cms_WV: 10707

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
10707	GUARDIAN ELDER CARE AT WHEELING, LLC	515002	20 HOMESTEAD AVENUE	WHEELING	WV	26003	2009-08-20	281	D	0	1	S2JZ11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed, one (1) of twenty-one (21) sampled residents, to ensure a medication was properly administered. A nurse administered via gastrotomy tube a medication that was not recommended to be crushed. Resident identifier: #25. Facility census: 138. Findings include: a) Resident #25 Medication observation, completed on the morning of 08/19/09, found on Resident #25's Medication Administration Record [REDACTED]. However, the order on the MAR failed to indicate this medication was sustained release. Review of the actual medication contained in the cart found it was [MEDICATION NAME] SR (sustained release). At 9:00 a.m., the dispensing pharmacy was called, and the pharmacist (Employee #154), when interviewed, identified that the medication supplied to Resident #25 was extended release and should not be crushed for administration via the gastrotomy tube. Subsequent review of the MAR indicated [REDACTED]. According to http://www.rxlist.com/[MEDICATION NAME]-sr-drug.htm: "It is particularly important to administer [MEDICATION NAME] SR Tablets in a manner most likely to minimize the risk of [MEDICAL CONDITION] (see Warnings). Gradual escalation in dosage is also important if agitation, motor restlessness, and [MEDICAL CONDITION], often seen during the initial days of treatment, are to be minimized. If necessary, these effects may be managed by temporary reduction of dose or the short-term administration of an intermediate to long-acting sedative hypnotic. A sedative hypnotic usually is not required beyond the first week of treatment. [MEDICAL CONDITION] may also be minimized by avoiding bedtime doses. If distressing, untoward effects supervene, dose escalation should be stopped. [MEDICATION NAME] SR should be swallowed whole and not crushed, divided, or chewed. .	2014-12-01