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Virginia Health Care Association | Virginia Center for Assisted Living

Medication Administration and ISPs Lead the Top 10 ALF Deficiencies List

Medication Administration and ISPs Lead the Top 10 ALF Deficiencies List

Citations for medication administration and Individualized Service Plans (ISP) account for 57% of the violations found in Virginia’s assisted living facilities (ALF) from January 1- March 31, 2018.  This is a continuation of the trend seen in prior quarters. The latest list of most cited deficiencies in Virginia’s ALFs combines inspections conducted under the prior regulatory structure, 22 VAC 40-72 and the new standards for assisted living facilities, 22 VAC 40-73.

 

             Top 10 ALF Deficiencies – January 1, 2018 – March 31, 2018

Standard Description Number of Violations
22VAC40-72-(6)-670-C

 

Administration of medications and related provisions – medication administration 20
22VAC40-72-(6)-440-C

 

Individualized service plans – reflecting assessed needs 18
22VAC40-72-(5)-350-A

 

Physical examination and report – within 30 days prior to the date of admission 15
22VAC40-73-(6)-680-D

 

Administration of medications and related provisions – medication administration 15
22VAC40-73-(6)-450-F

 

Individualized service plans – reviewed and updated at least once every 12 months and as needed as the condition of the resident changes 11
22VAC40-72-(8)-850-A

 

Maintenance of buildings grounds – interior and exterior buildings maintained in good repair 10
22VAC40-72-(8)-850-F

 

Maintenance of buildings grounds – all furnishings and equipment kept clean and in good repair 10
22VAC40-72-(3)-290-C

 

Staff records and health requirements – staff personal and social data 9
22VAC40-72-(6)-440-B

 

Individualized service plans – completed within 72 hours of admission / comprehensive plan within 30 days after admission 9
22VAC40-72-(6)-550-F

 

Resident rights – reviewed annually with each resident or his legal representative or responsible individual as stipulated in subsection G of this section and each staff person 9
22VAC40-72-(6)-630-A

 

Medication management plan and reference materials – written plan 9
22VAC40-72-(6)-640-A

 

Physician’s or other prescriber’s order – No medication, dietary supplement, diet, medical procedure or treatment shall be started, changed or discontinued by the facility without a valid order from a physician or other prescriber

9

 

In addition DSS has sorted the data by licensing office and grouped them by region.  To access the data by licensing office and region, click here.