cms_WV: 3895
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3895 | HARPER MILLS | 515086 | 100 HEARTLAND DRIVE | BECKLEY | WV | 25801 | 2016-09-23 | 157 | D | 0 | 1 | 0MB311 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident interview, and staff interview, the facility failed to notify Resident #170's attending physician when she experienced unrelieved pain and she refused six (6) out of eight (8) [MEDICAL TREATMENT] treatments in the month of (MONTH) (YEAR) due to pain from her [DEVICE]. This was true for one (1) of four (4) residents reviewed for the care area of [MEDICAL TREATMENT]. Resident Identifier: #170. Facility Census: 178. Findings include: a) Resident #170 A review of Resident #170's medical record at 10:00 a.m. on 09/21/16 found the resident was originally admitted to the facility on [DATE]. Her [DIAGNOSES REDACTED]. Further review of the record on 09/21/16 at 3:00 p.m., found an admission minimum data set (MDS) assessment, with an assessment reference date (ARD) of 08/29/16, identified the resident scored 15 of a possible 15 for the Brief Interview for Mental Status (BIMS) - indicating the resident was cognitively intact. Review of Resident #170's medical records found on multiple occasions Resident #170 refused [MEDICAL TREATMENT] treatments from 09/06/16 through 09/22/16. An interview with Resident #170 at 9:35 a.m. on 09/22/16, revealed she was not going to [MEDICAL TREATMENT] because of pain caused from the [DEVICE] which was placed on 09/05/16. The record contained no information to indicate Resident #170's attending physician and/or nurse practitioner were notified of her refusals of [MEDICAL TREATMENT] and/or pain. The [MEDICAL TREATMENT] center, on two (2) occasions, 08/25/16 and 09/08/16, sent recommendations to discontinue Resident #170's [MEDICATION NAME]. The facility did not address this. She continued to receive the medication and the physician had not been notified of the recommendations as of 09/22/16. In an interview on 09/22/16 at approximately 10:05 a.m., the Director of Nursing (DON) was informed of Resident #170's multiple documented occasions when the resident refused [MEDICAL TREATMENT] treatments from 09/04/16 through 09/22/16, and the resident interview in which she stated she was refusing [MEDICAL TREATMENT] due to pain caused by the wound vac. The lack of notification of the attending physician and/or nurse practitioner was also brought to her attention at that time. Additionally, the DON was informed the [MEDICAL TREATMENT] center had sent recommendations to discontinue Resident #170's [MEDICATION NAME] on two (2) occasions, 08/25/16 and 09/08/16, which had not yet been addressed by the facility. The resident continued to receive this medication and the physician had not been notified of the recommendations as of 09/22/16. No further information provided prior to exit. Attempts to interview Resident #170's attending physician on 09/22/16 and again on 09/23/16 were unsuccessful. The NHA reported the physician said he was too busy and did not have time to speak with surveyors. | 2020-04-01 |