VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bickford of Virginia Beach
2629 Princess Anne Road
Virginia beach, VA 23456
(757) 821-0198

Current Inspector: Willie Barnes (757) 439-6815

Inspection Date: June 20, 2023 and July 17, 2023

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS

Comments:

Type of inspection: Complaint An on-site complaint inspection conducted on 6-20-23 (Ar 09:40 a.m./ dep 2:50 p.m.) Th The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. An on-line complaint was received by VDSS Division of Licensing on 5-16-23 regarding allegations in the resident care and related services (medication) and staff training/knowledge. Number of residents present at the facility at the beginning of the inspection: 61 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: resident with oxygen/O2 posting on bedroom door Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegations; area(s) of non-compliance with standard(s) or law A violation notice was issued; any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 (Willie Barnes), Licensing Inspector at 757-439-6815 or by email at willie.barnes@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-450-C
Complaint related:	No
Description:	Based on record reviewed and staff interviewed, the facility failed to ensure the resident?s comprehensive individualized service plan (ISP) included all assessed needs. Evidence: 1.On 6-20-23, resident #2?s uniformed assessment instrument (UAI) dated 3-20-23 documented walking as mechanical help/supervision (mh/s. This assessed need was not documented on the ISP dated 3-30-23. Wheeling and walking need assessed as mechanical help/supervision. The ISP did not document walking need and wheeling noted companion pushing resident in wheelchair to areas in facility. The record included physical therapy services dated 3-31-23 and occupational therapy services dated 4-13-23. These therapy services were not documented on the ISP. The ISP did not include resident psychiatric services from a local agency. The record noted the resident has a companion; this service is not noted on the ISP. The resident?s date of admit noted as 1-27-23 (initially respite, then returned admission).
Plan of Correction:	The licensee/provider did not provide a plan of correction by the due date.
Standard #:	22VAC40-73-450-F
Complaint related:	No
Description:	Based on observation, record reviewed and staff interviewed, the facility failed to ensure the resident?s individualized service plan (ISP) was updated to address significant change of a resident. Evidence: 1. On 6-20-23, resident #1?s uniformed assessment instrument (UAI) noted transferring assessed as mechanical help (mh). The ISP dated 3-10-23 did not identify what mechanical device was needed for assistance. Stairclimbing assessed as mh. The ISP documented physical assistance from staff and mh, however, the mechanical device is not identified. The resident was observed using oxygen in the bedroom. The record included an order for 2L Nasal cannula- continuous oxygen. This was not on the ISP. The resident also receives psychiatric services from a local agency, this need was not addressed on the ISP. The resident?s date of admit noted as 1-17-22.
Plan of Correction:	Not available online. Contact Inspector for more information.