VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Pearl at Watkins Centre
650 Watkins Centre Parkway
Midlothian, VA 23112
(804) 893-0067

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: March 17, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 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 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity

Comments:

A renewal inspection was conducted on 3/17/2022. The facility administrator reported that the current census is 31 residents. Licensing staff reviewed three staff files and three resident files for compliance along with the menu, activity schedule, staff schedule, emergency food supply, dietician report, health care oversight, medication administration and storage. The lunch meal was observed (corn beef and cabbage for St. Patrick's Day). Information gathered during the inspection determined one non-compliance with applicable standards or law, and the violation is documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-680-D
Description:	Based on an inspection of medication administration on 3/17/2022, dietary supplements were not administered in accordance with the physician's or other prescriber's orders for one resident. Evidence: Physician orders for resident # 1had orders for two diet supplements - Juice Plus Fruit (2 capsules) and Juice Plus Vegetable Blend (2 tablets) to be taken daily. The supplements were not on the medication cart or available for administration.
Plan of Correction:	Wellness Director notified son the day of inspection regarding the need for medications, Vegetable and Fruit Supplement. Son will bring in medication to community within 24 Hours. NP was notified of the missed medication day of inspection. Wellness Director/Designee will conduct an audit of all resident medications to be completed by April 4th, 2022. Any missing medications identified will be obtained and issues identified will be corrected. Medication Staff to include Medication Aides and Nurses will be in-serviced by the Wellness Director by April 8th, 2022, on process of ordering medications from outside pharmacy and process of auditing medication cart. Wellness Director/Designee to perform medication cart audits weekly x 4 weeks to ensure that there are an appropriate amount of medications available to each resident. Any concerns that are identified during audits will corrected and reported to the Executive Director/Designee. The Executive Director/Designee will perform random audits of the medication cart weekly x 8 weeks and any concerns will be discussed with the Wellness Director/Designee and corrected. Documentation will be kept in Plan of Correction Binder located in the Executive Director's office.