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: Sept. 11, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

An unannounced monitoring inspection was conducted on 9/11/23 in response to facility-reported incidents. Building and grounds were inspected and records were reviewed. 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 #:	22VAC40-73-460-D
Description:	Based on documentation, the facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs, such as prevention of falls and wandering from the premises. Evidence: Resident #1 was admitted to the facility's memory care unit on 8/21/23. Resident #1's record includes an assessment of serious cognitive impairment, that states that Resident #1 has a serious cognitive impairment with an inability to recognize danger or protect her own safety and welfare. Facility documentation states that on 8/23/23, Resident #1 was able to leave the memory care unit, after asking a staff member to let her out of the unit. Resident #1 reported that she was there to visit someone, and the staff member opened an exit door. Another staff member reportedly observed Resident #1 outside, and returned her to the memory care unit.
Plan of Correction:	Staff member received immediate corrective action. Refresher in-service provided for all staff on Inspiritas elopement. An elopement book will be created to identify memory care residents who are at risk of leaving the unit. Assistant Director or Clinical services will conduct Inspiritas daily huddle with the team to prevent further instances.