VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Chesapeake Place
1500 & 1508 Volvo Parkway
Chesapeake, VA 23320
(757) 548-0808

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date: Feb. 11, 2022 , March 3, 2022 and March 17, 2022

Complaint Related: Yes

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

Comments:

The licensing inspectors conducted an unannounced complaint inspection in response to a complaint that was received by the licensing office on 10-25-21. Resident record was reviewed, interviews were conducted, and documents were reviewed. The information gathered during the investigation did not support the allegation for the resident being held without proper diagnosis and "prisoner" is determined to be "not valid". There were other violations cited during this investigation. Please review the document, provide the plan of correction for each violation cited, and then return a signed and dated copy to the licensing office within 10 calendar days of receipt. If you have any questions, contact your licensing inspector at (757) 439-6815. If possible, you may provide the plan of correction in a word document.

Violations:

Standard #:	22VAC40-73-450-C
Complaint related:	No
Description:	Based on record reviewed and staff interviewed, the facility failed to ensure the individualized service plan (ISP) included all assessed needs. Evidence: 1. Resident #1?s uniformed assessment instrument (UAI) dated 9-24-21 documented bathing need assessed as mechanical help/ physical assistance. The individualized service plan (ISP) dated 9-24-21 documented bathing need as mechanical help/ supervision. Walking need assessed ad mechanical help, the ISP noted no help/ independent. Wheeling assessed as not performed, the ISP noted no help/ independent. Stairclimbing assessed as mechanical help/supervision, the ISP noted mechanical help only. Mobility assessed as human help supervision; ISP noted mechanical only- handrails. 2. Resident #2?s UAI dated 10-3-21 documented dressing need assessed as physical assistance. The ISP dated 10-3-21 documented use of wheelchair and staff assistance. 3. Staff #1 and #2 acknowledged the aforementioned residents? ISP did not include the assessed needs.
Plan of Correction:	RCD and RCC reviewed ISPs and reassessed residents. The ISP and UAI are now reflecting the correct care requirement. ED & RCD will audit new assessments to ensure accuracy.