cms_WV: 3285
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.
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
|
| 3285 |
MAPLES NURSING HOME |
515186 |
1600 BLAND STREET |
BLUEFIELD |
WV |
24701 |
2017-02-09 |
431 |
E |
0 |
1 |
UXFJ11 |
Based on observation, staff interview, and policy review, the facility failed, in collaboration with the pharmacist, to ensure the safe and effective use of medications. Two (2) multi-dose vials of insulin which belonged to Residents #77 and #27 were open and had no date, and/or legible date to indicate when the vials were initially opened. Use of medication from multi-dose vials open for a time period greater than recommended by the manufacturer had the potential to negatively impact the safety and/or potency of the medication. Observation of the first floor medication room refrigerator found it was not at the appropriate temperature. This had the potential to affect more than a limited number of residents. Resident identifiers: #77 and #27. Facility census: 58. Findings include: a) Resident #77 Observation on 02/07/17 at 9:07 a.m., found an opened, partially used, ten (10) milliliter (ml) vial of Humulin R insulin. The vial contained no date indicating when it was initially opened. Licensed practical nurse (LPN) #22 said nurses discard vials of Humulin-R insulin thirty (30) days after the date they are opened. She agreed the vial was not marked with the date it was initially used or opened . She discarded the opened vial, and obtained a new, unopened vial of Humulin-R insulin for this resident's use. During an interview with the director of nursing on 02/08/17 at 4:15 p.m., she said nursing staff are supposed to date all multi-dose vials of insulin when they are first opened. b) Resident #27 Observation on 02/08/17 at 4:15 p.m., found an opened, nearly empty, ten (10) ml vial of Levemir insulin. The vial contained an illegible inscription of the date when it was initially opened. The director of nursing (DON) was present at this time, and said she would dispose of this vial since it cannot be accurately determined when it was initially opened. She said nursing staff is supposed to date all multi-dose vials of insulin when they are first opened. She said the opened date on this vial was smudged and illegible. She agreed that Levemir insulin vials should be discarded forty-two (42) days after it is initially opened. The DON provided a copy of the facility's insulin administration policy. In part, the policy directed to check the expiration date of the vial if drawing from an opened multi-dose vial of insulin. If opening a new vial, the policy contained a directive to record the expiration date on the vial. The policy directed to follow manufacturer's recommendations for expiration after opening. |
2020-09-01 |