DSS on assisted living complaints: Not much we can do

DSS on assisted living complaints: Not much we can do
Jones & Jones facility

RICHMOND, VA (WWBT) - The Department of Social Services (DSS) sat down with NBC12 to discuss how an assisted living facility can be found in repeated violations yearly and have seemingly no punishment.

NBC12 reached out to DSS during our investigation into Jones & Jones Assisted Living Facility located at 7804 and 7806  Forest Hill Avenue in Richmond. Current and former residents of the facility complained of neglectful practices by staff, uncleanliness in the rooms, bathrooms and halls, bed bugs, lack of hygiene materials and overall poor conditions at the facility. Through our research, NBC12 found DSS reports backing up many resident claims dating back to 2013.

  • Click here for DSS inspection dates and reports.

The most recent inspection happened on Nov. 13, when DSS found 20 violations.

A few of the violations were a bit shocking, such as this one that says:

Based on resident interview and facility documents, the facility failed to notify the licensing office, by the next working day reported any major incident that negatively affects or threatens the life, health, safety or welfare of any resident. Evidence: On 11/06/2017 while observing the physical plant, the Licensing Inspector observed that resident #10 had facial bruising and had sustained a head injury. The Virginia Department of Social Services did not receive any notification regarding resident #10's head injury.

Another one of the violations found was this:

Based on resident and staff interviews and facility documentation, the facility failed to ensure compliance with its own policies and procedures. Evidence: On 11/13/2017 while observing a medication administration pass, it was observed that resident #9 had a large purple and bluish facial bruise with extreme eye swelling. When interviewing the Administrator, the Administrator did not have knowledge of what happened. The Administrator then inquired to facility staff and confirmed with staff, the resident had a fall on 11/12/2017. According to the facility head injury protocol, a call for emergency services will be completed immediately. When the inspector arrived on 11/13/2017, a call for emergency services had not yet been made.

Our investigation also revealed a video of possible abuse being investigated by the Virginia Board Of Long-Term Care Administrators.

Melina Smith, a former resident, recorded the video after she says her elderly, non-verbal roommate was often bullied by a nurse at the facility.

"It's unbelievable the way people get treated. I wouldn't wish this on anybody," Smith said. "I hope your investigation really opens someone's eyes because some of those people are literally voiceless."

Just two weeks ago, the property where Jones & Jones is located was put up for sale online for $4.4 million.

Lastly, we reported earlier this month that Mable Jones, the administrator of Jones & Jones had her license suspended in June by the Virginia Board Of Long-Term Care Administrators and is currently on probation.

So how can a facility plagued with violations for years, cited by the Department Of Social Services, remain in operation?

"We are very limited as a government agency with what we can do," Tara Ragland, the Division Director for Adult Licensing Programs with the Department of Social Services said.

Ragland has been with DSS for a little over a year.

"We have a set of regulations that are handed down to us by the General Assembly," Ragland said.

Some of those regulations are possibly tying the agency's hands.

The Virginia code can be found here.

"No matter what my personal opinion is and what we can see on our website from three to five years ago, we are only allowed to look back for about a period of a year. That makes it difficult to pile on violations," said Ragland.

The code also appears to be lenient. There are no specific number of violations or particular types of violations that will automatically determine whether a facility's license is taken away. DSS also doesn't have authority to make a recommendation to deny a license until the end of the facility's licensure period.

According to DSS:

The inspection process provides an opportunity for the licensee to receive information on areas of noncompliance and devise a plan of correction to bring the facility into compliance.

According to DSS, at one time, Jones & Jones was fined $4,500, but it was before Ragland's time.

Ragland says for the past six months, DSS has been investigating Jones & Jones.

"We've been able to work with interdisciplinary groups like law enforcement and city council who have been instrumental in trying to get the word out about what's going on at Jones & Jones," Ragland said.

Ragland says the only way to enact true change is for people to make their voices heard by the General Assembly to get laws changed in Virginia. Last year, the governor signed into law an increase for the amount of civil penalties a facility can receive.

"We have to depend on the General Assembly and powers to be to do that, and that's why communication and focusing on these issues to get people involved is what needs to happen," Ragland said.

With the next General Assembly session fast approaching, Ragland encourages anyone with an opinion about Jones & Jones, or any assisted living facility, to make their voices heard, encouraging lawmakers to make forever change for our most vulnerable population.

As of Feb. 1, the Department of Social Services is rolling out some new regulations. It's the first comprehensive revision to the regulations in over 20 years. It will include strengthening infection control requirements and more education for staff and administrators.

We have reached out to Mable Jones and her attorney for comment and have not heard back.

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