cms_WV: 2544

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
2544	PIERPONT CENTER AT FAIRMONT CAMPUS	515155	1543 COUNTRY CLUB ROAD	FAIRMONT	WV	26554	2017-08-08	282	D	0	1	0QX311	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to implement the care plan for three (3) of twenty-eight (28) residents whose care plans were reviewed during Stage 2 of the Quality Indicator Survey. Residents behaviors were not documented on the behavior monitoring flow sheets, as directed in the care plan. Resident identifiers: #6, #24, #122. Facility census: 88. Findings include: a) Resident #6 On 08/02/17 at 9:00 a.m., review of the medical record revealed Resident #6 was admitted to the facility in (YEAR). Her [DIAGNOSES REDACTED]. The out patient psychiatric visit dated 02/24/17, states: patient admitted to worsening depression, expressed passive death wishes - will recommend to keep patient closely monitored for safety. The psychiatric consult note dated 07/21/17 states under the findings: .[MEDICAL CONDITION] disorder persistent somatic delusions, anxiety secondary to persecutory delusions, mood -depressed . The Quarterly Minimum Data set (MDS) with an Assessment Reference Date (ARD) of 07/16/17 notes Resident #6 has a Brief Interview for Mental Status (BIMS) of 12 indicating moderate impairment and a Patient Health Questionnaire (PHQ) of 09 indicating mild depression. She has delusions and hallucinations and rejected care 1-3 days. [DIAGNOSES REDACTED]. The care plan with a revision date of 07/26/17, identifies Resident #6's impaired cognition, anxiety, depression, and [MEDICAL CONDITION] disorder. Under the focus Resident is at risk for complications related to the use of antipsychotic, antidepressant the interventions include Complete behavior monitoring flow sheet. The Behavioral Monitoring and Interventions records are blank from 02/01/17 through 07/31/17 except for one documentation on the evening of 05/09/17. The Behavioral Monitoring and Interventions records are silent in regards to the resident's behaviors related to her [DIAGNOSES REDACTED]. During an interview with the Clinical Records Coordinator (CRC) #36, on 08/02/2017 at 11:58 a.m. she acknowledged Resident #6 has behaviors and agreed the behaviors are not documented on the behavior monitoring flow sheet as directed in the care plan. CRC #36 added, the Director of Nursing knows the forms are blank and has discussed this with the nursing staff. b) Resident #24 Review of the medical record on 08/02/17 at 11:25 a.m., revealed Resident #24 is a long term resident of the facility whose [DIAGNOSES REDACTED]. The progress notes from 01/16/17 through 08/02/17 identify concerns including inappropriate behaviors towards others, increased agitation with threatening remarks, and yelling at other residents and staff. The current care plan with a revision date of 06/06/17 lists a focus for the use of antipsychotic and antidepressant medications and states under interventions: Complete behavior monitoring flow sheet. The significant change MDS, with an ARD of 07/28/14 notes Resident #24 has a BIMS of 15 indicating the resident is cognitively intact and he exhibits delusions and verbal behaviors towards others. His [DIAGNOSES REDACTED]. The Behavior Monitoring and Intervention sheets are silent and lack any documentation related to Resident #24's behaviors from 05/01/17 through 06/30/17. During an interview on 08/02/17 at 2:15 p.m., the previous Director of Nursing (DON) #112 acknowledged Resident #24 has behaviors towards others and his behavior sheets are blank. The DON added we now have some notes in the computer related to behaviors, a few months ago there were none. c) Resident #122 A review of the care plan for Resident #122 on 08/01/17 at 2:01 p.m., revealed a revision on 07/14/17 which included a focus statement, Resident is at risk for complications related to the use of [MEDICAL CONDITION] drugs: antidepressant. a goal statement, Resident will have the smallest most effective dose without side effects for ninety (90) days and the intervention included, Complete behavior monitoring flow sheets. Further review of the current physician's orders [REDACTED]. During an interview with Employee #174 licensed practical nurse (LPN) on 08/01/17 at 4:18 p.m., verified no behavioral monitoring flow sheets had been completed for Resident #122 since he started taking [MEDICATION NAME] in (MONTH) (YEAR).	2020-09-01