cms_WV: 3496
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3496 | CABELL HEALTH CARE CENTER | 515192 | 30 HIDDEN BROOK WAY | CULLODEN | WV | 25510 | 2018-09-27 | 698 | D | 0 | 1 | DXEI11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, family interview, resident interview and staff interview, the facility failed to ensure a [MEDICAL TREATMENT] resident received appropriate care. Resident #235 has venous access device in her right chest wall which is used for her [MEDICAL TREATMENT] access. Because of this access Resident #235 has a physician's orders [REDACTED].#235's right arm for blood pressures and lab draws. On two (2) separate occasions while at the facility labs were obtained from Resident #235's right arm. This is true for one (1) of one (1) residents reviewed for the care area of [MEDICAL TREATMENT] during the Long Term Care Survey Process. Resident identifier: #235. Facility census: 89. Findings included: a) Resident #235 An interview with Resident #235 and her daughter on 09/24/18 at 3:34 p.m. revealed that on one occasion right after admission to the facility Resident #235's right arm was used to obtain lab work. The residents daughter indicated this caused the resident to have a large hematoma to her right arm. The resident and her daughter both indicated this happened when they were obtaining a PT/INR ([MEDICATION NAME] time/international normalized ratio) one Monday morning. A review of Resident #235's medical record on 11/26/18 at 9:00 a.m. found the following lab/Diagnostic Note, Note Dated 09/10/18 at 7:44 a.m. read as follows, Order: PT/INR. Services Provided (including who collected specimen, obtained x-ray, patient tolerance etc.) : Specimen collected by (name of local lab service) lab tech from RAC(Right Antecubital) on Second Stick. First Stick in LAC (Left Antecubital). Note Dated 09/17/18 at 6:37 a.m. read as follows, Order: PT/INR. Services Provided (including who collected specimen, obtained x-ray, patient tolerance etc.) : Services provided by (Name of Local Lab) lab. Specimen obtained from Right AC (Antecubital). Tolerated well. Further review of the medical record found the following physician order [REDACTED]. An interview with the Director of Nursing (DON) at 11:08 a.m. on 9/26/18 confirmed Resident #235 should not have lab draws in her right arm. She reviewed the notes quoted above and agreed the lab works were obtained from the restricted limb. She indicated that it should be wrote in the lab book that Resident #235 has a restricted limb. She reviewed the lab book information for 09/17/18 and stated, The nurse did not write Resident #235 had a restricted limb and that is likely why they obtained it from the right arm. She stated, I can not find the lab sheet for 09/10/18 and was unable to confirm why that lab was obtained in the right arm. | 2020-09-01 |