VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Paramount Senior Living at Fredericksburg
3500 Meekins Drive
Fredericksburg, VA 22407
(540) 785-3600

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: March 14, 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 32.1 Reported by persons other than physicians 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 COMPLAINT INVESTIGATION. 22VAC40-80 SANCTIONS.

Comments:

Date of Inspection: March 14, 2022 Type of Inspection: Renewal Inspection If you have any questions or email changes, please do not hesitate to contact me at laura.lunceford@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov. Census 64 Number of records reviewed and interviews conducted- 4 resident records and 4 staff records, 8 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The residents were observed during activities and lunch. The dietician report, fire drills, menus and activities were reviewed at the time of inspection.

Violations:

Standard #:	22VAC40-73-450-D
Description:	Based on resident record review and staff interview, it was determined that the facility failed to have a coordinated plan of care with Hospice on the Individual Service Plan (ISP) as required. Evidence: Resident 2 had no documentation of the coordinated plan of care between the facility and the Hospice agency in the ISP dated December 14, 2021.
Plan of Correction:	All ISPs will reflect a coordinated plan of care to reflect the care needs of a resident receiving Hospice services. An audit of all residents receiving Hospice services will be completed by Nursing to ensure compliance.