VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Brookdale Bristol
375 Liberty Place
Bristol, VA 24201
(276) 669-1111

Current Inspector: Rebecca Berry (276) 608-3514

Inspection Date: April 11, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 BUILDINGS AND GROUND

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: 04/11/2023, 1:47pm to 3:02pm 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: 55 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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 Becky Berry, Licensing Inspector at 276-608-3514 or by email at rebecca.berry@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-870-A
Description:	Based on observations made during a tour of the facility, the facility failed to keep all interior areas of the building in good repair and clean. 1. On hallway A-1 outside of the activity room, the transition strip from the laminate flooring to the carpet had a piece of carpet approximately 12 inches long that was raised and torn. This area could present a trip hazard or cause a walker or cane to become caught/lodged in the area. 2. On hallway B-3 at the door in front of the stairway located next to the elevator, there was a brown stain on the carpet, covering an area of approximately eight to 10 inches. 3. On the second floor on hallway A-2 outside the medication room, the transition strip from the laminate flooring to the carpet had a piece of carpet that was raised, approximately 18 inches long; this could present a trip hazard.
Plan of Correction:	The following is a summary of the Plan of Correction for Brookdale Bristol. This Plan of Correction is in regards to the Corrective Action Report dated April 11, 2023. This correction is not to be construed as an admission of or agreement with any findings and conclusions in the Statement of Deficiencies, or any related sanction or fine. Rather, it is submitted as confirmation of our ongoing efforts to comply with statutory and regulatory requirements. In this document, we have outlined specific actions in response to each allegation or finding, nor have we identified any mitigating factors. ? The flooring/transition strip concerns stated in items 1 and 3 have been addressed/repaired by the facility maintenance staff on 04/12/23. The stain described in item 2 and been addressed by commercial carpet cleaning contractor, as well as by community staff. Stain has improved and will continue to be treated on weekly schedule until no longer noticeable. Commercial carpet cleaning service has been set up and scheduled for a quarterly service. ? Associates have been provided in-service on floor care, which will include appropriate cleaning methods and reporting repair needs. Maintenance Director will conduct weekly audits of common area flooring with focus on transition locations. Apartment and common area carpet cleanings will be assigned on a rotating weekly schedule. ? Executive Director/designee will conduct random audits to verify interior of building is clean and in good condition. [SIC]