cms_WV: 278

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

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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
278 SUMMERSVILLE REGIONAL MEDICAL CENTER 515029 400 FAIRVIEW HEIGHTS ROAD SUMMERSVILLE WV 26651 2020-01-15 692 D 0 1 URBH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, and staff interview, the facility failed to provide a diet as ordered by a physician. This was a random opportunity for discovery. Resident identifiers: 1. Facility census: 51. Findings include: a) Resident #1 Record review found a diet order, dated [DATE]: Regular Special Instructions: BITE SIZE MEATS 5 SMALL MEALS/DAY **2 HANDLED CUP AT ALL TIMES. On 01/14/20 at 11:38 AM, Resident #1's tray had been delivered to her room. The following items were on Resident #1's tray for the noon meal: full serving of meat, full serving of mashed potatoes, roll, slice of pie, bowl of tomato soup, orange jello in a plastic cup, vanilla pudding in a plastic cup, a bowl of applesauce, and a bowl of sliced beets. Employee #161, Nurse Aid (NA), was placing the items and setting up Resident #1's tray. NA #161 was asked if the amount of food on Resident #1's tray was what normally comes for her for the lunch and dinner meal? NA #161 stated the number of items on Resident #1's tray was the normal amount that is placed on her tray. On 01/14/20 at 11:59 AM, during an interview with Employee #201, Dietary Manager(DM), DM #201 was asked what should be on a tray for a resident who is ordered small meals? DM #201 stated for small meals, the resident should be served half (1/2 ) the serving of meat and potatoes that the recipe calls for. The resident should not have pudding or jello on their tray. The pudding and / or jello or a supplement would be served to the resident around 2:00 PM. On 01/14/20 at 12:02 PM, DM #201 accompanied the surveyor to view Resident #1's lunch tray. DM #201 stated the Resident's family had voiced that they wanted her to have extra pudding and jello on her tray. DM #201 stated there was no order of clarification to the existing diet order of small meals, 5 times a day for Resident #1. DM #201 observed Resident #1's lunch tray and confirmed the amount of food on the resident's tray was not consistent with the diet order. Review of Resident #1's medical record revealed the following note dated 0[DATE]20 at 2:27 PM, Nursing Progress Note: IDT staff meeting regarding residents weight loss. Resident current weight is 1[AGE].70 lbs. January weight variance report shows that the resident has loosed 20lbs or 11.2% in 182 days, loss of 12 lbs or 7.1% in the last 91 days, loss of 22 lbs or 12.2% in 32 days. Resident has been very sick , in and out of acute care hospital stay. Resident has currently been taking [MEDICATION NAME] [AGE]mg po (by mouth) daily to remove fluid. Resident consumes 1-25% of a regular diet ( 5 small meals daily). Resident consumes a supplements of glucerna. At this time RD recommends that residents glucerna to be D/C(discontinued) and to start Ensure [MEDICATION NAME] 4 oz, po bid (twice a day) with med pass. Resident is currently working with pt (physical therapy) and ot (occupational therapy) for strengthening as well as transferring and encouraging po intake. Resident has family visitors frequently and family encourages resident to eat, as well as bring in home cooked foods. Resident has little to no energy and staff is assisting with all meals. Physician aware of weight loss and new order to d/c glucerna and start Ensure [MEDICATION NAME] 4 oz po bid with med pass. Daughter aware of weight loss and this nurse asked if there was anything that we could try to help with eating. Daughter states that she loves soft desserts and she loves soup and broth , as well as Italian ice, jello with fruit in it as well as ice cream, and oatmeal for breakfast. Dietary clerk called and made aware of the request to be sent on the tray. Nursing staff to encourage po intake and also assess residents weight weekly and monthly. On 01/14/20 at 3:27 PM, the findings were discussed with the Administrator. During an interview with the Director of Nursing (DON), the DON stated she had spoken with the family and had entered in a note into the system. The DON stated Resident #1's diet order had not been modified. The DON stated the progress note on 0[DATE] was to inform the dietary department of Resident #1's preferences for her meals. No further information was provided by the end of the survey on [DATE] at 5:00 PM. 2020-09-01