cms_WV: 3873

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

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
3873 PRINCETON CENTER 515028 1924 GLEN WOOD PARK ROAD PRINCETON WV 24740 2017-01-19 514 E 0 1 DBHB11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and staff interview, the facility failed to ensure complete and accurate documentation for thirty-nine (39) of forty (40) resident's receiving evening and bedtime medications, and one (1) resident monitored for the percentage of nutritional supplements consumed. This practice had the potential to affect more than a limited number of residents. Resident identifiers: #67, #78, #29, #75, #55, #1, #14, #23, #74, #36, #38, #50, #77, #52, #65, #57, #17, #3, #2, #35, #8, #56, #28, #22, #70, #95, #79, #7, #97, #89, #24, #58, #47, #72, #21, #20, #46, #61, #15, and #35. Facility Census: 62 Findings include: a) On 01/18/17 at 10:25 p.m., an interview with the recently acting interim director of nurses, Registered Nurse (RN #109), revealed facility policy and standard of practice dictate nurses sign the EMAR at the time medications were given. The RN verified that by not documenting in the EMAR at the time the medications were given, would cause the record to be inaccurate for the time the residents received their medication. RN #109 stated disciplinary actions would be taken for both LPN#94 and LPN#95. A list of all residents that had evening and bedtime medication given by LPN #94 and LPN #95, and whose MARs had not been signed by LPN #94 and LPN #95 at the time the medications were given to the residents, was requested. The requested list of resident's names provided on 01/18/17 at 11:03 p.m., revealed LPN #94 gave medications to twenty-nine (29) residents without documenting medications had been given in the EMAR (electronic medication administration record) at the time they were given. LPN #95 gave medications to ten (10) residents without documenting medications had been given in the EMAR at the time they were given. b) Resident #35 During Stage 2 of the Quality Indicator Survey (QIS), the resident was selected for review due to a weight loss. Review of the physician's orders [REDACTED]. Observation of the resident at 2:20 p.m. on 01/17/17 found she was sleeping in bed. The resident's house shake was sitting on bedside stand. The carton had been opened and contained a straw, but appeared to be 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. The computer recording of the house shake had been recorded as the resident consuming 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 was asked to observe 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. At 11:30 a.m. on 01/18/17, the 10:00 a.m. house shake was observed in the resident's garbage can beside her bed. The carton was opened, but again appeared to be full. At 1:45 p.m. on 01/18/17, observation of the percentage of the 10:00 a.m. house shake 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., NA #17 was interviewed with Licensed Practical Nurse (LPN) #93, the LPN on Resident #35's unit present. When asked if she had given the resident her 10:00 a.m. house shake, the NA replied 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