cms_WV: 11252
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
11252 | GRANT COUNTY NURSING HOME | 515151 | 27 EARLY AVENUE | PETERSBURG | WV | 26847 | 2010-07-16 | 157 | D | 1 | 0 | F0GM11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on medical record review, incident report review, family interview, and staff interview, the facility failed to notify the resident ' s legal representative or an interested family member and/or the physician in a timely manner of an accident with injury and/or potential for the need of medical intervention for one (1) of eight (8) sampled residents. Resident identifier: #19. Facility census: 107. Findings include: a) Resident #19 A review of Resident #19's medical record revealed she fell at 1:30 a.m. on Saturday, 05/22/10, and sustained a hematoma over the left eye. The incident report filed by the nurse (Employee #13) indicated the physician was not informed and that the daughter (not the resident's legal representative) was informed of the fall over thirteen (13) hours later at 2:40 p.m. on 05/22/10. At 8:20 p.m. on 05/23/10, a nurse recorded the following assessment in the resident's nursing notes: "97.8 122/58 76 21 (these are temperature, blood pressure, pulse, and respirations) Sats (blood oxygen saturation level) 80% room air; res (resident) up ambulating per normal; 0 (no) C/O (complaints of) discomfort except when palpating small hematoma upper medial L (left) eyebrow; retook Sats (sign for after) 5 min Sats now 70% then dropped to 64%; res with C/O feeling cold; fingers with bluish tinge and cold; O2 (oxygen) @ 2L (liters) via concentrator via N/C (nasal cannula) attached to res." This entry was made by entered by a licensed practical nurse (LPN - Employee #15). An assessment of the resident, at 5:00 a.m. on 05/24/10, stated: "... bruising remains to L eye and L side of face, bruising noted under R (right) eye also - has quarter size knot on inner side of eye brow L which is tender to touch." At 10:45 a.m. on 05/24/10, the resident's daughter filed a complaint with the social worker (Employee #14), because of the thirteen (13) hours that had lapsed before she was contacted. During a telephone interview with the daughter at 8:00 p.m. on 07/01/10, she verified she had not been notified until 2:40 p.m. and that she knew her brother (the resident's legal representative) had not been called. The attending physician was notified at 2:15 p.m. on 05/24/10 of the recent fall and the hematoma and [MEDICAL CONDITION] to lower eyelid. An x-ray was ordered at that time and neurological monitoring was started. The resident's son was not notified until 2:20 p.m. on 05/24/10, after the complaint was filed, at which time he was also notified that an x-ray had been ordered. The x-ray was completed later the same day. This was verified by the director of nursing (DON) and by the documentation attached to the complaint. The nurse who had failed to notify the family was disciplined. During an interview with the DON at 2:10 p.m. on 07/15/10, she acknowledged the accuracy of the documentation but stated she did not know why the nurses had waited to notify the family or the physician, except that it was the weekend and she was not present in the facility. . | 2014-07-01 |