cms_WV: 154

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.

Data source: Big Local News · About: big-local-datasette

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
154	HUNTINGTON HEALTH AND REHABILITATION CENTER	515007	1720 17TH STREET	HUNTINGTON	WV	25701	2019-10-10	698	D	0	1	RPKM11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Bsed on record review and staff interview, the facility failed to ensure the [MEDICAL TREATMENT] Communication Record post [MEDICAL TREATMENT] section was completed for Resident #151 each time he went to [MEDICAL TREATMENT]. The facility failed to follow up with the [MEDICAL TREATMENT] center regarding pre and post weights, and failed to follow the medication recommendations from the [MEDICAL TREATMENT] center. This practice had the potential to affect a limited number of residents. Resident identifiers: R#151. Facility census: 181 Findings included: a) Resident #151 Resident (R#151) was transferred and admitted to the facility on [DATE], after the resident had a failed kidney transplant. Some pertinent [DIAGNOSES REDACTED]. The resident was admitted to current [MEDICAL TREATMENT] services on 09/04/19. Interview with Licensed Practical Nurse (LPN#84), on 10/09/19 at 01:55 PM, revealed the facility maintains a communication record with the [MEDICAL TREATMENT] center in a [MEDICAL TREATMENT] communication book. The facility keeps forms in the book that requires pertinent information to be recorded by [MEDICAL TREATMENT] staff and facility nursing staff. Review of the resident's [MEDICAL TREATMENT] communications book with LPN#84 revealed the post [MEDICAL TREATMENT] section for R#151 was not completed by [MEDICAL TREATMENT] staff each time R#151 went to [MEDICAL TREATMENT]. The facility staff failed to follow up and obtain the pre and post weights from the [MEDICAL TREATMENT] center on 09/06/19, and post weights on 09/11/19. The facility staff failed to follow up or discontinue medications the [MEDICAL TREATMENT] center identified on 09/06/19 and requested the resident stop taking. ` The [MEDICAL TREATMENT] communication sheet dated 09/06/19 revealed no pre or post [MEDICAL TREATMENT] weights were recorded. In the 'Recommendation/Follow-up' section of the communication sheet dated 09/06/19 where orders from the [MEDICAL TREATMENT] center are written, the [MEDICAL TREATMENT] center specified Stop Calcium Acetate, Stop [MEDICATION NAME], and Please continue [MEDICATION NAME]. Review of records showed, since R#151's admission to the facility, the resident was not taking [MEDICATION NAME] or [MEDICATION NAME]. The resident was taking [MEDICATION NAME] suspension related to kidney transplant status, which is a [MEDICATION NAME] for organ rejection. The resident was taking Calcium Acetate 1334 mg daily and continued to take it until surveyor intervention. LPN#84 confirmed staff should have contacted the [MEDICAL TREATMENT] center and obtained weights, followed the [MEDICAL TREATMENT] center recommendations, and clarified the resident's medications. Review of orders revealed Calcium Acetate Capsule 667 mg (milligrams). Give 2 capsule by mouth with meals every Mon, Wed, Fri related to End Stage [MEDICAL CONDITION] (Time on [MEDICAL TREATMENT] days) 2 capsules to equal 1334 mg; and Calcium Acetate Capsule 667 mg. Give 2 capsule by mouth with meals every Tue, Thu, Sat, Sun related to End Stage [MEDICAL CONDITION] (Timed for non-[MEDICAL TREATMENT] days) 2 capsules to equal 1334 mg. Review of R#151's Medication Administration Record [REDACTED]. The resident received Calcium Acetate (a base binder) for thirty-three (33) more days after it should have been discontinued. On 10/10/19 at 11:53 AM, a phone interview with the [MEDICAL TREATMENT] Center Clinic Manager revealed R#151 was admitted to [MEDICAL TREATMENT] service on 09/04/19 and labs were taken at that time showing the resident's calcium was high and phosphorus level was low. Calcium and phosphorus are essential minerals found in the bone, blood and soft tissue of the body and have a role in numerous body functions. The [MEDICAL TREATMENT] Center Clinic Manager stated their doctor does not like to use a calcium base binder (binds to phosphorus to remove phosphorus from the body) and since the resident's phosphorus was already low. The [MEDICAL TREATMENT] Center Clinic Manager voiced concern that by R#151 continuing to take the binder it could make R#151's phosphorus levels even lower. The [MEDICAL TREATMENT] Center Clinic Manager said the facility had contacted them yesterday and notified them the resident had continued to receive the Calcium Acetate, so labs were drawn, and they were awaiting the results. (Surveyor was notified by the [MEDICAL TREATMENT] Center Clinic Manager the last lab results were within normal limits.)	2020-09-01