cms_WV: 3324

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
3324	MAPLES NURSING HOME	515186	1600 BLAND STREET	BLUEFIELD	WV	24701	2019-04-11	755	E	0	1	KGJN11	Based on policy review record review and staff interview, the facility failed to conduct appropriate reconciliation of a controlled substance at shift change for two (2) of two (2) medication carts reviewed medication storage. This practice has the potential to affect more than an isolated number of residents. Facility census: 57. Findings included: a) Long hall medication cart During observation of Long Hall medication cart on first floor on 04/09/19 at 1:35 pm, shift to shift narcotic key count record was reviewed and found to be non-compliant. Shift to shift narcotic key count was not completed and co-singed by both nurses (nurse coming on duty, nurse going off duty) for a total of thirteen (13) times for the time frame of 03/02/19 through 04/09/19. No records dating back any further than 03/02/19 were found for Long Hall medication cart. Licensed Practical Nurse (LPN) #30 verified the records were incomplete, and that is the way the facility verifies the narcotic count to be correct at the end of each shift and should be done each time a new nurse accepts keys to the mediation cart for use. During observation of Short Hall medication cart on first floor on 04/09/19 at 2:30 PM, shift to shift narcotic key count record was reviewed and found to be non-compliant. The shift to shift narcotic key count record log was not accurately completed and co-signed by both nurses (nurse going off duty, nurse coming on duty) for a total of seventeen (17) times since 01/09/19. Inaccurate shift to shift narcotic key count log was verified as inaccurate by Licensed Practical Nurse (LPN) #37, and LPN #37 stated that the shift to shift narcotic key count record should be completed at the end of every shift by the nurse responsible for that particular mediation cart. During an interview on 04/09/19 at 3:10 PM, Director of Nursing (DON) #14 verified the shift to shift key count record log used for reconciliation of narcotics at shift change were not completed in an accurate manner, and facility has no way of knowing if the proper reconciliation process for narcotics were performed at shift change. The DON also stated, I do not know where the sheets (shift to shift key count record) are for long hall med (mediation) cart dated any further back than what you have (March 2019), I cannot find them and no one else knows where they are either. Review of Controlled Substances policy revealed the following under shift change controlled drug count highlights: Nursing staff must count controlled mediations at the end of each shift. The nursing coming on duty and going off duty must make the count together. They must document and report any discrepancies to the Director of Nursing Services.	2020-09-01