cms_WV: 10301

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

This data as json, copyable

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
10301	MONTGOMERY GENERAL HOSP., D/P	515081	WASHINGTON STREET AND 6TH AVENUE	MONTGOMERY	WV	25136	2010-05-13	329	D	0	1	MM9U11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on record review and staff interview, the facility failed, for two (2) of twenty-one (21) Stage II sample residents, to assure their drug regimen was free of unnecessary drugs including drugs without adequate monitoring. One (1) resident was receiving an antipsychotic medication for behaviors with no evidence those behaviors continued to be present. One (1) resident was receiving a medication for lowering cholesterol levels without evidence of recommended lab studies to assure their safety. Resident identifiers: #34 and #31. Facility census: 34. Findings include: a) Resident #34 When reviewed on 05/05/10, the resident's medical record disclosed he was receiving [MEDICATION NAME] 50 mg two (2) times daily for agitation. The resident had been receiving the medication since 07/29/09. When reviewed for behaviors associated with the agitation, documentation suggested the resident became agitated when staff attempted to persuade him to shower. The record disclosed nurses' notes on only two (2) occasions, 02/10/10 and 03/02/10, both associated with attempts to bath resident. The resident's behavior monitoring sheets for February 2010 through April 2010 disclosed agitated behaviors on three (3) occasions in March 2010. The resident's care plan, when reviewed, disclosed the following problem statement identified by staff on 05/12/09: "Behavior problem related to verbally abusive behavior as evidenced by verbally abusive." On 02/03/10, the care plan problem stated, "D/C (discontinue) no behavior issues for some time now." A pharmacy recommendation, dated 12/23/09, requested the resident's attending physician attempt a gradual dose reduction of the medication. The physician stated "no change" and did not decrease the medication. The physician declined an additional request for a gradual dose reduction attempt on 04/15/10, with no explanation given. These findings were brought to the attention of the vice president of nursing services (Employee #32) and the unit's director of nurses (Employee #31) at 11:50 a.m. on 05/13/10. Employee #31 stated the resident did have behaviors and there had been unsuccessful attempts to reduce the medication dosage in the past. At the time of exit from the facility on 05/12/10 at 5:00 p.m., staff had provided no evidence of attempts to decrease this resident's medication. b) Resident #31 Medical record review revealed this resident was receiving [MEDICATION NAME]. According to the manufacturer's recommendations, liver function should be monitored for residents who use this medication. This resident was not monitored for liver function. .	2015-05-01