cms_WV: 10745

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.

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
10745 PLEASANT VALLEY NSG. & REHAB C 515064 1200 SAND HILL ROAD POINT PLEASANT WV 25550 2011-08-31 155 D 1 0 H3XI11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on record review and staff interview, the facility failed to assure the advance directives of one (1) of six (6) sampled residents were honored by the facility. Resident #94's expressed her wishes with respect to advance directives in writing prior to losing the capacity to make her own informed medical decisions. The facility permitted the resident's medical power of attorney representative (MPOA) to change these written instructions for end-of-life care after the resident was no longer able to express her wishes. Facility census: 93. Findings include: a) Resident #94 A review of Resident #94's closed medical record revealed she was admitted to the facility on [DATE]. On 05/08/11, the physician determined she possessed the capacity to make her own informed health care decisions. Further record review disclosed a combined WV Advance Directive / Living Will / Medical Power of Attorney document, which had been completed and signed by Resident #94 on 03/13/07. This form contained the following: "If I should reach a point when I lack capacity to make medical decisions, am in a terminal state, or become permanently unconscious or remain in a permanent vegetative state I have indicated my wishes by my initials on the lines below." In the section of the document labeled Living Will, the resident indicated she did not want life prolonging treatment and wished to be permitted to die naturally with only the administration of any medication or the performance of any medical treatment deemed necessary to alleviate pain. Regarding the administration of artificial nourishment, the resident stated, "I do not want artificially provided water or other artificially provided nourishment or fluids (tube feedings intravenous fluids etc)." The form had an area labeled "Special Directions or Limitations", in which the resident indicated she wanted to be kept comfortable and was to be a DNR (do not resuscitate). In the section designating a medical power of attorney representative, the resident identified her daughter as the person to "make health care decisions for me, in accordance with this directive, when I no longer have decisional capacity and cannot communicate my healthcare wishes." The resident was discharged to home on 06/02/11. She was then readmitted to this facility on 06/30/11, after she had a fall at home resulting in a hospitalization . When the resident was readmitted , her previous advance directives remained unchanged. On 06/30/11, the physician subsequently determined she no longer possessed the capacity to understand and make her own health care decisions capacity to make her own decisions. On 07/01/11, the resident's MPOA came to the facility and changed her code status to a "Resuscitate", which was contrary to the wishes the resident specifically stated in her advance directives. The administrator and director of nursing were made aware of this finding at 10:30 a.m. on 08/31/11. The administrator contacted by telephone the nurse who changed this resident's code status to a "Resuscitate". The administrator then related that the resident's MPOA requested the change, so the nurse completed a new form. 2014-12-01