VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Auburn Hill at Swift Creek
5800 Harbour Lane
Midlothian, VA 23112
(804) 456-4455

Current Inspector: Coy Stevenson (804) 972-4700

Inspection Date:

Complaint Related: No

Violations:

Standard #:	22VAC40-73-70-A
Description:	Based on record review and interview with staff, the facility failed to report to the regional licensing office within 24 hours any major incident that has negatively affected or that threatens the life, health, safety, or welfare of any resident. Evidence: 1. During inspection on 7-15-2022, Resident #5?s record documented Progress Notes on 7-12-2022 that the resident was Covid-19 positive; however, licensing was not notified of the positive Covid-19 resident. 2. An additional eight residents had not been reported within 24 hours to the licensing office between 7-05-2022 and 7-13-2022 per the list provided by Staff #1 via email on 7-17-2022.
Plan of Correction:	No negative outcome occurred as a result of this practice The community has communicated all cases of COVID timely to the department of health, residents, families, and employees. The DSS inspector has been notified of all current COVID positive cases in the community since the inspection. The ED or designee will communicate COVID positive cases to the DSS inspector coinciding with notification to the department of health, residents, families and employees.
Standard #:	22VAC40-73-650-B
Description:	Based on record review, the facility failed to ensure physician or other prescriber orders identified the diagnosis, condition, or specific indications for administering each drug. Evidence: 1. Resident #13?s physician?s orders signed 7-18-2022 did not identify the diagnosis, condition, or specific indications for the following medications: Anoro Ellipta 62.5 mcg/25 mcg, Mucinex 600+30 mg, Prednisone 20 mg, Polyethylene Glycol 3350 17 g, and Lorazepam 0.5 mg. 2. Staff #1 confirmed during review that the aforementioned was not documented on Resident #13?s physician?s orders.
Plan of Correction:	No negative outcome occurred as a result of this practice. Resident #13?s physicians orders were reviewed, and diagnosis were updated/added as needed. DHW or designee will educate the supervisor team on ensuring that appropriate diagnosis are in place for every medication ordered. DHW or designee will review current physician orders sheets for residents and identify any additional updates needed.
Standard #:	22VAC40-90-30-C
Description:	Based on record review, the facility failed to ensure staff did not make materially false statements on the sworn statement or affirmation. Evidence: 1. The sworn statement asks the question, ?Have you ever been convicted of a law violation(s) but excluding offenses committed before your eighteenth birthday that were finally adjudicated in a juvenile court or under a youth offender law??. The following two staff answered "No" to this question although each had a conviction(s) on their criminal history report: a. Staff #6?s date of hire is 7-07-2022. Staff?s sworn disclosure was dated 7-06-2022 and criminal history report was dated 7-07-2022. b. Staff #7?s date of hire is 7-05-2022. Staff?s sworn disclosure was dated 7-01-2022 and criminal history report was dated 7-07-2022.
Plan of Correction:	No negative outcome occurred as a result of this practice. Employee #6: This employee does not have any convictions that are classified as barrier crimes to employment in Assisted Living. Education was provided to the employee and a disclosure statement was updated Employee #7: This employee does not have any convictions that are classified as barrier crimes to employment in Assisted Living. Education was provided to the employee and a disclosure statement was updated The BOM or designee will audit sworn disclosure statements for all current employees. Any discrepancies will result in education and completion of a new sworn statement. The ED or designee will educate the director team on accurate completion of the sworn disclosure statement.