VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bickford of Spotsylvania
5000 Spotsylvania Parkway
Fredericksburg, VA 22407
(540) 898-1205

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: June 7, 2022 and June 10, 2022

Complaint Related: No

Areas Reviewed:

Personnel Staffing and Supervision Admission, Retention and Discharge of Residents Buildings and Grounds Emergency Preparedness Mixed Population Safe, Secure Environment

Comments:

Date of Inspection: June 7 and 10, 2022 Type of Inspection: Monitoring 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 59 Number of records reviewed and interviews conducted- 3 resident records and 3 staff records, 6 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The Licensing Inspector observed the residents during activities and snack time as well as physical therapy. The Licensing Inspector reviewed the following reports during the inspection: fire drills, healthcare oversight, pharmacy review and dietician report. The Licensing Inspector and the Administrator discussed the risk assessment ratings for the violations for this inspection. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to the office. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

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 on the Individualized Service Plan (ISP) between the Hospice agency and the facility. Evidence: Resident A's ISP dated April 11, 2022 had no documentation of a coordinated plan of care between the facility and the Hospice agency.
Plan of Correction:	Resident A's ISP has been corrected. All ISPs will have documentation to reflect a coordinated plan of care between the facility and the Hospice agency for residents in care.