cms_WV: 10586
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 |
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10586 | GRAFTON CITY HOSPITAL | 515057 | 1 HOSPITAL PLAZA | GRAFTON | WV | 26354 | 2009-07-30 | 387 | E | 0 | 1 | OPXH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the attending physician for seven (7) of thirteen (13) residents reviewed failed to complete a physician's visit at least once every thirty (30) days for the first ninety (90) days after admission and at least once every sixty (60) days thereafter, as required. Resident identifiers: #24, #56, #1, #41, #12, #49, and #15. Facility census: 60. Findings include: a) Resident #24 When reviewed on 07/27/09, the medical record disclosed this resident had been admitted to the facility on [DATE], following hospitalization for fall resulting in vertebral fracture and a subdural hematoma. Further review disclosed no evidence the resident was seen by her attending physician until 07/26/09. When interviewed on 07/27/09, the facility's director of nursing (DON - Employee #4) could provide no further evidence to reflect the physician had seen the resident at an earlier date. b) Resident #56 When reviewed on 07/28/09, the medical record disclosed this resident had been admitted to the facility on [DATE], having transferred from another facility. Further review disclosed the resident's attending physician had seen her and written a progress note on 01/16/09. A physician's assistant (PA) had visited the patient for a "chart review" on 02/26/09. The resident's physician had not made a second visit until 07/26/09. This was confirmed by the DON during an interview at 3:00 p.m. on 07/28/09. c) Resident #1 When reviewed on 07/29/09, the medical record disclosed this resident had been admitted to the facility on [DATE], with medical [DIAGNOSES REDACTED]. A progress note, dated 07/10/08, was written by the resident's attending physician. Although the record disclosed numerous physician orders [REDACTED].#1 since that date (07/10/08), until 07/28/09. No evidence to the contrary could be provided by facility staff at the time of exit at 3:00 p.m. on 07/30/09. d) Resident #41 When reviewed on 07/29/09, the medical record disclosed this individual had been a resident of this facility since 2005. When reviewed, it was determined the resident's attending physician had entered a progress note on 04/28/09. A PA had entered a progress note on 05/01/09, and no further visits by a physician or physician extender were documented until 07/26/09. No evidence to the contrary could be provided by facility staff at the time of exit at 3:00 p.m. on 07/30/09. This interval does not meet the requirement that the physician visit the resident every sixty (60) days, which can be alternated with visits by a PA. e) Resident #12 Medical record review, on 07/28/09, discovered this resident had been admitted to the facility on [DATE]. The physician visited and wrote a progress note on 04/28/09. The resident was later seen by a physician's assistant on 05/30/09 and on 06/26/09. There was no evidence to reflect the resident was seen by a physician every thirty (30) days for the first ninety (90) days following admission, as required. f) Resident #49 Medical record review, on 07/30/09, discovered this resident had been admitted to the facility on [DATE]. The entry into the physician's progress notes was made by a PA on 05/30/09. There were no further progress notes until 07/27/09, at which time the resident was seen by the attending physician. There was no evidence to reflect the resident was seen by a physician every thirty (30) days for the first ninety (90) days following admission, as required. g) Resident #15 Medical record review, on 07/30/09, disclosed the attending physician had not alternated visits with the physician's assistant as required. Progress notes revealed the resident had been seen by a PA on 02/26/09, 04/24/09, 05/30/09, and 06/03/09, with no alternating visits by the attending physician. h) During an interview on 07/30/09 at 1:30 p.m., the DON confirmed the attending physician did not make the required visits following admission to the facility or alternate visits with the PA for Residents #12, #49, and #15. . | 2015-01-01 |