1 Inspection Summary
Inspection Reports Summary
Covers 17 inspections · Jul 2020 – Jan 2025Visit Reason
This report covers 17 inspections of Hickory Hill Retirement Community from July 1, 2020 to January 23, 2025, including complaint and renewal inspections.
Complaint Details
Eight inspections were prompted by complaints alleging issues such as maintenance, resident care, unsanitary conditions, staff substance abuse, verbal and physical abuse, resident neglect, and infection control practices. Investigations found no violations in these complaint inspections.
Findings
Across that history VDSS cited 26 violations under 21 distinct standards. 7 of 17 visits ended with violations and 10 with none. 8 inspections were prompted by a complaint.
Violations (26)
22VAC40-73-120-A: New employees did not complete orientation training within first seven working days.
22VAC40-73-40-A: Facility failed to ensure compliance with its own policies and procedures.
22VAC40-73-110-1: Staff failed to be considerate and respectful of rights and dignity of aged or disabled persons.
22VAC40-73-320-A: Physical exam preceding admission lacked description of reactions to known allergies.
22VAC40-73-70-A: Facility failed to report major incidents to regional licensing office within 24 hours.
22VAC40-73-450-F: Individualized service plans were not reviewed and updated as needed for significant resident changes.
22VAC40-73-460-D: Facility failed to provide supervision of resident schedules, care, and activities including wandering risks.
22VAC40-73-1100-C: Facility failed to document order of priority for decision making was followed and retained in resident file.
22VAC40-73-320-A: Physical exam for resident lacked description of reactions to known allergies.
22VAC40-73-1110-A: Facility failed to determine and justify in writing appropriateness of placement in special care unit.
22VAC40-73-80: Facility failed to document resident's delegation request for assistance managing personal funds.
22VAC40-73-1090-A: Resident was not assessed by licensed psychologist or physician for serious cognitive impairment prior to admission.
22VAC40-73-1110-A: Facility failed to determine and justify in writing appropriateness of placement in special care unit for residents.
22VAC40-73-290-A: Facility failed to maintain written work schedule including names and job classifications of staff each shift.
22VAC40-73-100-A: Facility failed to implement infection control program consistent with CDC guidelines.
22VAC40-73-550-F: Facility failed to post resident rights and licensing supervisor contact in required format and location.
22VAC40-90-30-C: Facility failed to ensure no false statements were made on sworn statements or affirmations.
22VAC40-73-40-B-12: Facility failed to afford reasonable opportunity for department representative to inspect buildings, records, and interview persons.
22VAC40-73-70-A: Facility failed to submit incident reports within 24 hours for incidents threatening resident safety.
22VAC40-73-150-C: Administrator failed to oversee facility operation and ensure care protecting resident health and safety.
22VAC40-73-325-B: Facility failed to review and update fall risk rating after each fall.
22VAC40-73-325-C: Facility failed to maintain documentation analyzing falls and interventions to prevent recurrence.
22VAC40-73-450-F: Facility failed to review and update Individualized Service Plans at least annually and as needed.
22VAC40-73-460-D: Facility failed to provide supervision of resident schedules, care, and activities including specialized needs.
22VAC40-73-490-D: Facility failed to ensure healthcare oversight was conducted on residents.
22VAC40-73-550-H: Facility failed to ensure resident's legal representative signed annual review of resident rights as required.
Report Facts
Violations cited: 26
Distinct standards: 21
Inspections on page: 17
Inspections with violations: 7
Complaint visits: 8
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