Click Here for Additional Resources
Search for an Assisted Living Facility
|Return to Search Results | New Search |

Edgeworth Park at New Town
5501 Discovery Park Boulevard
Williamsburg, VA 23188
(757) 345-5005

Current Inspector: Alyshia E Walker (757) 670-0504

Inspection Date: April 12, 2023 and April 24, 2023

Complaint Related: Yes

Areas Reviewed:
22VAC40-73 STAFFING AND SUPERVISION
22VAC40-73 RESIDENT CARE AND RELATED SERVICES
22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS

Comments:
Type of inspection: Self-Report

Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 4/12/23 9:44 am - 4:30 pm and 4/24/23 9:50 am - 1:04pm

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: 73

The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility.

Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents:0
Number of interviews conducted with staff: 2

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 Alyshia E. Walker, Licensing Inspector at (757) 670-0504 or by email at Alyshia.Walker@dss.virginia.gov

Violations:
Standard #: 22VAC40-73-460-D
Complaint related: No
Description: Based on staff interviews and documentation review, the facility failed to provide supervision of resident schedules, care, and activities including attention to the specialized need of wandering from the premises for one resident in care.

Evidence:

1. Facility provided an Incident Report on 2/6/23 acknowledging that Resident #1 eloped from the safe, secure, unit at approximately 4:30 pm on 2/6/23. Resident #1 was found in the parking lot the facility shares with an adjacent business. The Individual Service Plan for Resident #1 identified the resident?s need to be reoriented to time and place as the ISP stated the resident was prone to confusion and forgetfulness. This need was identified on 12/30/22. The ISP further stated the resident would remain supervised at all time effective 12/30/22. Resident #1 was identified as an elopement risk on 1/3/23 as the ISP stated, ?the resident exhibits wandering with exit seeking behavior, staff will monitor whereabouts of and report to supervisor if unsafe wandering or exit seeking occurs?.

2. The facility did not follow its Missing Resident Policy as the policy states, ?An incident report will be completed providing detailed accounting of the incident in its entirety.? The incident report written on 2/6/23 did not contain a complete detailed account of the incident based upon follow up documentation that was provided during the time of the inspection and a subsequent email.

Plan of Correction: Residents will be screened prior to admission for significant elopement risk. Upon admission, a clear frontal photograph will be obtained and kept in an elopement binder at front desk. Should an elopement occur, the facility will notify next of kin, legal representative, or designated contact person of any incident of a resident wandering from the premises, whether or not it results in injury. Following the incident, the resident?s record will be updated with documentation of the notification, including date, time, caller and person or agency notified. In addition, facility will report to the regional licensing office within 24 hours with the following information: Name and address of the facility, name of the resident or residents involved in the incident, date and time of the incident, description of the incident, the circumstances under which it happened, and when applicable, extent of injury or damage, location of the incident, actions taken in response to the incident, actions to prevent recurrence of the incident (if applicable), name of staff person in charge at the time of the incident, names, telephone numbers and addresses of witnesses to the incident if any. Following the self-report elopement, signs were placed upon entry and exit of Memory Care neighborhood to remind visitors to be aware when exiting the neighborhood not to allow residents to leave behind them. In Service for staff was held 5/30/23 and 6/27/23 to ensure staff is trained on proper protocol for an elopement.

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.

Google Translate Logo
×
TTY/TTD

(deaf or hard-of-hearing):

(800) 828-1120, or 711

Top