cms_WV: 105

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
105 HUNTINGTON HEALTH AND REHABILITATION CENTER 515007 1720 17TH STREET HUNTINGTON WV 25701 2018-08-23 773 D 0 1 TKSO11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure two of seven residents reviewed for unnecessary medications obtained laboratory services as ordered by the physician. Resident identifiers: #84 and #93. Facility census: 176. Findings included: a) Resident #93 Resident #93 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. Review of the admission physician's orders dated 01/23/18, was conducted on 08/22/18 at 2:30 PM and revealed an order for [REDACTED].#93 to have his vitamin D level monitored every 6 months. The physician's orders documented the vitamin D level was to be performed in (MONTH) (YEAR). Further review of the clinical record revealed there was no evidence Resident 93's laboratory test for a vitamin D level was obtained in (MONTH) (YEAR). Interview with Licensed Practical Nurse (LPN) #170 on 08/22/18 at 2:18 PM revealed they were not able to find the physician ordered Vitamin D laboratory test results from (MONTH) (YEAR). A call was made to the laboratory responsible for conducting the test and the facility was informed the Vitamin D laboratory test for Resident #93's had never been completed. Staff #170 stated they were unsure of why Resident #93 failed to have the ordered laboratory testing to monitor his vitamin D level. During an interview with LPN Staff #170 again on 08/23/18 at 8:48 AM at the 400 nurses station revealed they had done more research but were still not able to determine why the vitamin D level was not obtained for Resident #93. Staff #170 stated the process for obtaining laboratory tests is the order for the test is obtained and the information is relayed to the laboratory for them to collect the blood sample. He verified Resident #93 was admitted to the facility with an order for [REDACTED]. During an interview with the Director of Nursing and the Administrator on 08/23/18 at 10:35 AM, they both verified Resident #93 failed to have his vitamin D laboratory test completed according to his current physician orders. Review of the facility policy for Diagnostic Testing on 08/23/18 at 10:30 AM revealed the policy was dated 11/17. The policy documented laboratory services provided must be both accurate and timely. Timely means that the tests are completed, and results are provided to the facility within timeframe's normal for appropriate intervention. The facility is responsible for quality and timely services whether services are provided by the facility or an outside agency. b) Resident #84 A review of the admission record for resident #84 was conducted on 08/22/18 at approximately 4:52 PM. The admission record revealed that Resident #84 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A review of the physician's orders for Resident #84 was conducted on 08/22/18 at approximately 4:52 PM. The order summary noted that Resident #84 was scheduled to have a HgbA1C (a measure of average blood sugar over the past 3 months) every three months d/t (due to) DM (Diabetes Mellitus)-Due (MONTH) (YEAR). Upon further review, it was determined that the HgbA1C laboratory (lab) results were not located in the clinical record. An interview was conducted with nurse #28 on 08/22/18 at approximately 4:52 PM regarding the missing HgbA1C level for the month of (MONTH) (YEAR). Nurse #28 stated, It's not in the lab book and the lab doesn't have it in their records either. Nurse #28 shared that she had looked in the both the clinical record and well as the South unit's lab book. She explained that the lab book maintains labs that need to be drawn daily. Nurse #28 stated that she had also called the lab to see if they had the lab in their database, but there was no record of the HgbA1C. A review of the MDS (Minimum Data Set) assessment was conducted on 08/22/18 at 4:59 PM. The MDS assessment, dated 04/27/18, had the resident coded as having a [DIAGNOSES REDACTED]. The MDS assessment also indicated that the resident had received insulin injections on six occasions within the last seven days. An interview was conducted with the Director of Nursing (DON) regarding the missing HgbA1C level on 08/22/18 at 5:07 PM. The DON said she would follow-up on the missing HgbA1C level. A review of the facility's policy entitled Diagnostic Services Management, dated (MONTH) (YEAR), was reviewed on 08/24/18 at approximately 10:30 AM. The policy read in in part, Residents requiring laboratory, radiology or other diagnostic services will receive accurate and timely testing services from certified diagnostic facilities in accordance with Federal regulations to support [DIAGNOSES REDACTED]. The facility is responsible for quality and timely services whether services are provided by the facility or an outside agency. 2020-09-01