cms_WV: 1333
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 |
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1333 | HARPER MILLS | 515086 | 100 HEARTLAND DRIVE | BECKLEY | WV | 25801 | 2019-07-03 | 686 | D | 1 | 0 | X6R911 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review, staff interview and policy review, the facility fails to timely provide the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for one (1) of five (5) residents reviewed for pressure ulcer care. Resident identifer: #4. Facility census: 181. Findings included: a) Resident #4 A review of the weekly wound evaluation found on 07/02/19 at 2:10 PM, Resident #4 had a Stage II pressure ulcer on her right posterior thigh measuring three (3) centimeters (CM) by three (3) CM with a depth of 0.1 CM. The nursing staff measured Resident #4's pressure ulcer the day after the resident was admitted , which was 05/21/19. A review of Resident #4's physician order [REDACTED].#4's right posterior thigh with in house wound care, pat dry, apply barrier cream ever shift and whenever needed (PRN). An interview was conducted on 07/02/19 at 2:34 PM, with Registered Nurse (RN) #240. This RN revealed Resident #4's pressure ulcer to her right posterior thigh was identified on admission. RN #240 said she had so many wound care orders to write that she had failed to write the wound care order the physician had given her for Resident #4's Stage II pressure ulcer to her right posterior thigh on 05/21/19, when she wrote all the rest of Resident #4's wound care orders. RN #240 confirmed that she did not realized the physician order [REDACTED]. RN #240 stated that, this is the reason why the physician order [REDACTED].#240 confirmed Resident #4 did not receive wound care for three (3) day. RN #240 was asked whether she had notified the physician once she identified the wound care order was not written and no wound care was provided to Resident #4's right posterior thigh pressure ulcer. RN #240 stated, No. A review of the facility's policy wound treatment guidelines finds the center will follow specific physician order [REDACTED].> | 2020-09-01 |