VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Brookdale Harrisonburg
2101 Deyerle Avenue
Harrisonburg, VA 22801
(540) 574-2982

Current Inspector: Jessica Gale (540) 571-0358

Inspection Date:

Complaint Related: No

Violations:

Standard #:	22VAC40-73-440-H
Description:	Based on review of resident?s record, the facility failed to ensure a reassessment was completed when a resident has a significant change in condition, using the UAI to determine whether a resident?s needs can continue to be met by the facility and whether continued placement in the facility is in the best interest of the resident. EVIDENCE: 1. The Uniform Assessment Instrument for resident #1, dated 12/19/2022 indicates resident #1 is disoriented to some spheres all of the time. 2. The Uniform Assessment Instrument for resident #1, dated 12/19/2022 indicates resident has appropriate behavior pattern. 3. Progress notes dated 12/01/2022 at 1:57pm indicates ?Resident went outside without informing staff and was found behind the shed. Resident stated he was looking for his truck.? 4. Progress notes dated 02/02/2023 at 5:42 am indicates ?Resident exit seeking this morning looking for his truck, cannot be re-directed.? 5. The LI interviewed staff #1 on 05/31/2023 who confirmed resident #1 has had a significant change in condition.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-450-E
Description:	Based on review of resident?s record and am interview, the facility failed to update the Individualized Service Plan when there is a significant change in the resident?s condition. EVIDENCE: 1. The Individualized Service Plan for resident #1, dated 12/19/2022 does not reflect the current status of the resident. 2. Progress notes dated 12/01/2022 at 1:57pm indicates ?Resident went outside without informing staff and was found behind the shed. Resident stated he was looking for his truck.? 3. Progress notes dated 02/02/2023 at 5:42 am indicates ?Resident exit seeking this morning looking for his truck, cannot be re-directed.? 4. The LI interviewed staff #1 on 05/31/2023 who confirmed resident #1 has had a significant change in condition.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-460-D
Description:	Based on communication received from the facility on 05/31/202, documentation and an interview, the facility failed to ensure supervision of resident?s schedules, care, and activities, including specialized needs, such as prevention of falls and wandering from the premises. EVIDENCE: 1. Communication received from the facility via email on 05/31/2023 indicates resident #1 wandered from the premises on 05/31/2023 at approximately 9:00am. 2. The LI interviewed staff #1 on 05/31/2023 who indicated resident #1 was picked up by a Good Samaritan approximately 0.7 miles from the facility and taken to the local hospital and resident returned to the facility at approximately 10:02am. 3. Progress notes dated 12/01/2022 at 1:57pm indicates ?Resident went outside without informing staff and was found behind the shed. Resident stated he was looking for his truck.? 4. Progress notes dated 02/02/2023 at 5:42 am indicates ?Resident exit seeking this morning looking for his truck, cannot be re-directed. 5. The Uniform Assessment Instrument dated 12/19/2022 indicates resident #1 is disoriented to some spheres all of the time.
Plan of Correction:	Not available online. Contact Inspector for more information.