VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Commonwealth Senior Living at King's Grant House
440 North Lynnhaven Road
Va. beach, VA 23452
(757) 431-8825

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

Inspection Date: March 29, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

A non-mandated self-report inspection was initiated on 03-29-2022 and concluded on 04-05-2022. A self-reported incident was received by the department regarding an allegation of neglect. Records were observed and staff were interviewed onsite on 03-29-2022. Any violations related or not to the self-report but identified during the course of the investigation can be found on the violation notice.

Violations:

Standard #:	22VAC40-73-460-B
Description:	Based on record review and interview, the facility failed to ensure care provision and service delivery be resident-centered to the maximum extent possible and include prompt response by staff to resident needs as reasonable to the circumstances. Evidence: 1. Upon record review, the resident called for assistance and Staff #3 refused to provide care to Resident #1. Before other staff could respond, Resident #1 fell in apartment.
Plan of Correction:	Resident Care Director or designee to re-in-service all Direct Care Staff on regulation 460-B and CSL Care 01- Basic Care Policy. All Care Staff will be instructed on the importance of reporting directly to a supervisor, their inability to provide care for a Resident within a time frame that does not affect the expectations for such care to be delivered. This instruction will also be provided to all future New Care Staff hires.
Standard #:	22VAC40-73-460-H
Description:	Based on record review and interview, the facility failed to ensure that personal assistance and care are provided to each resident as necessary so that the needs of the resident are met. Evidence: 1. Resident #1?s preliminary ISP completed on 2/14/22 indicates the resident was to have a shower twice a week and PRN. An updated ISP for Resident #1 completed on 3/11/22 indicates the resident requires hands on assistance with participation by the resident to complete the task. The timing on the updated ISP states the following: ?(1 time(s) per day, every 1 week(s) on Sunday, Thursday . )? 2. Staff #2 acknowledged the resident?s shower days were Sunday and Thursday. Staff #2 provided documentation for the following days where the resident was offered assistance with a shower: 2/27/22, 3/3/22, 3/7/22, 3/10/22, 3/11/22, 3/12/22, and 3/17/22. The documentation indicates on 3 occasions the shower offered was refused with the resident having received 4 showers. 3. Staff #1 and Staff #2 were not able to provide documentation indicating if bathing was completed between 2/14/22 and 2/27/22.
Plan of Correction:	Resident Care Director or designee to re-in-service all Direct Care Staff on regulation 460-H and CSL Care 02 - Personal Care Policy. Shower refusals will be documented on the shift-to-shift log and reviewed daily by Resident Care Director or designee.