cms_WV: 11186
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
11186 | RALEIGH CENTER | 515088 | PO BOX 741 | DANIELS | WV | 25832 | 2010-11-12 | 225 | D | 1 | 0 | OP3T11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on family interview, medical record review, staff interview, review of personnel records, and policy review, the facility failed to ensure all allegations of abuse / neglect were immediately reported (in accordance with facility policy and State law) and thoroughly investigated for two (2) of two (2) allegations reviewed. Resident identifiers: #100 and #34. Facility census: 62. Findings include: a) Resident #100 A family interview, conducted on 11/11/10 at 9:45 a.m., revealed Resident #100 was not turned for two (2) days. The family member stated that, on 09/18/10 and 09/19/10, family sat with the resident and noted no staff members coming into the room to turn the resident. The family member stated that a turning schedule posted on the inside of the closet door was left blank for both dates when reviewed on 09/20/10. The family member stated she reported the failure to turn the resident to the licensed practical nurse (LPN - Employee #9) on the morning of 09/20/10. Review of the medical record found Resident #100 was admitted to the facility on [DATE] with three (3) Stage II wounds and one (1) unstageable wound to her coccyx. The facility instituted treatment to the areas which required debridement and resulted in one (1) Stage IV wound. Review of the care plan in effect during this time period found the resident was to be assisted to turn and reposition every two (2) hours and as needed. Review of facility policy titled "1.0 Abuse Prohibition" found that all allegations were to be reported to the supervisor immediately. An interview with Employee #9, on 11/12/10 at 1:00 p.m., confirmed the family member reported to this nurse that her mother had not been turned for two (2) days. The nurse could provide no evidence this allegation of neglect had been reported to supervisory staff in accordance with facility policy, nor was there any evidence to reflect this allegation of neglect was immediately reported to State agencies as required by law. An interview with the administrator (Employee #65), on the afternoon of 11/12/10, revealed he was unaware any allegations had been made that Resident #100 had not been turned. He agreed this should have been reported and investigated. - b) Resident #34 Review of personnel files, on 11/12/10 at 2:50 p.m., found a corrective action notice issued to Employee #51 (a nursing assistant) dated 04/27/10. Employee #51 was assigned to care for Resident #34, and the notice documented, "Resident... /c (with) wet, soiled brief saturated thru (sic) draw sheet & sheet. Resident stated 'I wished could walk so I didn't have to stay wet.' Bedpan discarded in trash can on tx (treatment) cart." Review of documentation of allegations of abuse / neglect that were self-reported to State agencies found no evidence this neglect of Resident #34 (by Employee #51 ) had been reported to State agencies as required. The administrator agreed this allegation of neglect should have been reported. . | 2014-07-01 |