VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Aspen Hill Assisted Living
12395 Forest Hill Road
Woodbridge, VA 22192-2015
(703) 597-2627

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: Sept. 29, 2022

Complaint Related: No

Areas Reviewed:

Administrative and Administrative Services Personnel Staffing and Supervision Admission, Retention and Discharge of Residents Resident Care and Related Services Resident Accommodations and Related Provisions Building and Grounds Emergency Preparedness

Comments:

Date of Inspection: September 29, 2022, 9:15am-12:00pm Type of Inspection: Monitoring inspection If you have any questions or email changes, please do not hesitate to contact me at sarah.pearson@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 2 Number of records reviewed and interviews conducted- 6 records, 3 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. 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). The completed corrective action needs to be in the licensing office by October 4, 2022

Violations:

Standard #:	22VAC40-73-650-B
Description:	Based on resident records review and staff interview it was determined that the facility failed to obtain diagnosis, condition or specific indications for all prescribed medications for Resident A and B. Evidence: Resident A and B's eMAR and Physician Orders dated October 1, 2022 did not consistently document diagnosis, condition or specific indication for all prescribed medications.
Plan of Correction:	Going forward any new order if diagnosis not included, contact the physician and pharmacy to update with a diagnosis. In-service held with Medication Aides on new procedure on 10/05/2022.