cms_WV: 3397

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
3397	FAIRMONT HEALTHCARE AND REHABILITATION CENTER	515189	130 KAUFMAN DRIVE	FAIRMONT	WV	26554	2019-01-31	697	E	0	1	0LCE11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident interview, family interview, record review, and staff interview, the facility failed to consistently assess the effectiveness of as needed (PRN) pain medication for two (2) of four (4) residents reviewed for the care area of pain management. Resident identifiers: #53 and #153. Facility census: 108. Findings included: a) Resident #53 On 01/28/19 at 1:02 PM, observation found the resident was complaining of pain to his foot. He said he thought it felt like he was wearing a steel toed shoe and someone needs to get it off. Record review found the resident was receiving Hospice services due to a [DIAGNOSES REDACTED].) The resident was currently receiving [MEDICATION NAME] 5-325 milligrams every eight hours as needed for pain. Review of the (MONTH) 2019, Medication Administration Record [REDACTED] 01/03/18 at 8:00 AM, 01/08/19 at 2:00 PM, 01/09/19 at 8:00 AM, 01/13/19 at 8:00 AM, 01/15/19 at 9:00 PM. On 01/30/19 at 10:00 AM, the resident's Licensed Practical Nurse (LPN) #65 said the effectiveness of the residents PRN medication is documented on a pain monitoring sheet. The monitoring sheet is suppose to be with the MAR. LPN #65 said someone must have forgotten to make a pain monitoring sheet for Resident #53 for the month of (MONTH) 2019, so no one documented the effectiveness of the resident's pain medication on the monitoring sheet. At 11:30 AM on 01/30/19, the Director of Nursing (DON) confirmed nursing staff should document the effectiveness of an as needed (PRN) pain medication about 1 hour after the medication is given. The DON was unable to find evidence of this practice. b) Resident #153 On 01/28/19 at 02:30 PM, the resident and the resident's responsible party said the resident is having some pain in his left foot. The resident was admitted to the facility, from the hospital, on 01/17/19, with a [DIAGNOSES REDACTED]. The resident has a wound vac on his left foot. A wound vac is negative-pressure wound therapy (NPWT) which is therapeutic technique using a vacuum dressing to promote healing in acute or chronic wounds. The resident was admitted with the PRN pain medication, [MEDICATION NAME] 5-325 mg. every 4 hours. The resident had received the PRN medication on several occasions. On the following days and times the medication was administered without evidence of the effectiveness of the PRN medication: 01/17/19 at 3:00 PM, 01/18/19 at 8:30 AM, 01/22/19 at 8:30 AM, 01/22/19 at 12:30 PM, 01/23/19 at 9:00 AM, 01/28/19 (time was illegible) At 11:30 AM on 01/30/19, the DON was interviewed regarding the resident's pain medication. No information was provided. At 4:25 PM on 01/30/19, the Registered Nurse Unit Manager #75, was asked if she could provide any evidence the pain medication was monitored after administration to determine the effectiveness of the medication. At the close of the survey on 01/31/19 at 6:00 PM, no further evidence had been provided.	2020-09-01