VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Guardian Assisted Living
99 Culbertson Lane
Castlewood, VA 24224
(276) 794-9569

Current Inspector: Crystal Henson (276) 608-1067

Inspection Date:

Complaint Related: No

Violations:

Standard #:	22VAC40-73-750-E
Description:	Based on the tour of the facility, the facility failed to have sufficient bed linens in good repair so that residents always have clean sheets. EVIDENCE: 1. In house #1, resident room #3 was found to have sheets on the middle bed that had brownish colored stains (stained from coffee perhaps) and specks of some substance-either dirt or leftover food crumbles.
Plan of Correction:	Facility does have sufficient bed linens to change soiled linen as needed. Staff have been instructed to check and change beds more frequently for residents who choose to eat and drink and lay in the bed during the day. All resident bed are checked every morning and changed as needed. [sic]
Standard #:	22VAC40-73-860-G
Description:	Based on the tour of the facility, the facility failed to maintain all hot water taps available to residents with the range of 105 degrees Fahrenheit and 120 degrees Fahrenheit. EVIDENCE: 1. In house #2, the common bathroom across from resident room #3, the hot water reached a maximum temperature of 100.5 degrees Fahrenheit. 2. In house #2, the common bathroom across from resident room #1 was found to have a hot water temperature in the left sink at 132.1 degrees Fahrenheit, and the right sink measured at 131.5 degrees Fahrenheit.
Plan of Correction:	Maintenance will maintain all hot water temps available to residents at a range of 105 degree Fahrenheit to 120 degree Fahrenheit. Water temperature checked weekly by administrator. [sic]
Standard #:	22VAC40-73-870-B
Description:	Based on the tour of the facility, the facility failed to keep all buildings well-ventilated and free from foul, stale, and musty odors. EVIDENCE: 1. In house #1, the downstairs common bathroom with #9 on the door was observed to have a foul odor of what was thought to be urine.
Plan of Correction:	Staff have been instructed to clean and disinfect bathrooms frequently to eliminate foul odors. [sic]
Standard #:	22VAC40-73-870-E
Description:	Based on the tour of the facility, the facility failed to keep all furnishings, fixtures, and equipment including furniture, window coverings, sinks, toilets, bathtubs, and showers clean and in good repair and condition. EVIDENCE: 1. In house #2 the hallway straight across from resident room #5 the overhead light was not operable. 2. In house #1 the common bathroom across from the medication room was observed to have a broken lid on the tank of the toilet. 3. In house #1, the common bathroom with #9 on the door was found to have a brown substance in the corner of the shower under the water faucet. This area appeared to be stained with dirt or perhaps rust. This same common bathroom had a liquid substance in the floor at the base of the toilet, the odor indicated this was possibly urine.
Plan of Correction:	Hallway light being replaced by maintenance. Toilet tank lid being replaced by maintenance. Staff have been instructed to clean and disinfect bathrooms frequently to eliminate foul odors and cut down on water stains around faucets. [sic]