VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cana Adult Home
2004 Wards Gap Road
Cana, VA 24317
(276) 755-4338

Current Inspector: Holly Copeland (540) 309-5982

Inspection Date:

Complaint Related: No

Violations:

Standard #:	22VAC40-73-450-E
Description:	Based on record review, the facility failed to ensure that the individualized service plan (ISP) shall be signed and dated by the administrator, or his designee, and by the resident or his legal representative. EVIDENCE: The ISP on record for resident 6, dated 06/07/2022, was not signed by the resident or his legal representative.
Plan of Correction:	Administrator will have resident to sign their ISP and will make sure to keep up with signatures.
Standard #:	22VAC40-73-680-D
Description:	Based on record review and staff and resident interview, the facility failed to ensure that medications shall be administered in accordance with the prescriber?s instructions. EVIDENCE: 1. Resident 8 has signed physician orders, dated 09/29/2022, for LANTUS SOLOSTAR 100u/mL INJECTION to ?INJECT 30u SUB-Q TWICE DAILY FOR DIABETES?. In addition, resident 8 has signed orders, dated 10/20/2022, for ACCUCHECKS to ?CHECK BLOOD GLUCOSE EVERY MORNING. HOLD INSULIN FOR BLOOD GLUCOSE LESS THAN 150. RECHECK IF SYMPTOMATIC?. 2. While reviewing the March and April 2023 e-MARs for resident 8?s insulin administration against the prescriber?s special instructions, LI noted that on 03/25/2023, the ACCUCHECK reading at 06:00 AM was 147; however, the e-MAR also indicated that the prescribed insulin dose (30u/mL) was still given to resident 8 in the right anterior thigh at 08:00 AM on the same morning.
Plan of Correction:	Administrator shall have physicians' orders clarified and will instruct staff to follow all orders as written.