cms_WV: 10608
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10608 | MONTGOMERY GENERAL HOSP., D/P | 515081 | WASHINGTON STREET AND 6TH AVENUE | MONTGOMERY | WV | 25136 | 2011-09-30 | 151 | D | 1 | 0 | 0VZD11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on medical record review and staff interview, the facility failed to allow one (1) of eight (8) sampled residents the right to exercise her rights as a resident of the facility. This resident was not permitted to choose how she wished to live her everyday life and receive care. The facility cleaned the resident's room without permission and did not allow the resident to refuse a medication when she clearly stated she did not want the medication. Resident identifier: #41. Facility census: 38. Findings include: a) Resident #41 Closed medical record review, on 09/28/11, revealed this resident was admitted to the facility on [DATE]. The resident was determined to possess the capacity to understand and make informed health care decisions in May 2011. According to the medical record, the resident was very upset on 06/06/11, because a nurse cleaned her dresser drawers, threw away some newspapers, and sent some soiled clothing to the laundry. There was no evidence that staff had obtained her permission to go through the resident's personal belongings when cleaning her room. Instead, all evidence suggested the resident was told, after the fact, why it was done. This was an infringement on the resident's rights which led to the following infringement on the resident's rights: - On 06/07/11, nurse's notes described the resident continued to be upset about her room being cleaned and her possessions being thrown away. Additionally, nurse's notes indicated the resident continued to be angry and agitated up to and including 06/10/11. - On 06/10/11, nurse's notes described the resident was agitated about the change in her medications and refused to take them. At 20:00 (8:00 p.m.), a telephone order was obtained for "[MEDICATION NAME] 1 mg IM now". At 20:10 (8:10 p.m.), when staff attempted to give the injection to this resident, the resident screamed, "You're not giving me no shot." The resident was walked to her room, all the while screaming "No, no, no." Nurse's notes described the resident as "shaking all over" and continued to scream as two (2) nurses assisted each other in giving the resident the injection in her left hip. According to the social worker's notes dated 06/07/11, the resident stated she did not like to take her medications because "she does not like how it makes her feel." It should be noted that [MEDICATION NAME] was one (1) of the medications the resident had refused to take by mouth. The resident's rights were violated when the resident refused [MEDICATION NAME] by mouth and was forced to take the same medication by injection. On 06/13/11, the facility again attempted to violate this resident's rights. Nurse's notes, on 06/13/11 at 05:55 (5:55 a.m.) revealed another telephone order was obtained for "[MEDICATION NAME] 1 mg IM now". Nurse's notes continued with, "... Unable to give resident shot. Became very agitated and belligerent and defensive. Not enough staff available @ this time to assist. She refuses to have [MEDICATION NAME]." Interview with the acting director of nursing (DON - Employee #171), at 10:30 a.m. on 09/29/11, confirmed that a discussion should have been held with the resident regarding cleaning of her room. Additionally, Employee #171 confirmed the resident should have been afforded the right to refuse the [MEDICATION NAME], and staff violated the resident's rights when they did not allow the resident to refuse the injection of [MEDICATION NAME] on 06/10/11. . | 2015-01-01 |