cms_WV: 1594
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| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1594 | PARKERSBURG CENTER | 515102 | 1716 GIHON ROAD | PARKERSBURG | WV | 26101 | 2018-07-12 | 607 | L | 0 | 1 | 5JPY11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on personnel file review, staff interview, and review of the facility's policy for screening of employees, the facility failed to verify two (2) of four (4) direct care staff hired by a staffing agency and used by the facility were thoroughly screened for a history of abuse, neglect, exploitation, and/or any applicable criminal activity that would identify the individual as unfit to work in a long-term care facility. The facility failed to ensure two (2) of three (3) individuals were screened through the West Virginia Clearance for Access and Employment Screening (WV CARES) system, a program initiated by the Centers for Medicare and Medicaid Services (CMS) National Background Check Initiative. Employee identifiers: #64 and #7. After consultation with the State Agency, a determination of immediate jeopardy was made based on the facility's failure to thoroughly screen the backgrounds of two (2) of three (3) Licensed Practical Nurses (LPNs). In addition, two (2) of three (3) LPNs did not have proof of West Virginia Licensure and were currently working at the facility. This practice had the potential to affect all residents residing in the facility. Notice of the immediate jeopardy (IJ) was given to the Administrator on [DATE] at 6:19 PM. An acceptable plan of correction (P[NAME]) was received from the Administrator on [DATE] at 6:35 PM. After verification of the implementation of the plan of correction (P[NAME]), the immediate jeopardy (IJ) was abated on [DATE] at 6:35 PM. After removal of the immediate jeopardy, a deficient practice remained at a scope and severity of [NAME] for this requirement for failure to ensure Nurse Aide #83 maintained a current registration. Facility census: 61 The findings included: a) LPN #64 A review of personnel files, on [DATE] at 3:00 PM, revealed the facility had employed agency staff, LPN #64 on [DATE]. When the employee files were brought to the surveyor for review, the file for Employee LPN #64 was not included. When this omission was brought to the Administrator's attention on [DATE] at 3:06 PM, the Administrator stated, The employee's file is here in the facility and I was trying to find it. On [DATE] at 4:01 PM, Corporate RN #87 stated there was no employee file for LPN #64 at the facility. It was verified at that time that LPN #64 was currently on the schedule to work and had been working in the facility since [DATE]. A review of the time record for LPN #64 on [DATE] at 4:02 PM, revealed the employee worked at the facility on the following dates: [DATE], [DATE], [DATE], [DATE], [DATE]. [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE]. [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE] ,[DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], and [DATE]. LPN #64 was scheduled to also work [DATE] from 6:45 PM-07:15 AM. b) LPN #7 A review of personnel files on [DATE] at 03:00 PM, revealed the facility employed agency staff, LPN #7 on [DATE]. The file did not contain documentation that LPN #7 had been screened by WV CARES system for background information. Additionally, LPN #7's LPN license was for a distant state, and there was no evidence of current West Virginia licensure. An interview with the facility administrator on [DATE], at 3:06 PM, verified LPN #7 did not have a background check completed through WV CARES and had only the license from another state on file. Further interview on [DATE], at 4:01 PM with Corporate RN#87, revealed there was no background check completed on LPN #7 through WV CARES and they only had proof of a LPN license from another state. Employee LPN#7 was hired to work at the facility 0n [DATE]. A review of the time records for dates worked were as follows: [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE] and was working on the unit providing direct care when the deficient practice was discovered on [DATE]. c) A review of the facility's policy, OPS300 Abuse Prohibition included, The Center will screen potential employees for a history of abuse, neglect, or mistreating patients, including attempting to obtain information from previous employers and/or current employers, and checking with the appropriate licensing boards and registries. (Refer to Human Resources Policies and Procedures, Background Investigations policy.) 2.1 The Center will not employ or otherwise engage individuals who 2.1.1 Have been found guilty by a court of law of abuse, neglect, exploitation, misappropriation of property, or mistreatment; or 2.1.2 Have had a finding entered into the state nurse aide registry concerning abuse, neglect, exploitation, mistreatment of [REDACTED]. 2.1.2.1 Knowledge of actions by a court of law against an employee, which would indicate unfitness for service will be reported to the state nurse aide registry or licensing authority; 2.1.3 Have had a disciplinary action in effect against his/her professional license by a state licensure body as a result of a finding of abuse, neglect, exploitation, mistreatment of [REDACTED].>or misappropriation of resident property. The facility's failure to follow its policy, failure to verify whether employees had current licenses to practice in the State of West Virginia, and to obtain or verify background checks were completed through the WV CARES system to determine whether these employees were eligible to work with the nursing home residents, placed all resident of the facility at risk for serious harm. These findings resulted in a determination of immediate jeopardy. Notice of the immediate jeopardy (IJ) was given to the Administrator on [DATE] at 6:19 PM. An acceptable plan of correction (P[NAME]) was received from the Administrator on [DATE] at 6:35 PM. After verification of the implementation of the plan of correction (P[NAME]), the immediate jeopardy (IJ) was abated on [DATE] at 6:35 PM. d) The facility's plan of correction for the immediate jeopardy [DATE], (YEAR) Administrator immediately removed the identified agency LPN from the floor at 6:30pm on (MONTH) 11, (YEAR). Staffing was immediately adjusted accordingly to meet resident needs. All residents of the facility have the potential to be effected. No residents of the facility have experienced any negative outcome. A list of all Agency Employee's was immediately complied by the CED, on (MONTH) 11, (YEAR) at 7:03pm. All agency Employee's identified were immediately notified by the Administrator/Designee to come to the Center to complete the WV Cares Application to initiate the background check process. Agency personnel who have not submitted their application and completed their fingerprints will not be placed on the schedule to work. Administrator/Designee will re-educate Human Resource Manager/Designee on the WV Clearance for Access (WV Cares) and Employment Screening System as required by the Centers for Medicare and Medicaid Services (CMS) with a post- test to validate understanding. Administrator/Designee will complete a review of New Hire/Agency personnel files on (MONTH) 11, (YEAR) to ensure an application and fingerprints have been initiated prior to new hire beginning work in the Center to ensure completion of the WV Cares with confirmed eligibility to work in the Center for 30 days. Trends identified will be reported by the Administrator/Designee monthly to the Quality Improvement Committee for any additional follow-up until the issue is resolved and randomly thereafter as determined by QIC. e) After removal of the immediate jeopardy, a deficient practice remained at a scope and severity of [NAME] for this requirement for failure to ensure a nurse aide maintained a current registration. A review of the personnel file for Nurse Aide (NA) #83, on [DATE] at 3:15 PM, revealed this employee did not have a current Nurse Aide Registration. NA #83's registration had expired on [DATE]. An interview with Corporate RN #87, on [DATE] at 3:20 PM revealed the facility had obtained the nurse aide results after requested by the surveyor. A current registration was not present prior to surveyor intervention. NA #83 was hired by the facility on [DATE]. A review of the time records revealed the employee worked after his/her NA registration expired on : [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], and [DATE]. | 2020-09-01 |