cms_WV: 153

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
153 HUNTINGTON HEALTH AND REHABILITATION CENTER 515007 1720 17TH STREET HUNTINGTON WV 25701 2019-10-10 689 D 0 1 RPKM11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to provide an environment free from accident hazards over which the facility had control. This was true for 1 of 5 residents reviewed for care area of accidents. This practice had the potential to affect a limited number of residents. Resident identifiers: R#116. Facility census: 181 Findings included: a) Resident #116 Review of resident (R#116)'s recent annual minimum data set (MDS) with an assessment reference date (ARD) 09/06/19, on 10/08/19 at 03:53 PM, revealed the following. The resident's Brief Interview for Mental Status (BIMS) score is 3 indicating the resident has a severe cognitive impairment. R#116 needs extensive assistance with all activities of daily living and has range of motion impairments on both sides of his upper and lower extremities. The resident has an indwelling catheter and is continent of bowels. Some pertinent [DIAGNOSES REDACTED]. The resident takes Antipsychotic medication daily. The resident has history of falls and currently participates in occupational therapy services. Review of records, on 10/08/19 at 04:23 PM, revealed the resident had an unwitnessed fall in the courtyard on 08/19/19. The resident fell out of his wheelchair bending forward to retrieve an item off the ground. The resident suffered an abrasion above the right eye on 08/19/19. Approximately a month later, on 09/12/19, the resident again fell out of wheelchair in courtyard reaching forward to pick something up off the ground, causing an abrasion to the back of his left hand's knuckle area. On 10/09/19 at 10:29 AM, an interview with Registered Nurse (RN#96) revealed at every morning meeting a post fall review from the day before is completed. If a fall is unwitnessed or if the resident hits their head, then a physical therapy referral is made for an evaluation and neuro checks are done for 3 days after the fall. Records showed an interdisciplinary team (IDT) meeting note dated 8/20/19, was held to discuss the fall occurring on 8/19/19. The note included the following Intervention: hey therapy (physical therapy referral), neuro-checks, skin treatment/first aid, provider eval with an order for [REDACTED]. Review of records showed a revision was made to R#116's care plan after the first fall but no revisions were made the second time the resident had a similar fall. R#116's care plan, on 10/09/19 at 10:56 AM, revealed the facility's intervention was to provide the resident with a reacher at bedside. A reacher is a reaching extension tool used for grasping items in hard-to-reach places without having to bend over. This intervention would be helpful to the resident with picking up items without the resident stretching out and toppling forward, however the resident was not toppling forward out of his bed, but out of his wheelchair. There was no evidence the facility assessed or reevaluated the effectiveness of the intervention of a reacher bedside after the resident had the second similar fall. There was no evidence the facility monitored or encouraged the resident to use the reacher. An interview with RN#96, on 10/09/19 at 11:08 AM, revealed RN#96 confirmed there was no evidence the facility assessed or reevaluated the effectiveness of the intervention of a reacher bedside. RN#96 said, The resident did not fall out of the bed, but both times out of his wheelchair, reaching for things on the ground. RN#96 reviewed records and confirmed there was no evidence the facility monitored or encouraged the resident to use the reacher, nor were there any other different interventions put into place after the second fall. 2020-09-01