cms_WV: 159

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
159 HUNTINGTON HEALTH AND REHABILITATION CENTER 515007 1720 17TH STREET HUNTINGTON WV 25701 2019-10-10 758 E 0 1 RPKM11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure residents were free from unnecessary use of [MEDICAL CONDITION] medications. This was true for two (2) of five (5) reviewed for unnecessary medications. Resident identifiers: #161, and #9. Facility census: 182. Findings included: a) Resident #161 During a review of medical records for Resident #161 on 10/08/19 at 12:30 PM, revealed a statement on his Care Plan, it states, Resident #161 receives antipsychotic medication-- [MEDICATION NAME]-- for refusal of care/mood changes. This was initiated on 03/20/18. During an interview on 10/10/19 at 9:45 AM, Director of Nursing was asked about the care plan stating, that he was receiving this antipsychotic for refusal of care. She agreed, he should not be given a medication for refusal of care, and that it was his right to refuse showering/bathing. b) Resident #9 Review of the medical record revealed a current order, dated 08/05/19 for [MEDICATION NAME] tablet 200 mg at bedtime for refusal of care related to [MEDICAL CONDITION] disorder, recurrent, unspecified. A second order for [MEDICATION NAME] 100 mg, give 1 tablet in the morning for dementia related to dementia with Lewy Bodies was prescribed on 10/01/19. Review of the care plan found the resident refuses to wear his identification bracelet. The care plan also noted that the resident would refuse incontinent care. The care plan referenced the use of an anti-anxiety medication and said the resident refused care related to anxiety but the specific care refused was not documented. A review of Resident #9's [DIAGNOSES REDACTED]. On 10/10/19 at 11:26 AM, the findings were discussed with the Administrator and the Director of Nursing (DON). No further information was provided to indicated what type of care the resident refused, prior to the survey conclusion. There was no evidence provided to verify the resident refused any type of care that would have caused him harm. There was no evidence provided by the facility, prior to survey exit, of any behavioral interventions were explored other than medication. There was no evidence provided by the facility of non-pharmacological approaches attempted when the resident refused care that were directed toward understanding, preventing, relieving, and/or accommodating the resident refusals of care. 2020-09-01