cms_WV: 1602

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
1602	PARKERSBURG CENTER	515102	1716 GIHON ROAD	PARKERSBURG	WV	26101	2018-07-12	698	E	0	1	5JPY11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview, and review of the facility's policy for care and treatment for [REDACTED].#208 received ongoing assessment of her condition before and after [MEDICAL TREATMENT] to monitor for complications. The facility also failed to ensure there was ongoing communication and collaboration with the [MEDICAL TREATMENT] facility. Furthermore, the facility failed to implement its own policy which was consistent with standards of practice. This was true for one (1) of one (1) resident reviewed for [MEDICAL TREATMENT]. Resident identifier: #208. Facility census: 61. Findings included: a) Resident #208 Review of medical records found Resident #208 was originally admitted to the facility on [DATE] and then was readmitted to the facility on [DATE]. The resident's [DIAGNOSES REDACTED]. Further review found the resident had a arteriovenous (A-V) fistula in her upper left arm and an external [MEDICAL TREATMENT] catheter in the right [MEDICATION NAME] area (collar bone area). There was no evidence facility staff were monitoring either site. Review of the facility's policy for care and services needed for residents receiving [MEDICAL TREATMENT] included, but not limited to: - the methods of communication between the nursing home and the [MEDICAL TREATMENT] facility including how it would occur, with whom, and where the communication and responses would be documented, - the development and implementation of a coordinated comprehensive care plan(s) that identified nursing home and [MEDICAL TREATMENT] responsibilities, and - provided direction for nursing home staff; and - the development and implementation of interventions, based upon current standards of practice including, but not limited to documentation and monitoring of complications, pre-and post-[MEDICAL TREATMENT] weights, access sites, nutrition and hydration, lab tests, vital signs including blood pressure and medications, the provision of medications on [MEDICAL TREATMENT] treatment days, procedures for monitoring and documenting nutrition/hydration needs, including the provision of meals on days that [MEDICAL TREATMENT] treatments are provided and the assessment, observation and documenting of care of access sites, as applicable, such as: Auscultation/palpation of the AV fistula (pulse, bruit and thrill) to assure adequate blood flow, significant changes in the extremity when compared to the opposite extremity ([MEDICAL CONDITION], pain, redness) and the care needed for the external [MEDICAL TREATMENT] catheter. The facility will use a [MEDICAL TREATMENT] Communication Record before leaving for [MEDICAL TREATMENT] the top portion will be completed by the licensed nurse, which includes the vital signs and the patency of any [MEDICAL TREATMENT] ports (A/V shunts and/or external [MEDICAL TREATMENT] catheters. The [MEDICAL TREATMENT] nurse will complete the form and return to the facility. Upon return from the [MEDICAL TREATMENT] facility the license nurse will review the communication form and evaluate the resident and document. If the [MEDICAL TREATMENT] facility does not return the form the licensed nurse will call the [MEDICAL TREATMENT] facility and asked the form to be completed and faxed to the facility. The external catheter and the A/V shunt should be monitored and evaluated every eight (8) hours or more frequently if complications are suspected. Review of Resident's medical records found Resident #208 had been to [MEDICAL TREATMENT] four (4) times (07/02/18, 07/04/18, 07/06/18, and 07/09/18). There was no evidence the facility was providing meals during [MEDICAL TREATMENT], no communication records, and no evidence the licensed nurses were evaluating the A/V shunt and external [MEDICAL TREATMENT] catheter every eight (8) hours. During an interview on 07/10/18 at 2:15 PM, the Director of Nursing (DoN) verified the [MEDICAL TREATMENT] communication sheets were incomplete or not even done, and there was no documentation of assessments of the A/V shunt and external [MEDICAL TREATMENT] catheter by a licensed nurse every 8 hours. Additionally, the DoN verified the care of Resident #208 had not been coordinated with the [MEDICAL TREATMENT] center.	2020-09-01