cms_WV: 10586

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
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