cms_WV: 10943

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
10943	HAMPSHIRE CENTER	515176	260 SUNRISE BOULEVARD	ROMNEY	WV	26757	2009-06-18	152	D	0	1	HO2T11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ascertain a capacitated resident's wishes with respect to advance directives, allowed a medical power of attorney representative (MPOA) to make a health care decision on behalf of the resident without the legal authority to do so, and failed to identify and resolve conflicts between physician's orders [REDACTED]. Resident identifier: #4. Facility census: 61. Finding include: a) Resident #4 Review of Resident #4's medical record, on 06/17/09, revealed she was admitted to the facility on [DATE], with admitting orders signed by the physician for "Advance Directives: DNR (do not resuscitate)." Review of the "Physician Determination of Capacity", dated 01/11/09, revealed the resident had the capacity to understand and make her own informed health care decisions. The "staff member involved" with the completion of Resident #4's Advanced Directive Acknowledgment Form (Employee #63) marked an "X" at Item 6 indicating, "Do not perform cardiopulmonary resuscitation", and recorded, "Per conservation with POA (power of attorney) 01/09/09 2:50 PM." There was no signature of the form from the person making this health care decision on behalf of Resident #4, and there was no indication that Resident #4, who had the capacity to make this decision herself, was consulted regarding this matter. The "physician acknowledgement" of the form was signed by the physician on 01/09/09. Review of the resident's history and physical, dated and signed by the physician on 01/12/09 at 3:50 p.m., revealed: "CODE STATUS: FULL RESUSCITATION in the event of cardiopulmonary arrest, including intubation with mechanical ventilation and/or cardioversion pending her POST form and official DNR status. Will get further details from the long-term care unit." Review of the Physician order [REDACTED]. The form had been signed by the resident's MPOA - not the resident, and the MPOA's signature was not dated. The physician had signed and dated the form on 01/18/09. Interview with the director of nursing (DON), on the afternoon of 06/17/09, confirmed there was conflicting information regarding the resident's advances directives. The DON said the facility would need to ascertain the resident's desires with respect to resuscitation status and honor her wishes. .	2014-11-01