cms_WV: 11438
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
11438 | BOONE HEALTH CARE CENTER | 515117 | P.O. BOX 605 | DANVILLE | WV | 25053 | 2010-11-11 | 325 | D | IP7Z11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on record review, the facility failed to ensure one (1) of eleven (11) residents, who was identified as being at risk for weight loss, received nutritional supplements in accordance with physician orders. Resident identifier: #45. Facility census: 84. Findings include: a) Resident #45 Closed record review revealed this [AGE] year old female was originally admitted to the facility on [DATE]. Her current [DIAGNOSES REDACTED]. According to her October 2010 recapitulation of physician orders, Resident #45's diet order was as follows: "LCS / NAS (low concentrated sweets / no added salt) diet w/ ground meats. Encourage fluids w/ meals." To prevent weight loss, Resident #45's orders also included Glucerna 1 can by mouth twice daily and Med Pass 120 cc by mouth twice daily. According to her care plan, Resident #45 was "at risk for weight loss" related to [MEDICAL CONDITION] reflux, dementia, [MEDICAL CONDITION], and diabetes mellitus. Interventions for maintaining her weight at plus / minus 5# through the next review included: "... Med pass (sic) 120cc (sic) bid. Glucerna 1 can po bid for supplement." According to the September 2010 MAR, there were orders for Glucerna 1 can PO BID and Med Pass 120 cc BID. Both of the nutritional supplements were grouped together on this MAR indicated [REDACTED]. Because these orders were not listed separately, there was no way to verify, by the nurses' initials, that both daily doses of each product were administered as ordered. (See also citation at F514.) . | 2014-03-01 |