cms_WV: 3868

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
3868 PRINCETON CENTER 515028 1924 GLEN WOOD PARK ROAD PRINCETON WV 24740 2017-01-19 325 D 0 1 DBHB11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, the facility failed to ensure a resident received a therapeutic diet for weight loss. In addition, monitoring and evaluation of the effectiveness of the interventions added for weight loss did not occur due to inaccurate documentation of the amount consumed by the resident. This was true for one (1) of three (3) residents reviewed for the care area of nutrition. Resident identifier: #35. Facility census: 62. Findings include: a) Resident #35 During Stage 2 of the Quality Indicator Survey (QIS), the resident was selected for review due to a weight loss. Record review found the resident's weight was 120.9# (pounds) on 11/02/16. On 11/23/16, the resident was discharged to the hospital. She returned to the facility on [DATE] at which time her recorded weight was 113.4# on 11/25/16. The facility acknowledged the resident's weight loss on 11/29/16. The physician was contacted and did not add any interventions as the resident was already receiving house shakes. Review of the physician's orders [REDACTED]. The resident's weight was 110.5# on 01/02/17, 111.4# on 01/06/17, and 111# on 01/10/17. On 01/9/17, the dietary manager recorded the following note: This is a dietary note on (name of resident) for her quarterly review of 1/2/17. (Name of resident) has had a 10.4# weight loss during the review of this quarter which is 8.6%. Her current weight is 110.5 and she is eating 51-75% of all meals. She eats in the Atrium room and is receiving a house shake BID (two times a day). On 12/01/16, the registered dietitian saw the resident. The dietitian noted the weight loss and documented the resident had a weight gain in the past week and weight could fluctuate due to the use of a diuretic. The resident's weight was 117# on 12/01/16. House shakes were to continue. On 01/11/17, the dietitian saw the resident and ordered 1 fortified food item per tray, 8 ounces of whole milk, and ice cream with lunch and dinner. At 11:55 a.m. on 01/17/17, the resident was eating her noon meal in the Atrium with her daughter. A carton of fat free milk was on the resident's tray. At 12:05 p.m. on 01/17/17, Assistant Food Services Director #3 verified the resident did not receive 8 ounces of whole milk as ordered by the dietitian. Observation of the resident at 2:20 p.m. on 01/17/17 found she her sleeping in bed. The resident's house shake was sitting on bedside stand. The carton was open and contained a straw, but was full. At 3:15 p.m. on 01/17/17, the same house shake was still sitting on the resident's bedside table. The carton remained full. According to the information recorded in the computer, the resident consumed 100% of the house shake at 2:52 p.m. on 01/17/17. At 3:20 p.m. on 01/17/17, Register Nurse (RN) Unit Manager #83 observed the house shake sitting on the resident's bedside. She verified the resident had not consumed 100% of the house shake as documented in the computer. RN #83 said she thought the carton appeared to be full. She said the nurse aide (NA) who recorded the resident's intake was going to be in trouble. Observations at 11:30 a.m. on 01/18/17, found the 10:00 a.m. house shake in the resident's garbage can beside her bed. The carton was opened, but again appeared to be full. As of 1:45 p.m. on 01/18/17, the percentage of the 10:00 a.m. house shake the resident had consumed had not been recorded in the computer. At 3:15 p.m. on 01/18/17, observation of the computer documentation found NA #17 had recorded the resident consumed 100% of the house shake. At 3:19 p.m. on 01/18/17, during an interview with NA #17 in the presence of Licensed Practical Nurse (LPN) #93, the LPN on Resident #35's unit, when asked whether she had given the resident her 10:00 a.m. house shake, NA #17 said she did not give the resident her house shake. When asked how she knew the percentage consumed, NA #17 said she recorded the percentage of the house shake consumed by accident. She said she did not know how much of the house shake the resident consumed. 2020-04-01