cms_WV: 219

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
219 ELKINS REGIONAL CONVALESCENT CENTER 515025 1175 BEVERLY PIKE ELKINS WV 26241 2019-04-03 550 D 0 1 P29Y11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and record review, the facility failed to ensure dignity during medication administration for Residents' #84 and #38. This was a random opportunity for discovery. Resident identifiers: #38 and #84. Facility census: 97. Findings included: a) Resident #38 At 11:48 AM on 04/01/19, Licensed Practical Nurse (LPN) #15, was observed obtaining the resident's blood sugar in the hallway, opposite the dining room on the Reflections unit. Record review found a physician's orders [REDACTED]. The resident's last full minimum data set (MDS), an annual, with an assessment reference date (ARD) of 11/06/18 coded the resident as having a score of 3 on the brief interview for mental status (BIMS). A score of 3 indicates the resident has severely impaired cognition. The resident would be unable to say if she preferred her blood sugar to be obtained in the hallway. On 04/01/19 at 2:13 PM, LPN #15 said she had just attended an in service about not giving medications while residents are in the dining room eating but nothing was said about obtaining blood sugars in the hallway. She was unaware she shouldn't obtain blood sugars in the hallway. On 04/02/19 at 1:02 PM, the above observation was discussed with the administrator. No further information was received before the close of the survey on 04/03/19 at 5:00 PM. b) Resident #84 At 11:44 AM on 04/01/19, Resident #84 was observed in the hallway, across from the dining room on the Reflections Unit, with LPN #15 and Resident #34. LPN #15 raised the resident's shirt and was attempting to inject insulin into the abdomen of Resident #84. The resident became combative. She was waving her hands and trying to push away the insulin. The Resident was making growling noises. LPN #15, said to the surveyor, Well I guess I will try this later. Record review found Resident #84's last full minimum data set (MDS), a significant change MDS, with a reference assessment date (ARD) of 12/11/18 coded the resident as having memory problems both long and short term. Daily decision making was severely impaired. On 04/01/19 at 2:13 PM, LPN #15 said she had just attended an in service about not giving medications while residents are in the dining room eating but nothing was said about obtaining blood sugars in the hallway. She said she was unaware she shouldn't give injections in the hallway. LPN #15 said she later gave the injection to the resident in the hallway, after the resident calmed down. Record review found Resident #84 has a physician's orders [REDACTED]. On 04/02/19 at 1:02 PM, the above observation was discussed with the administrator. The administrator had no comment. At 1:30 PM on 04/02/19, the administrator provided a copy of the medication administration audit report noting the resident received the [MEDICATION NAME] at 12:04 PM on 04/01/19. 2020-09-01