VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Vienna Manor I, LLC
2151 Chain Bridge Road
Vienna, VA 22182
(703) 938-7080

Current Inspector: Alexandra Roberts

Inspection Date: Jan. 20, 2023

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

An unannounced complaint inspection was conducted on 1/20/23, regarding a complaint received by the licensing office on 10/3/22 regarding: Resident Care and Related Services. Medications and physician's orders were reviewed. Interviews were conducted. The evidence gathered during the inspection supports the allegation. The violation was discussed and an exit meeting was held. Areas of non-compliance are identified 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. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Marshall Massenberg, Licensing Inspector at (703) 431-4247 or by email at m.massenberg@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-680-D
Complaint related:	Yes
Description:	Based on record review, the facility failed to ensure that medications are administered in accordance with the physician?s instructions and consistent with the standards of practice outlines in the current medication aide curriculum approved by the Virginia Board of Nursing. Evidence: Resident #1's physician?s orders and medication administration records (MARs) were reviewed, during the inspection. Resident #1 was ordered to receive Macrobid for 14 days, on 12/23/22. Resident #1 was administered her first dose of Macrobid on 12/23/22 and her last dose was administered on 1/2/23. Resident #1 did not receive Macrobid for 14 days, as ordered. The MAR stated that the medication ended on 1/2/23, but no notes were provided, during the inspection, to explain why the medication was not administered for 14 days.
Plan of Correction:	Medications were administered for the full 14 days as confirmed by the Medication Aide and our pharmacy, Remedi. At the time of inspection Medication Aide was unavailable to document whole course of Antibiotic therapy. As our plan of correction, Vienna Manor Administrator provided a follow-up in-service training with our Medication Aide outlining a detailed process to ensure our MAR documentation does not have a missed signature in the future.