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Atkinson's Retirement Home
4001 Elmswell Drive
Richmond, VA 23223
(804) 236-0175

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: Feb. 24, 2022

Complaint Related: Yes

Areas Reviewed:
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
22VAC40-80 COMPLAINT INVESTIGATION

Comments:
Type of inspection: Complaint
Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 2-24-22 from 10:24 a.m.- 11:45 a.m.
The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection.
A complaint was received by VDSS Division of Licensing on 2-14-22 regarding allegations in the area(s) of: resident care of one identified resident.

Number of residents present at the facility at the beginning of the inspection: 7
Number of resident records reviewed: 1
Number of interviews conducted with staff: 2

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


The evidence gathered during the investigation supported the allegation(s) of non-compliance with standard(s) or law, and a violation was issued. 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 Kimberly Davis, Licensing Inspector at (804) 662-7578 or by email at Kimberly.M.Davis@dss.virginia.gov

Violations:
Standard #: 22VAC40-73-470-C
Complaint related: Yes
Description: Based on complaint information received, from a medical professional, and an interview with the facility's administrator, the facility failed to ensure that services were provided to prevent clinically avoidable complications including pressure ulcer development or worsening of an ulcer.
Evidence:
-According to the medical professional's report, Resident #1 who was admitted to the hospital on 02-12-2022 had a "significant pressure ulcer on her sacrum that had a putrid smell" and "resident also had pressure wounds on her left breast, her left arm in the elbow area, both of her heels and on both legs in between her knees."
-Staff #1 and Staff #2 stated that Resident #1 (admit date: 4-10-21) bathed, dressed, and toileted herself independently and staff was not aware of pressure ulcers on various areas of her body. Resident's UAI (dated 4-10-2021) also indicated the resident was independent for bathing, dressing, and toileting. However, the administrator stated that she was aware that the resident had a "sore on her butt" and "it was a big sore, it had a hole in it". The administrator stated that the resident was "taking care of the sore on her butt cheek herself", but stated that she was not aware of any special treatment the resident was using to do so. The administrator also stated that a "medical person came to look at the sore and said the sore on her butt looked terrible and the resident needed to go to the hospital." However, the facility did not have documentation of the visit by the medical professional or the wound assessment. According to the administrator, the resident had been "complaining about her butt hurting but never wanted to go to the hospital." The administrator stated that she talked to the resident and convinced the resident to go to the hospital on 02-12-2022, which the administrator stated was the same day the resident's wound was assessed at the facility by a medical professional. The administrator stated that the resident could barely walk at that point.

Plan of Correction: Not available online. Contact Inspector for more information.

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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