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Cardinal House
1182 Eastside Highway
Waynesboro, VA 22980
(540) 943-1470

Current Inspector: Jessica Gale (540) 571-0358

Inspection Date: March 7, 2023

Complaint Related: No

Areas Reviewed:
AREAS OF STANDARDS
22VAC40-73 GENERAL PROVISIONS
22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES
22VAC40-73 PERSONNEL
22VAC40-73 STAFFING AND SUPERVISION
22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS
22VAC40-73 BUILDINGS AND GROUND
22VAC40-73 EMERGENCY PREPAREDNESS
32.1 REPORTED BY PERSONS OTHER THAN PHYSICIANS
63.2 GENERAL PROVISIONS
63.2 PROTECTION OF ADULTS AND REPORTING
63.2 LICENSURE AND REGISTRATION PROCEDURES
63.2 FACILITIES AND PROGRAMS
22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES
22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION
22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT
22VAC40-80 THE LICENSE
22VAC40-80 THE LICENSING PROCESS

Technical Assistance:
Review parameters for insulin with physician.
Facility is updating all information related to change over to residential only.
Assisted with completion of application with residential change and management changes.

Comments:
Type of inspection: Renewal
Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 3/7/23
The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection.

Number of residents present at the facility at the beginning of the inspection: 32
The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Noted new construction for movement of office within the building.
Number of resident records reviewed: 5 plus discharge
Number of staff records reviewed: 5 ? one staff had just quit
Number of interviews conducted with residents: 3
Number of interviews conducted with staff: 2 plus one collateral case manager.
Observations by licensing inspector: Meals activities as outlined. No concerns from residents. Facility notes continues to have issues getting psych notes from provider but do have documentation of maintaining appointments.
Additional Comments/Discussion: Fire inspector due in March ? last inspection was 3/16/2023. All other outside inspections current including required drills. The facility has contracted with a nurse consultant (also a licensed administrator) to assist with health care oversight and to assist in updating other relevant procedural information.

The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary.
The department's inspection findings are subject to public disclosure. An exit meeting was conducted to review the inspection findings.
Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility.
Should you have any questions, please contact Sharon DeBoever, Licensing Inspector at (540) 292-5930 or by email at sharon.deboever@dss.virginia.gov

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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