cms_WV: 3900

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
3900	HARPER MILLS	515086	100 HEARTLAND DRIVE	BECKLEY	WV	25801	2016-09-23	279	D	0	1	0MB311	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to develop individualized and measurable goals for a resident with behaviors, who was treated with psychoactive medications. This was evident for one (1) of five (5) residents reviewed for unnecessary medications. Resident identifier: #225. Facility census: 178. Findings include: a) Resident #225 Medical record review on 09/21/16 at 1:30 p.m., found this [AGE] year-old resident had [DIAGNOSES REDACTED]. disorder, depression, mood disorder, [MEDICAL CONDITION], and [MEDICAL CONDITION] other than [MEDICAL CONDITION]. Daily medications included [MEDICATION NAME] (an antianxiety medication) one (1) milligram (mg) three (3) times daily; [MEDICATION NAME] (antipsychotic medication) twenty-five (25) mg daily at bedtime; and [MEDICATION NAME] (an antidepressant medication) fifteen (15) mg daily at bedtime. The most recent quarterly minimum data set (MDS) assessment, with an assessment reference date (ARD) off 07/22/16, assessed he received antipsychotic, antianxiety, and antidepressants daily. The Brief Interview for Mental Status (BIMS) assessed his score as three (3), which indicated severely impaired cognition for decision-making. Review of the care plan found a problem/focus that the resident received antipsychotic medication due to a [DIAGNOSES REDACTED]. It noted the resident exhibited mood changes for no apparent reason, and could become upset and aggressive. Also he resisted and/or refused activities of daily living care at times, hit staff, cursed and yelled. The care planned goal for this problem simply stated Resident will receive lowest dose possible with no side effects noted through next review period. The care plan contained another focus/problem area that he received antianxiety medication related to behaviors of agitation as evidenced by hitting staff, cursing and yelling, due to the [DIAGNOSES REDACTED]. Further review of the care plan found a focus/problem that he received antidepressant medication as an appetite stimulant and for the risk for decline in mood status and/or side effects. The care planned goal for this problem stated Resident will have no unidentified complications related to medications usage/side effects. In an interview with the director of nursing (DON) on 09/21/16 at 3:30 p.m., she reviewed the goals for the use of the antianxiety, antidepressant, and antipsychotic medication. When asked about the goal for the use of those medications, she read the care planned goals for him to be on the lowest dose of medication. When asked what the goals were for his targeted behaviors of mood changes, agitation, hitting staff, cursing, yelling, and resistance to care, she said she was unable to tell by the care plan. Upon inquiry, she acknowledged that the goals for the psychoactive medication use and behaviors were not individualized or measurable, but rather instead were more interventions/tasks for the use of the medications.	2020-04-01