cms_WV: 3885
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3885 | MERCER NURSING AND REHABILITATION CENTER | 515052 | 1275 SOUTHVIEW DRIVE | BLUEFIELD | WV | 24701 | 2016-08-19 | 226 | D | 0 | 1 | 5Q6I11 | Based on a random opportunity for discovery, staff interview, policy review, review of the abuse/neglect reporting requirements for West Virginia nursing homes and nursing facilities, and review of an employee disciplinary action form, the facility failed to implement its policy for investigation and reporting of allegations of abuse and neglect. This had the potential to affect more than an isolated number of residents. Resident identifiers: #91 and #77. Facility census: 75. Findings include: a) Employee disciplinary action form 1. On 08/16/16 at 4:00 p.m., an unrequested employee education and counseling form was found lying beside a surveyor's computer in the conference room where surveyors worked when not out on the nursing units. No personnel files were in the room as there were times when no members of the survey team were present. How the document came to be in the conference room could not be determined. The employee education and counseling form included: - The name of Nurse Aide (NA) #74 - Date of the employee education and counseling form: 06/02/16 - The form required documentation for Area of Improvement: Define Situation. Poor Resident care-Resident's are being left up in wheelchairs without being checked on. Resident's are not being put to bed in a timely manner. (Name of Resident #91) reported that you were very hateful and rough putting her feet in the bed this evening. Also, she stated that last week you took her call light from her. (Name of Resident #77) does not want you to do her showers after your attitude last week. This is unacceptable work performance. Told oncoming CNA (certified nurse aide) that Resident didn't want her shirt off when in fact resident was never checked on. - The resolution for action taken: CNA needs to be aware that we are here to take care of the needs of the resident. This is the 2nd employee counseling/education form from this nurse. Next is written warning, followed by suspension and then termination if this problem isn't corrected. CNA needs to have better time management skills and try to do something's by herself. NA #74 responded to the counseling form by documenting: It's hard to do care when you have to ask 4-5 times for help when the person has to have 2 people to sit over onto the bed to get them changed. I am not rough with any pt. (patient) and I do not have an attitude towards any of them. The counseling form was signed by NA #74 and Licensed Practical Nurse (LPN) #62 on 06/02/16. The counseling form did not list the residents' names that were, Being left up in wheelchairs without being checked on. 2. On 08/16/16 at 4:20 p.m., review of the facility's grievance/concern forms and reportable allegations of abuse/neglect for the period 06/02/16 to present, found no evidence facility reported the allegations related to NA #74 to the required State agencies. Additionally, there was no evidence the facility investigated the allegations regarding NA #74. 3. Staff Interviews At 4:48 p.m. on 08/16/16, after being shown the counseling form, Social Worker (SW) #67 said, This is the first time I have ever seen this. It looks like we would have checked into it to see if it was a reportable. At 5:06 p.m. on 08/16/16, the director of nursing (DON) said, I didn't know anything about this, when shown the counseling form. She stated she would typically see the education forms. She said the Clinical Care Supervisor (CCS) might know something about the form and added The nurse is supposed to get permission from the CCS to discipline employees. At 5:14 on 08/16/16 CCS #95 said, I might have seen this, I don't know. At 8:52 on 08/17/16, SW #67 verified the allegations on the employee education form dated 06/02/16, had never been investigated, or reported. At 10:40 a.m. on 08/17/16, when asked if she had any further information to show the facility had investigated and/or reported the allegations concerning NA #74 to the required State agencies before surveyor intervention, she said the nurse who completed the education form was educated. The DON said the issues detailed on the education form were being reported to the State agencies as required. The DON confirmed the allegations were not reported until after surveyor intervention. 4. State reporting requirements include Nursing Home Licensure Rule Chapter 16, Title 63 and WV Code 9-6-1. 5. Review of the facility's policy and procedure for, Abuse, Neglect and Misappropriation of Resident Property: Protection of Resident's, Reporting, and Investigation, at 11:00 a.m. on 08/17/16 found it included: . 6. Upon receiving information regarding an allegation of abuse or neglect the Executive director or designee shall: a. Immediately refer to the Step One: Decision Tree for Determining the Reportability of an Incident or Allegation and Step Two: Internal and External Notification of A Reportable Incident or Allegation (see Tables 1 and 2) to assure notification if the event is reportable and initiate an investigation. b. Report the allegation (s) to the appropriate state agencies within the required time frames. Refer to reference, NH (nursing home) Reporting Requirements 06/2012, for information on reporting requirements. c. Initiate an investigation. The investigation shall be immediate and thorough. All interviews will be documented on a witness statement and will be conducted in the presence of the Executive Director or his/her designee e. The investigation will be completed on the state required forms | 2020-04-01 |