VIRGINIA DEPARTMENT OF SOCIAL SERVICES

English Meadows Blacksburg Campus
3400 South Point Dr.
Blacksburg, VA 24060
(540) 317-3463

Current Inspector: Rebecca Berry (276) 608-3514

Inspection Date: Dec. 29, 2021

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

Two licensing inspectors conducted an inspection regarding a complaint received by the licensing office involving resident care at English Meadows Blacksburg on 1/04/2022. The complaint was received on 12/29/2021. The inspection started at 11:20 am and concluded at 12:00 pm. During the inspection resident records were reviewed and staff interviews were conducted, documentation was also gathered in regards to the complaint information. An exit meeting was held with the administrator on 01/04/2022 and at that time opportunity was given to find items not available during the inspection. As a result of this inspection 1 violation is being cited. Please complete a plan of correction for each violation cited along with a date of correction. Please return a signed and dated copy back to the licensing office within 10 calendar day (01/29/2022) of receipt. If you have any questions or concerns please contact your inspector at 276-608-3514. Thank you for your cooperation and assistance.

Violations:

Standard #:	22VAC40-73-450-C
Complaint related:	No
Description:	Based on documentation review of Individual Service Plans (ISPs), the facility failed to ensure a comprehensive ISP shall be completed within 30 days after admission for one resident in care. EVIDENCE: 1. Resident # 1 was admitted to the facility on 9/29/2021. The most recent ISP in resident # 1's file was a preliminary ISP dated 9/29/2021 on the day the resident was admitted. Staff # 1 advised a comprehensive ISP could not be located in the resident's file.
Plan of Correction:	The ISP was completed on 1/14/2022. The administrator and DON will perform random chart audits of six months to ensure compliance of paperwork. [sic]