cms_WV: 11528

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.

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
11528 HEARTLAND OF KEYSER 515122 135 SOUTHERN DRIVE KEYSER WV 26726 2010-09-03 225 E     GVP311 . Based on record review and staff interviews, the facility did not ensure that four (4) of eight (8) resident concern forms reviewed, containing allegations of resident abuse / neglect involving nursing assistants, were reported to the State nurse aide registry. Resident identifiers: #115, #116, #117, and #20. Facility census: 114. Findings include: a) A review of the facility's complaint file revealed four (4) resident concern forms containing allegations of resident abuse / neglect which involved nursing assistants. These allegations of abuse / neglect were reported to the facility by family members and residents as follows: 1. A concern form, dated 07/20/10, stated the medical power of attorney representative (MPOA) of Resident #115 reported finding the resident lying wet with food on her clothes. 2. A concern form, dated 08/21/10, stated Resident #116 "stated she wanted to use BSC (bedside commode) but was told by 11-7 (night shift staff) that she needed to use the bedpan - 'that it's our protocol'. When she used the bedpan, the bed got wet. Res (resident) states only the top sheet was changed & the fitted sheet was still wet. When she told the CNA (certified nursing assistant) the bottom sheet was still wet, res says CNA said 'It's not wet unless you peed again' then (symbol for 'checked') the sheet & told res is was dry. Later res says she was cold & asked for a blanket. States CNA took her temp (97.1) & was told she 'didn't need a blanket.' Res was upset enough to tell (name of nurse) that she was ready to sign out AMA (against medical advice) the next morning. ..." 3. A concern form, dated 08/21/10, stated, "... Res (Resident #117) said 'I'm not one to complain' then hesitated. When asked what the problem was, he said 'You know. Night shift.' I asked what happened. Res stated 'When I had my light on, they came in & said 'What do you want now.' Res inferred it was said in a (sic) unpleasant tone of voice. Res then said CNA turned off the light & left the room." 4. A concern form, dated 07/15/10, stated, "Resident (#20) upset this AM (morning) stated that NS (night shift) ref (refused) to assist to BSC. Resident stated that NS staff told her that they could not get her OOB (out of bed) to BSC D/T (due to) only 3 staff & she requires 2 ppl (people) to do. Resident state (sic) this is a dignity issue. 'Why can't they not stand & pivot?'" - An interview with the assistant director of nursing (ADON - Employee #23), on 09/02/10 at 3:05 p.m., revealed she was in charge of reviewing the complaints and reporting allegations to the appropriate State agency(ies). She further stated the four (4) complaints with the allegations of abuse / neglect were investigated by her and were not submitted to the State agency. She stated she talked with the nursing assistants involved but did not submit the allegations to the State nurse aide registry. - In an interview on 09/02/10 at 4:30 p.m., Resident #20, who was alert and oriented with the capacity to understand and make her own health care decision, stated she had asked an aide to assist her to the bedside commode and the aide refused. The resident knew who the aide was, but would not tell the surveyor. The resident stated she had told the facility's investigating nurse the name of the aide. She further stated, "This was a dignity issue." . 2014-01-01