VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Assisted Living at Lucy Corr
6800 Lucy Corr Boulevard
Chesterfield, VA 23832
(804) 748-1511

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date:

Complaint Related: No

Violations:

Standard #:	22VAC40-73-630-A
Description:	Based on an observation of medication administration, medication ordered for PRN administration was not available for one resident. Evidence: The Medication Administration Record (MAR) for resident # 7 has an order for Tylenol 325mg PRN. The medication was not found in the medication storage cart. Staff reported that the medication needed to be refilled and was not available.
Plan of Correction:	LPN?s and RMA?s will be in-serviced to re-order meds when they are down to one week?s worth of remaining meds. This will be completed by 2/26/2024 to include all shifts.
Standard #:	22VAC40-73-720-A
Description:	Based on a review of file documentation, the written Do Not Resuscitate (DNR) Orders for withholding cardiopulmonary resuscitation from a resident were not included on the individualized service plan. Evidence: Resident # 1 has DNR Orders dated 4-25-23 that were not included on the resident individualized service plan.
Plan of Correction:	ISP will be updated. All ISP?s belonging to residents with DNR?s will be checked to ensure accuracy, This has been completed on 2/19/2024.
Standard #:	22VAC40-73-930-D
Description:	Based on file reviews, for each resident with an inability to use the signaling device, the inability was not included in the resident`s individualized service plan for three residents. Evidence: Residents # 1, # 2 and # 3 reside in the safe, secure environment due to a serious cognitive impairment with an inability to recognize danger or protect his own safety and welfare. The individualized service plans for the residents did not address their ability/inability to use the signaling device.
Plan of Correction:	All residents admitted to the safe, secure environment will have ?inability to use signaling device? updated on ISPs. This has been completed on 2/19/2024