cms_WV: 4085

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
4085	DUNBAR CENTER	515066	501 CALDWELL LANE	DUNBAR	WV	25064	2016-07-19	279	D	0	1	KKFY11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to develop a comprehensive care plan that addressed Resident #147's inability to initiate sleep. For Resident #109 the facility failed to develop a comprehensive care plan related to restrictions to her left arm due to her [MEDICAL TREATMENT] access. This was true for two (2) of twenty-three (23) resident care plans reviewed during Stage 2 of the Quality Indicator Survey (QIS). Resident Identifiers: #147 and #109. Facility Census: 105 Findings Include: a) Resident #147 A review of Resident #147's medical record at 8:05 a.m. on 07/13/16 found a physician order [REDACTED]. Further review of the record found another physician's orders [REDACTED]. Further review of the record found a physician's orders [REDACTED].#147'[MEDICATION NAME] to 2.5 mg for two (2) weeks, and then discontinue. Additional review of the record found another physician's orders [REDACTED]. A review of Resident #147's care plan found it did not address the resident's inability to initiate sleep ([MEDICAL CONDITION]). An interview with the Director of Nursing (DON) at 9:52 a.m. on 07/13/16, confirmed the resident's care plan did not address the resident's inability to initiate sleep ([MEDICAL CONDITION]). b) Resident #109 Medical record review on 07/12/16 at 2:00 p.m. found a physician's orders [REDACTED]. The care plan dated 03/11/16, stated, Impaired renal function and is at risk for complications related to [MEDICAL TREATMENT], port with fistula. The goal established for this problem stated to maintain electrolyte balance and avoiding fluid overload. There was no goal established to prevent complications of the [MEDICAL TREATMENT] port with fistula as identified in the problem. The interventions for this care plan addressed complications that could occur with [MEDICAL TREATMENT]; however, there was no intervention for the restriction specified by the physician on 03/11/16 for No B/P is Left Arm. Further review of the medical record on 07/12/16 reveled Resident #101 had her B/P taken in her left arm a total of nine (9) times in three months. On 07/13/16 at 2:00 p.m., when made aware the resident's care plan did not address this restriction, the Director of Nursing verified the resident's care plan should include this intervention. During an interview on 07/18/16 at 10:00 a.m., Registered Nurse (RN) #108 verified she wrote the care plan, but missed including this restriction. RN #108 said they added the intervention to the care plan for No B/P or lab sticks in Lt. arm, on 07/13/16.	2020-02-01