VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Paramount Senior Living at Fredericksburg
3500 Meekins Drive
Fredericksburg, VA 22407
(540) 785-3600

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: March 2, 2023

Complaint Related: No

Areas Reviewed:

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

Comments:

Date of Inspection: March 2 and 3, 2023 Type of Inspection: Monitoring 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 66 Number of records reviewed and interviews conducted- 13 records (staff and resident), 7 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 at the time of inspection: Menus, activity calendars, pharmacy review 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 Plan of Care (ISP) with the facility and the hospice agency as required. Evidence: Resident F had no documentation of a coordinated plan of care between the facility and the Hospice agency on the ISP dated January 5, 2023.
Plan of Correction:	All residents receiving Hospice services will have a coordinated plan of care in the record documentation. The records will be audited to ensure compliance.
Standard #:	22VAC40-73-450-E
Description:	Based on resident record review and staff interview, it was determined that the facility failed to obtain signatures from the resident and responsible party on the Individualized Service Plans (ISP) as required. Evidence: Resident As ISP dated June 14, 2022 had no documentation of signatures as required. Resident Bs ISP dated February 6, 2023 had no documentation of signatures as required. Resident Ds ISP dated January 18, 2023 had no documentation of signatures as required.
Plan of Correction:	The ISPs for residents A, B and D have all been corrected to reflect the required signatures. All resident records will be audited to ensure compliance.