Inspection Reports for English Meadows Prince William Campus
10140 Hastings Dr, Manassas, VA 20110, United States, VA, 20110
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Inspection Report
Renewal
Deficiencies: 1
Aug 15, 2024
Visit Reason
The inspection was a renewal visit conducted to assess compliance with assisted living facility standards during a period when the building was vacant and under renovation.
Findings
The facility was found non-compliant due to failure to provide documentation of written notification to residents and their representatives regarding planned discharge within 30 days. The building was vacant and undergoing renovations, and documentation was not available during the inspection.
Deficiencies (1)
| Description |
|---|
| Failed to provide documentation of written notification to the resident, resident's legal representative, and designated contact person of planned discharge and that the resident will be moved within 30 days. |
Report Facts
Number of residents present: 0
Number of resident records reviewed: 2
Number of staff records reviewed: 1
Number of staff interviews conducted: 2
Plan of correction completion date: Nov 14, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 2 | Acknowledged lack of documentation for discharge notification during inspection | |
| Staff 3 | Interviewed regarding assisted living standards and compliance |
Inspection Report
Renewal
Census: 17
Deficiencies: 7
Aug 17, 2023
Visit Reason
The inspection was a renewal inspection conducted on August 17 and 18, 2023, to review compliance with licensing standards and regulations for the assisted living facility.
Findings
The inspection identified multiple violations including improper storage of harmful materials, outdated resident assessment documentation, unsecured medication cart, lack of current fire inspection, incomplete first aid kit in the facility vehicle, and missing documentation of resident emergency drills.
Deficiencies (7)
| Description |
|---|
| Facility staff failed to have materials that may be harmful to residents inaccessible. |
| Facility staff failed to have current reassessments of the Uniform Assessment Instruments (UAI) within resident files. |
| Resident records were not kept current as required. |
| Medication cart was left open and unsecured in the main lobby. |
| Facility failed to comply with Virginia Statewide Fire Prevention Code with an outdated annual inspection. |
| Facility motor vehicle did not have a complete first aid kit as required. |
| Facility failed to have documentation of resident emergency drills every six months as required. |
Report Facts
Records reviewed and interviews conducted: 8
Interviews conducted: 9
Plan of correction audit frequency: 3
Inspection Report
Renewal
Census: 19
Deficiencies: 2
Aug 18, 2022
Visit Reason
The inspection was a renewal inspection conducted on August 18 and 22, 2022, to review compliance with regulatory standards and assess facility operations.
Findings
The inspection identified deficiencies related to failure to document a coordinated plan of care between the facility and hospice agency, and failure to document a change in condition on the Individualized Service Plan (ISP).
Deficiencies (2)
| Description |
|---|
| Facility failed to have documentation of a coordinated plan of care between the facility and the hospice agency on the Individualized Service Plan (ISP). |
| Facility failed to document a change in condition on the Individualized Service Plan (ISP), specifically the mechanical soft diet ordered by the physician. |
Report Facts
Number of records reviewed: 13
Number of interviews conducted: 7
Inspection Report
Original Licensing
Census: 18
Deficiencies: 0
Jan 28, 2022
Visit Reason
The Licensing Inspector conducted an announced initial inspection to verify compliance with regulations and review the physical plant, policies, procedures, staff records, and call bell system.
Findings
All inspections were completed with no violations cited. The evacuation posting will be updated and an exit interview was held.
Report Facts
Census: 18
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