cms_WV: 101

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
101	HUNTINGTON HEALTH AND REHABILITATION CENTER	515007	1720 17TH STREET	HUNTINGTON	WV	25701	2018-08-23	695	D	0	1	TKSO11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure that one resident's oxygen therapy was monitored for the need and effectiveness of oxygen therapy and failed to document respiratory signs and symptoms, changes in oxygen administration, and/or results of oxygen therapy. This affected one of one resident reviewed for oxygen therapy in the sample of 28. Resident identifier: #92. Facility census: 176. Findings included: a) Resident #92 Resident #92's medical record was reviewed on 08/22/18 at 02:17 PM. Resident #92 is severely cognitively impaired according to the Minimum Data Assessment, dated 05/24/18. Resident #92 had [DIAGNOSES REDACTED]. Resident #92 had a physician's orders [REDACTED]. The order further stated that the oxygen should be titrated to keep oxygen levels above 92%. There were no oxygen saturation levels documented in the medical record. There were no progress notes regarding the resident's respiratory signs and symptoms, the time or reason oxygen was administered, or the result of oxygen therapy. Resident #92's care plan, target date 08/21/18, listed interventions to observe for signs and symptoms of acute respiratory insufficiency such as anxiety, confusion, restlessness, shortness of breath at rest, cyanosis, and somnolence. Resident #92 was observed in bed receiving oxygen therapy via nasal canula on 08/20/18 at 11:35 AM, 08/21/18 at 01:39 PM, 08/21/18 at 5:45 PM, and 08/22/18 at 10:10 AM at 2 L/M. On 08/22/18 at 02:49 PM Resident #92 was observed receiving oxygen at 3.5 L/M via the nasal canula. On 08/22/18 at 02:49 the Unit Coordinator/Licensed Practical Nurse (LPN) #55 confirmed that Resident #92's oxygen level was set at 3.5 L/M. LPN #55 stated that the order is for 2 L/M as needed, but that the oxygen can be titrated up to keep saturation levels greater than 92% per the physician's orders [REDACTED]. LPN #55 said, There should be oxygen saturation levels for her. LPN #55 obtained Resident #92's oxygen saturation level and reported it was 95 - 96%. On 08/22/18 at 03:01 PM LPN #75 was interviewed. LPN #75 confirmed that she was the nurse caring for Resident #92 on that day. LPN #75 said she checked Resident #92's oxygen concentrator a couple hours ago and it was on 2 L/M. LPN #75 said she checked Resident #92's oxygen saturation level at that time and it was 97%. LPN #75 said she did not record the result in the medical record. On 08/22/18 at 03:14 PM the Director of Nursing (DON) was interviewed. The DON said that oxygen saturation levels should be checked as needed depending on what symptoms the resident is displaying. The DON said, They should not put oxygen on her unless she is displaying signs and symptoms, or her saturation levels are below 92%. The facility's Oxygen Administration Policy, revised (MONTH) 2010, was reviewed on 08/22/18 at 03:30 PM. The policy stated in part, D[NAME]UMENTATION: In the Nurse's notes and Treatment Administration Record (TAR) and/or Medication Administration Record [REDACTED].	2020-09-01