cms_WV: 3905
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3905 | HARPER MILLS | 515086 | 100 HEARTLAND DRIVE | BECKLEY | WV | 25801 | 2016-09-23 | 507 | D | 0 | 1 | 0MB311 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to maintain all laboratory (lab) testing results in the resident's clinical record for one (1) of four (4) residents reviewed for the care area of nutrition during Stage 2 of the Quality Indicator Survey (QIS) and one (1) of three (3) residents reviewed for the care area of hospitalization during Stage 2 of the QIS. Resident #179's record did not contain the results of a Basic Metabolic Panel (BMP) which was ordered to be done on 09/12/16. Resident #151's medical record did not contain the results of a Comprehensive Metabolic Panel (CMP) and a magnesium level obtained on 09/13/16. Resident Identifiers: #151 and #179. Facility Census: 178. Findings Include: a) Resident #151 A review of Resident #151's medical record at 11:16 a.m. on 09/21/16 found a physician's orders [REDACTED]. Upon further review of the medical record, the results of the CMP and magnesium level could not be located. There was however, a nursing progress note dated 09/13/16 which indicated the lab results were reviewed by the Nurse Practitioner with new orders noted. Upon further review of the physician's orders [REDACTED]. During an interview with Assistant Director of Nursing (ADON) Registered Nurse (RN) #140 at 3:09 p.m. on 09/21/16, the results of the CMP and magnesium level were requested. She indicated that she would have to look for them. At 4:26 p.m. on 09/21/16, the Director of Nursing (DON) confirmed they could not locate the requested lab results and had to have a copy faxed to the facility after the surveyor requested them. b) Resident #179 A review of Resident #179's medical record at 2:43 p.m. on 09/20/16 found a physician's orders [REDACTED]. Upon further review of the resident's record, the results of the BMP could not be located. At 9:49 a.m. on 09/21/16 the results of the BMP were requested from the Assistant Director of Nursing ADON - RN #140. She stated that she would have to go to medical records and look for the them because she did not see them in the chart. An additional interview with the ADON RN #140 at 11:02 p.m. on 09/21/16, revealed the lab result was not in the record and after the surveyor had requested she had them faxed from the lab. | 2020-04-01 |