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Cambridge Crossing Assisted Living
251 Patriot Lane
Williamsburg, VA 23185
(757) 220-4014

Current Inspector: Willie Barnes (757) 439-6815

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22VAC40-73-310-H
Description: Based on records reviewed and staff interviewed, the facility failed to ensure it did not admit retain individuals with a prohibitive conditions or care needs.

Evidence:
1.On 11-13-23, resident #1?s record noted a physician?s order dated 10-16-23 and 10-25-23 to discontinue Lorazepam and start Vistaril and physician?s order dated 11-8-23 for Sertraline. The resident?s record did not have documentation of a treatment plan for the psychotropic medications.
2. Staff #1 and #2 acknowledged the resident?s record did not include a treatment plan for the psychotropic medications.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-73-450-F
Description: Based on record reviewed and staff interviewed, the facility failed to ensure the individualized service plan (ISP) included all assessed needs and information.

Evidence:
1. On 11-13-23, in response to a complaint of staff verbally abusing a resident with cognitive impairment a review of resident#1?s record was conducted. Resident #1?s uniformed assessment instrument (UAI) dated 10-19-23 documented transferring need assessed as mechanical help/supervision. The ISP signed 10-19-23 did not document what supervision was needed. Walking need assessed as human help/supervision. The ISP documented walking need with or without mechanical device. Behavior assessed as appropriate, the ISP documented resident as ?abusive, aggressive, disruptive with yelling at staff and residents and refusing adl assistance?.
2. The resident?s ISP did not include the need date and did not include the outcome date for needs documented on the care plan.
3. Staff #1 acknowledged the resident?s individualized care plan did not include assessed needs.



Based on record reviewed and staff interviewed, the facility failed to ensure the individualized service plan (ISP) included all assessed needs and information.

Evidence:
1. On 11-13-23, in response to a complaint of staff verbally abusing a resident with cognitive impairment a review of resident#1?s record was conducted. Resident #1?s uniformed assessment instrument (UAI) dated 10-19-23 documented transferring need assessed as mechanical help/supervision. The ISP signed 10-19-23 did not document what supervision was needed. Walking need assessed as human help/supervision. The ISP documented walking need with or without mechanical device. Behavior assessed as appropriate, the ISP documented resident as ?abusive, aggressive, disruptive with yelling at staff and residents and refusing adl assistance?.
2. The resident?s ISP did not include the need date and did not include the outcome date for needs documented on the care plan.
3. Staff #1 acknowledged the resident?s individualized care plan did not include assessed needs.


Based on record reviewed and staff interviewed, the facility failed to ensure the individualized service plan (ISP) included all assessed needs and information.

Evidence:
1. On 11-13-23, in response to a complaint of staff verbally abusing a resident with cognitive impairment a review of resident#1?s record was conducted. Resident #1?s uniformed assessment instrument (UAI) dated 10-19-23 documented transferring need assessed as mechanical help/supervision. The ISP signed 10-19-23 did not document what supervision was needed. Walking need assessed as human help/supervision. The ISP documented walking need with or without mechanical device. Behavior assessed as appropriate, the ISP documented resident as ?abusive, aggressive, disruptive with yelling at staff and residents and refusing adl assistance?.
2. The resident?s ISP did not include the need date and did not include the outcome date for needs documented on the care plan.
3. Staff #1 acknowledged the resident?s individualized care plan did not include assessed needs.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-73-870-E
Description: Based on document reviewed and staff interviewed, the facility failed to ensure all furnishings, fixtures, and equipment shall be kept clean and in good repair and condition.

Evidence:
1.On 11-13-23, in response to a complaint regarding flooding in the building, the inspector toured the kitchen and dining room area with staff #1 and #4. Staff #4 acknowledged the facility?s kitchen flooded in October 2023 and a section of the dining room did get wet. Staff #4 stated that the grease trap in the kitchen backup causing flooding in the kitchen. A section of the carpeted area from the dining room located near the entrance to the kitchen was wet from the kitchen flood.
2. A copy of the plumber?s invoice noting the cleaning of the grease trap was provided to the inspector on 12-18-23. ?The measurements taken at this location, the grease and solid levels were above the 25% rate?The plumbing recommends that the grease trap at this location be serviced more often?.
3. Staff #4 acknowledged the flooding in the kitchen traveled into the dining room and DSS was not notified of the flood involving the kitchen and dining room area.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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