VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Paul Spring Independent and Assisted Living Community
7116 Fort Hunt Road
Alexandria, VA 22307
(703) 768-0234

Current Inspector: Nina Wilson (703) 635-6074

Inspection Date: July 13, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

An unannounced monitoring inspection was conducted on 7/13/23. Medication administration, resident records, and facility documentation was observed. Interview was conducted. The violation was discussed and an exit meeting was held. 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. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Marshall Massenberg, Licensing Inspector at (703) 431-4247 or by email at m.massenberg@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-680-D
Description:	Based on documentation and observation, the facility failed to ensure that medications are administered in accordance with the physician?s instructions. Evidence: Medication administration was observed for Resident #1, during the inspection. Resident #1's medications were placed in a pill cup and the medication packages were returned to the medication cart. The licensing inspector inquired about Resident #1?s Calcium Citrate-Vitamin D. Resident #1?s MAR called for the resident to receive two tablets of Calcium Citrate-Vitamin D during the medication administration, but only one tablet was placed in the pill cup for administration. Resident #2?s July MAR was reviewed during the inspection. On 7/5/23, Resident #2?s Amlodipine was documented as not given because his vitals were outside of parameters for administration. Resident #2?s Amlodipine order did not contain parameters for the medication?s administration.
Plan of Correction:	Resident #1?s medication orders were reviewed and verified by the Director of Clinical Services. A refresher in-service was completed on 7/13/23 to review medication administration policy and 5 Rights of Medication. Resident #2?s Amlodipine order was clarified with physician by DCS and an in-service on medications and parameters was completed on 7/13/23. The Director of Clinical Services will complete order reviews periodically to compare medication administration record with physician orders. With respect to what systemic measures have been put into place to address the stated concern. The Director of Clinical Services will conduct random and routine 1:1 medication observation with each team member for monitoring and observation to verify continued compliance with medication management.