cms_WV: 282
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 282 | SUMMERSVILLE REGIONAL MEDICAL CENTER | 515029 | 400 FAIRVIEW HEIGHTS ROAD | SUMMERSVILLE | WV | 26651 | 2017-12-07 | 756 | D | 0 | 1 | WMI211 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the pharmacist failed to identify a medication irregularity for Resident #30. The resident received [MEDICATION NAME] and [MEDICATION NAME] for behavioral disturbances, but had not exhibited any behaviors after experiencing a major decline in both her functional abilities and behaviors. Resident identifier: #30. Facility Census: 45. Findings include: a) Resident #30 Observations at lunch time on 12/04/17 noted this resident in the dining room. The resident moved very little and did not vocalize to any extent. Several staff tried to feed the resident, and even obtained ice cream, but she refused to eat more than a few bites of her meal. Medical record review on 12/04/17 at 1:51 p.m. found Resident #30 was admitted from the community on 09/08/17 and discharged [DATE] to a psychiatric hospital. She reentered the facility from an acute care facility on 10/06/17. Her discharge to the psychiatric facility Minimum Data Set (MDS) assessment for 09/15/17, identified she only needed supervision for her activities of daily living (walking, eating, etc.) except for requiring extensive assistance for toileting. According to her Admission Minimum Data Set (MDS) assessment, with an assessment reference date (ARD) of 10/11/17, her [DIAGNOSES REDACTED]. This assessment identified the resident did not walk and required total care for most activities of daily living. No behaviors were assessed during the look back period for this assessment. On 12/06/17 at 11:18 a.m., medical record review found the resident was receiving [MEDICATION NAME] delayed release 250 mg at 8:00 a.m. and 8:00 p.m. for dementia with behavioral disturbances. The resident was also on Donepezil ([MEDICATION NAME]) 10 mg at 20:00 (8:00 p.m.) for unspecified dementia with behavioral disturbances Since her return and major decline, she had not had behaviors, yet remained on [MEDICATION NAME] and [MEDICATION NAME]. From 11/23/17 through 8:00 a.m. on 12/06/17, the electronic Medication Administration Record [REDACTED]. She took her [MEDICATION NAME] daily during this period. On 12/06/17 at 8:40 a.m., an interview with the Social Worker (SW) revealed the resident had behaviors and was sent to a psychiatric facility. While there, the resident became ill and was sent an acute care facility twice. The second time, the resident was admitted to the hospital. The said the resident was seriously ill, and her prognosis was grave. She had the resident returned to the facility as the facility could provide the needed care and the resident would be closer to her family. The SW agreed the resident had not exhibited any behaviors since she had returned to the facility. An interview with Registered Nurse (RN) #40 mid-morning on 12/07/17 verified the resident had not had behaviors since her return to the facility. The RN provided a copy of the resident's (MONTH) (YEAR) behavior flow sheet. No behaviors were noted. The RN provided a copy of the resident's drug regimen review and said there was no additional documentation by the pharmacist regarding the resident's medications. Review of the Chronological Record of Medication Regimen Review for Resident #30, found the pharmacist had reviewed the resident's medications on 10/11/17 and 11/11/17. The pharmacist noted the resident received [MEDICATION NAME] 250 BID (twice a day) dementia and [MEDICATION NAME] for anxiety. The review noted the [MEDICATION NAME] dosage was decreased (although not noted by the pharmacist, the [MEDICATION NAME] was discontinued.) There was no indication the pharmacist identified the use of [MEDICATION NAME] and [MEDICATION NAME], in the absence of behaviors and the resident's overall decline, as an irregularity. | 2020-09-01 |