cms_WV: 145
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 145 | HUNTINGTON HEALTH AND REHABILITATION CENTER | 515007 | 1720 17TH STREET | HUNTINGTON | WV | 25701 | 2019-10-10 | 578 | E | 0 | 1 | RPKM11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to ensure that each resident's Physician order [REDACTED]. This failed practice had the potential to affect all residents residing at the facility. Resident identifiers: #125, #139, #9, #95, #108, and #137. Facility census: 182. Findings included: a) Resident #125 Review of Resident #125's medical records found a POST form completed and signed by the attending physician on [DATE]. No signature and/or verbal consent documented on the POST form. Interview with the Director of Nursing (DON) on [DATE] at 2:00 pm, confirmed there was no resident/family signature on the POST form dated [DATE]. b) Resident #139 Review of Resident #139's medical records found a POST form completed and signed by the attending physician and verbal consent given on [DATE]. The POST form was inaccurately marked to attempt resuscitation/CPR and comfort measures. Interview with the Director of Nursing (DON) on [DATE] at 2:00 pm, confirmed the POST form dated [DATE] was inaccurately noted the resident should have been marked Do Not Resuscitate/DNR. c) Resident #137 Review of Resident #137's physician's orders [REDACTED].N. (Registered Nurse) may pronounce death - (MONTH) have IV fluids for trial period no longer than 3 days - No feeding tube. Review of Resident #137's medical records revealed a Physician order [REDACTED]. During an interview on [DATE] at 2:57 PM, the Director of Nursing and the District DIrector of Clinical Services were informed Resident #137's most recent POST form did not correspond with the current physician's orders [REDACTED]. On [DATE] at 4:03 PM, the administrator was notified of the situation. During an interview on [DATE] at 3:00 PM, the Director of Nursing stated the order had been corrected. d) Resident #108 During a review of Resident #108's medical record on [DATE] at 9:34 AM Resident #108's physician orders [REDACTED].#108's preferences for intravenous (IV) fluids or a feeding tube. However, Resident #108's physician's orders [REDACTED]. The above findings were discussed with the facility's Director of Nursing (DoN) as well as District Director of Clinical Services on [DATE] at 2:50 PM. The DoN acknowledged that Resident #108's POST form and orders did not match. No further information was provided prior to exit. e) Resident #9 On [DATE] at 8:36 AM, a record review of the resident's chart on the unit revealed that there was a Physician order [REDACTED]. The POST form is an advanced directive, indicating resident / resident representative's wishes. The POST form was signed by Resident #9's medical power of attorney (MPOA) / healthcare surrogate / resident representative on [DATE]. As of [DATE], Resident #9's POST form had not been signed by a physician. According to the POST form, Resident #9 was supposed to be a Do No Attempt Resuscitation (DNR), comfort measures, intravenous (IV) fluids for a trial period to be determined, and a feeding tube long term. Employee #199 verified that the POST form had not been signed by a physician. On [DATE] at 8:22 AM, the findings were discussed with the Administrator and the Director of Nursing (DON) and no further information was provided f) Resident #95 On [DATE] at 8:36 AM, a record review of the resident's chart on the unit revealed that there was a Physician order [REDACTED]. The POST form is an advanced directive, indicating resident / resident representative's wishes. The POST form was signed by Resident #95's medical power of attorney (MPOA) / healthcare surrogate / resident representative on [DATE]. As of [DATE], Resident #9's POST form had not been signed by a physician. According to the POST form, Resident #95 was supposed to be attempt Cardiopulmonary Resuscitation (CPR), full interventions, intravenous (IV) fluids for a trial period to be determined, and a feeding tube to be determined at time of need. Employee #199 verified that the POST form had not been signed by a physician. On [DATE] at 8:22 AM, the findings were discussed with the Administrator and the Director of Nursing (DON) and no further information was provided. | 2020-09-01 |