cms_WV: 10192
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10192 | WILLOW TREE MANOR | 515156 | 1263 SOUTH GEORGE STREET | CHARLES TOWN | WV | 25414 | 2010-01-28 | 156 | D | 0 | 1 | MFK411 | Based on record review, review of the denial notice letters, and staff interview, the facility failed to include the identification of the service being denied and/or the reason for the denial in the letter provided by the facility to the resident and/or responsible party, informing them of services not covered under Medicare for one (1) or eighteen (18) sampled and two (2) of three (3) random residents whose Medicare notification letters were reviewed; and/or failed to inform the responsibility party of rights related to the formulation of advance directives for one (1) of eighteen (18) sampled residents. Resident identifiers: #29, #41, #34, and #53. Facility census: 100. Findings include: a) Resident #29 A review of the medical record revealed that, upon admission to the nursing home on 06/02/08, Resident #29 had been determined by a physician to have the capacity to make healthcare decisions, and Resident #29 expressed a desire for a "Do Not Resuscitate" (DNR) order. Since this admission, he lost the capacity to make his own healthcare decision. As of 12/30/08, his physician appointed a health care surrogate (HCS) to make these decisions on his behalf, in accordance with his known wishes as required by State law. Further review, however, found no evidence to reflect the facility fully informed the HCS of the resident's DNR decision. During an interview with the social worker at 1:45 p.m. on 01/27/10, she acknowledged she had not discussed the resident's code status with the HCS, but she stated she would do this as soon as possible. b) Residents #41, #34, and #53 A review of the Medicare denial letters for the aforementioned residents revealed the facility failed to indicate which skilled service was being discontinued and the reason(s) for this non-coverage. When this was discussed with the administrator at 9:30 a.m. on 01/27/10, he agreed this information was not present. A follow-up interview with a nurse (Employee #27) confirmed this information was not being included in the denial notices at present, as she was not aware it was required. . | 2015-06-01 |