cms_WV: 10770

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
10770	SALEM CENTER	515071	146 WATER STREET	SALEM	WV	26426	2010-04-22	329	D	0	1	UDOR11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on medical record review and staff interview, the facility failed, for one (1) of thirty-seven (37) Stage II sample residents, to ensure the resident's medication regimen was free from unnecessary drugs given without adequate indications for use. Resident #81 was seeing a consultant psychiatrist on an outpatient basis every two (2) months; per family request, this consultant physician was the only person permitted to make changes to her psychoactive medications. There was no documentation in the resident's medical record by the consultant physician of the clinical rationale for continued use of antianxiety and antipsychotic medications. Resident identifiers: #81. Facility census: 94. Findings include: a) Resident #81 Medical record review, on 04/20/10, revealed Resident #81 received [MEDICATION NAME] 0.5 mg by mouth every six (6) hours as needed for anxiety, [MEDICATION NAME] 2.5 mg two (2) times a day an 8:00 a.m. and 2:00 p.m. due to behavioral disturbances, and [MEDICATION NAME] 5 mg by mouth every night for behavioral disturbances. According to the medical record, her behaviors were stable for the past year. Additional information in the medical record revealed only the consultant physician was permitted to make any changes in the resident's medications. No information could be found in the medical record concerning any consultations this resident had with this physician. In an interview on 04/10/10 at 2:36 p.m., a licensed practical nurse (LPN - Employee #79) identified that, a year ago, Resident #81 had some serious problem behaviors. The family now comes in every two (2) months and takes her to their own physician; if changes are needed in her medications, he makes them. Otherwise, this consultant physician does not make any documentation in the medical record, nor does he review the resident's overall medical record. Employee #79 also reported that, for about the past year, Resident #81's behaviors have been stable. In an interview on the evening of 04/21/10, the coordinator of the Alzheimer's unit on which Resident #81 resides (Employee #20) was asked if the consultant physician makes any documentation in Resident #81's medical record. The following morning on 04/22/10, Employee #20 produced a note from a surveillance visit dated 03/09/10, which she had obtained the evening before. . .	2014-12-01