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Hunters Woods at Trails Edge
2222 Colts Neck Road
Reston, VA 20191
(703) 429-1130

Current Inspector: Marshall G Massenberg (703) 431-4247

Inspection Date: Jan. 17, 2023

Complaint Related: No

Areas Reviewed:
22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:
Type of inspection: Monitoring
Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: LI entered the facility at 1:10 pm on 1/17/2023 and exited at 2:30 pm on 1/17/2023.
The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection.
A self-reported incident was received by VDSS Division of Licensing on 12/21/2022 regarding allegations in the area(s) of resident care and related services.

Number of residents present at the facility at the beginning of the inspection: 85
The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility.
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 2
Observations by licensing inspector: LI walked the memory care unit and observed camera footage from 12/20/2022.
Additional Comments/Discussion:

An exit meeting will be conducted to review the inspection findings.

The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law.

If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview.

Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected.

Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area.

Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice.

The department's inspection findings are subject to public disclosure.

Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility.

For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov

Should you have any questions, please contact Jamie Eddy, Licensing Inspector at (703) 479-5247 or by email at jamie.eddy@dss.virginia.gov

Violations:
Standard #: 22VAC40-73-460-D
Description: Based upon a review of records, interviews, and review of camera footage by licensing inspector, the facility failed to ensure that the facility provides supervision of resident schedules, care, and activities, including attention to specialized needs, such as wandering from the premises.
Evidence: 1. Resident #1 was admitted to the safe, secure environment on 12/12/2022. 2. Interviews with administrative staff conducted on 1/17/2023 revealed that Resident #1 was able to exit the safe, secure environment through an egress door that exits next to the administrative offices and then exited the building through the main doors at approximately 8:36 pm on 12/20/2022. According to the information provided by the administrative staff, after someone pushes on the door for 15 seconds, the door will open, and an alarm is to sound. The Community Executive Operations Officer (CEOC) confirmed that the concierge had already left for the day so there was no one sitting at the front desk. 3. Using the CEOC?s cellular phone, LI was able to observe camera footage from 12/20/2022 that showed Resident #1 standing outside the main entrance to the building at approximately 8:36 pm on 12/20/2022. According to the CEOC, at approximately 8:41 pm, a resident on the independent living (IL) area of the building reported that Resident #1 had been given access into the IL area of the building, where staff later found Resident #1?s handbag but Resident #1 had exited the IL part of the building. 4. According to the self-reported incident report, Resident #1 was last seen by staff at approximately 8:00 pm ?walking back and forth within the memory care neighborhood,? staff provided care to another resident and when the staff went back to the room of Resident?s #1, the resident was not in the room. According to the self-reported incident report, staff searched throughout the entire memory care neighborhood but ?did not find resident,? at approximately 9:30pm the search was expanded to include surrounding external environment. The self-reported incident report
staff located Resident #1 at a Burger King located across the street from the facility at 2270 Hunters Woods Plaza, at approximately 9:30 pm on 12/20/2022. According to the LI?s map application on LI?s Apple Phone, the Burger King is located approximately 800 feet from the facility.

Plan of Correction: Staff members involved in the incident were re-educated by the Resident Wellness Director on the elopement of the resident immediately following the incident. Other departments, housekeeping, dining, activities, and maintenance received additional training on policies and procedures regarding the elopement of residents to ensure they have adequate knowledge, skills, and abilities to keep our residents safe. The community shall intensify rounding to ensure resident?s safety. All high-elopement-risk residents now have a wander guard.

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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