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Aable Rest Home
31 Stoney Point Road
Cumberland, VA 23040
(804) 492-4135

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: April 6, 2023

Complaint Related: No

Areas Reviewed:
22VAC40-73 PERSONNEL
22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
22VAC40-73 BUILDINGS AND GROUND
22VAC40-73 EMERGENCY PREPAREDNESS
22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES
22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION
22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT

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: 4-6-23 from 9:16 a.m.- 10:30 a.m.
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: 18
Number of resident records reviewed: 5
Number of staff records reviewed: 4
Number of interviews conducted with staff: 1
Additional Comments/Discussion: An unannounced monitoring inspection was conducted by licensing staff to follow up on previously cited high risk violations.

An exit meeting was 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 Kimberly Davis, Licensing Inspector at (804) 662-7578 or by email at Kimberly.M.Davis@dss.virginia.gov


Violation Notice Issued: Yes

A copy of this document will be sent to the licensee/provider for signature.

Violations:
Standard #: 22VAC40-73-250-D
Description: Based on a review of staff records the facility failed to ensure that each staff member?s tuberculosis (TB) risk assessment shall be no older than 30 days.

Evidence: The record for Staff # 1 (date of hire: 8-8-22) contained a TB risk assessment that was dated 6-20-22.

Plan of Correction: Administrator will ensure that moving forward when a new staff is hired the TB test is not older than 30 days.

Standard #: 22VAC40-73-440-A
Description: Based on a review of resident records the facility failed to ensure that the Uniform Assessment Instrument (UAI) shall be completed at least annually, and whenever there is a significant change in the resident?s condition.

Evidence:
-The record for Resident # 6 (admit date: 7-31-19) contained a UAI last dated 7-17-19.
-Staff # 3 stated that the local assessor had completed a current UAI for Resident # 6 but the facility has not received a copy.
-The record for Resident # 2 (admit date:6-1-22) contained a UAI dated 3-31-22.

Plan of Correction: Administrator will reach out to the local assessor and get a copy of the completed UAI to have on file.

Standard #: 22VAC40-73-870-E
Description: Based on observation the facility failed to ensure that all furnishings, fixtures, and equipment, including toilets, bathtubs, and showers, shall be kept clean and in good repair and condition, except that furnishings and equipment owned by a resident shall be, at a minimum, in safe condition and not soiled in a manner that presents a health hazard.

Evidence:
-The ceiling above the shower in Bathroom # 2 was stained.
-The administrator stated that he had forgotten to fix the stained area above the shower and would take care of it.

Plan of Correction: The ceiling in the bathroom has been cleaned and painted.

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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