VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Indian River Assisted Living
1012 Justis Street
Chesapeake, VA 23325
(757) 523-4659

Current Inspector: Margaret T Pittman (757) 641-0984

Inspection Date: Feb. 6, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS

Comments:

A Representative with the Division of Licensing, conducted an unannounced non-mandated complaint inspection. During the inspection the Licensing Inspector interviewed residents, staff and reviewed additional documentation for compliance. There was not enough evidence to support the allegation and the complaint is found to be not valid. Areas of non-compliance were found during the inspection and are contained within this violation notice. Please contact the facility Licensing Inspector, Kimberly Rodriguez at 757-586-4004 or by email at kimberly.rodriguez@dss.virginia.gov for additional questions or concerns.

Violations:

Standard #:	22VAC40-73-70-A
Description:	Based on resident and staff interviews the facility failed to report to the regional licensing office within 24 hours any major incident that has negatively affected or that threatens the life, health, safety, or welfare of any resident. Evidence: On 03/09/2022 while interviewing resident #1, resident #1 confirmed that the resident sustained and fall, that caused bruising to face and lower body. Resident #1 confirmed that the resident was transported to the hospital. Evidence #2: While interviewing staff #1, staff #1 confirmed that resident #1 sustained a fall on 12/09/2021, however the Licensing Department did not receive notification until requested on 02/08/2022
Plan of Correction:	Not available online. Contact Inspector for more information.