded on 10/20/2021 to determine correction and compliance with a B2 violation cited during a previous focused, non-mandated monitoring inspection in the area of additional requirements for facilities that care for adults with serious cognitive impairments. The Administrator was contacted by telephone to conduct the investigation. The licensing inspector emailed the Administrator a list of documentation required to complete the inspection. The inspector reviewed the facility's night staff schedule for the past two weeks. The previous violation was reviewed and is being cited as a repeat violation. Any additional violations identified during the course of the inspection can be found on the violation notice.

Violations:

Standard #:	22VAC40-73-1130-C
Description:	Based on document review and staff interview, the facility failed to ensure during night hours that when more than 40 residents are present, at least four direct care staff members plus at least one more direct care staff member for every additional 10 residents, or portion thereof, shall be awake and on duty at all times in each special care unit and shall be responsible for the care and supervision of the residents. EVIDENCE: 1. Document provided by staff 1, "Census Report by Head Count", for October 2021 showed that the facility's census for the time period 10/04/2021 through 10/11/2021 was 63 daily, the census for 10/12/2021 was 64, the census for 10/13/2021 through 10/17/2021 was 65 daily and the census for 10/18/2021 was 66. The night shift hours for the facility are 11PM through 7AM. Based on the census, there should have been 7 direct care staff on duty at all times during the night hours of 10/04/2021 through 10/18/2021. The staff schedule provided by staff 1 showed that only 5 direct care staff were on duty during the 11PM through 7AM shift on the following dates: 10/05/2021, 10/09-12/2021, 10/16/2021 and 10/18/2021. Also, the staff schedule showed that only 6 direct care staff were on duty during the 11PM through 7AM shift on the following dates: 10/04/2021, 10/08/2021, 10/14/2021 and 10/17/2021. Interview with staff 1 confirmed that this information was accurate.
Plan of Correction:	Please see intensive plan of correction.