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Harmony at Falls Run
60 Brimley Drive
Fredericksburg, VA 22406
(540) 479-3788

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: May 31, 2022 and June 3, 2022

Complaint Related: No

Areas Reviewed:
Administration and Administrative Services
Personnel
Staffing and Supervision
Admission, Retention and Discharge of Residents
Resident Care and Related Services
Buildings and Grounds
Emergency Preparedness
Mixed Population
Safe, Secure Environment

Comments:
Date of Inspection: May 31, 2022 and June 3, 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 129 Number of records reviewed and interviews conducted- 3 resident records and 5 staff records, 4 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The Licensing Inspector observed the residents in activities and outdoors. The Licensing Inspector reviewed the following during the inspection: fire drills, emergency drills, dietician report and healthcare oversight. 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 #: 22VAC40-73-440-H
Description: Based on resident record review and staff interview, it was determined that the facility failed to reassess a resident's UAI as required.
Evidence:
Resident C's UAI was dated March 24, 2021. There was no documentation in the record to reflect a more current assessment.

Plan of Correction: Resident C's UAI has been updated. The Administrative staff will audit all UAIs to ensure compliance.

Standard #: 22VAC40-73-450-F
Description: Based on resident record review and staff interview, it was determined that the facility failed to update an Individualized Service Plan (ISP) as required.
Evidence:
Resident As did not have a current ISP. The last dated documentation was August 20, 2020.

Plan of Correction: Resident As ISP has been updated. All ISPs will be audited to ensure compliance as required.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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