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Paul Spring Independent and Assisted Living Community
7116 Fort Hunt Road
Alexandria, VA 22307
(703) 768-0234

Current Inspector: Nina Wilson (703) 635-6074

Inspection Date: March 2, 2022

Complaint Related: Yes

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

Comments:
An unannounced complaint inspection was conducted on 3/2/22, in response to a complaint that was received by the licensing office on 12/17/21 regarding Resident Care and Related Services. Medication administration, medication orders, and medication administration records were observed during the inspection. The complaint was deemed valid, as a preponderance of evidence supported the allegation. The violation was discussed and an exit meeting was held. 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 standards, 2) Measures to prevent the non-compliance from occurring again, and 3) Person responsible for implementing each step and/or monitoring any preventative measures. Thank you for your cooperation and if you have any questions, contact me via e-mail at m.massenberg@dss.virginia.gov.

Violations:
Standard #: 22VAC40-73-680-D
Complaint related: Yes
Description: Based on record review, the facility failed to ensure that medications are administered in accordance with the physician's or other prescriber's instructions and consistent with the standards of practice outlined in the current registered medication aide curriculum approved by the Virginia Board of Nursing.
Evidence: Medication administration and medication administration records (MARs) were observed during the inspection. Resident #1's record contained an order for Amlodipine Besylate, dated 12/14/21, that calls for the medication to be held if the resident's systolic blood pressure (SBP) is less than 130. Resident #1's February MAR states that the medication was administered when the resident's SBP was below 130 on the following dates: 2/1/22 (SBP= 114), 2/3/22 (SBP= 122), 2/7/22 (SBP= 119), 2/9/22 (SBP= 121), 2/11/22 (SBP= 113), 2/20/22 (SBP= 109), 2/22/22 (SBP= 121), 2/25/22 (SBP= 119), 2/26/22 (SBP= 112), 2/28/22 (SBP= 121).

Plan of Correction: Clinical services will conduct mandatory training for all nurses and med techs regarding best practices for medication administration. The Director of Clinical Services and Assistant Director of Clinical Services will conduct routine, unannounced medication administration audits for monitoring and observation.

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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