VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bickford of Spotsylvania
5000 Spotsylvania Parkway
Fredericksburg, VA 22407
(540) 898-1205

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: March 30, 2023

Complaint Related: No

Areas Reviewed:

Administration and Administrative Services Personnel Staffing and Supervision Admission, Retention and Discharge Residents Resident Care and Related Services Buildings and Grounds Emergency Preparedness Mixed Population Safe, Secure Environment

Comments:

Date of Inspection: March 30, 2023 Type of Inspection: Renewal Inspection If you have any questions or email changes, please do not hesitate to contact me at laura.lunceford@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov. Census 55 Number of records reviewed and interviews conducted- 8 records (both staff and residents), 8 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The Licensing Inspector observed the residents during activities and meal times. The Licensing Inspector reviewed the following during the inspection: Menus, activity calendars, pharmacy reviews, fire drills, emergency drills and health care oversight. The Licensing Inspector and the Administrator discussed the risk assessment ratings for the violations for this inspection. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to the office. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:

Standard #:	22VAC40-73-450-D
Description:	Based on resident record review and staff interview, it was determined that the facility failed to have a coordinated plan of care on the Individualized Service Plan (ISP) for a resident receiving hospice services. Evidence: Resident A had no coordinated plan of care for Hospice services on the ISP dated November 22, 2022.
Plan of Correction:	All ISPs will reflect a coordinated plan of care between the facility and hospice. The branch nursing staff will audit resident records to ensure compliance.