cms_WV: 10160
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10160 | RALEIGH CENTER | 515088 | PO BOX 741 | DANIELS | WV | 25832 | 2009-10-08 | 502 | D | 0 | 1 | SM0211 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to assure two (2) of thirteen (13) sampled residents received ordered laboratory services to meet the needs of Residents #23 and #16. Facility census: 66. Findings include: a) Resident #23 Review of the medical record found Resident #23's treating physician ordered intravenous [MEDICATION NAME] 1 Gm every twenty-four (24) hours for a perineal abscess with [MEDICAL CONDITION]-resistant Staphylococcus aureus (MRSA). The physician also ordered a [MEDICATION NAME] peak and trough laboratory test every three (3) days. Review of the medical record found no evidence that the ordered testing was provided. An interview with the registered nurse unit manager (Employee #66), on 10/08/09 at 5:50 p.m., confirmed the laboratory test was not obtained on 09/20/09 or on 09/23/09. b) Resident #16 Review of the medical record found a nursing note, dated 08/10/09 at 9:00 p.m., which documented that the resident had several episodes of loose, foul smelling bowel movements. The note stated the physician was notified and ordered a [MEDICAL CONDITIONS] toxin screen. The medical record contained no laboratory results until 08/19/09. Review of the document found that the specimen was collected on 08/18/09. The laboratory test was positive for [MEDICAL CONDITION]. The physician ordered [MEDICATION NAME] 250 mg four-times-a-day for ten (10) days to treat the infection. Review of the bowel movement record for the nine (9) days the facility did not obtain the ordered laboratory test found the resident continued to have multiple loose stools on 09/14/09, 09/17/09, 09/18/09, and 09/19/09. | 2015-06-01 |