Survey date 2021-07-28 - inspection
22VAC40-73 standard 22VAC40-73-460-D: Based upon a review of records and interview 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.
State agency did not assign a severity code.
1. Programming Assistant received immediate education on 7/22/2021 on Resident Elopement and her role in ensuring resident safety. 2. Memory Care Resident Admission notification process was updated. The notification will include distribution of a current Resident photograph to the Continuing Care Leadership Team via email. Leadership Team to post photograph in their designated staffing areas to ensure all staff are aware of the new admission. Completion by 10/10/2021. 3. Comprehensive staff education: a. Memory Care Manager or designee will ensure that Continuing Care Leadership receive education regarding the updated notification process and their role in ensuring resident safety. Completion by 10/10/2021. b. Department Manager or designee will ensure that their staff receive education regarding education regarding the updated notification process and their role in ensuring resident safety. Completion by 11/10/2021. c. Staff Development Coordinator or designee will ensure that Continuing Care staff and Ashby Ponds Security Team receive education regarding how to respond when Memory Care doors are unsecured to ensure resident safety. Completion by 10/9/2021. 4. Memory Care Manager or designee will complete weekly audit of new memory care resident admission notifications to ensure compliance with updated process for 3 months beginning 9/10/2021. 5. One additional fire drill to be conducted beginning 9/10/2021 to monitor staff response and compliance with processes when Memory Care doors are unsecured. Completion by 12/10/2021.
Corrected.