cms_WV: 4118
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4118 | SALEM CENTER | 515071 | 255 SUNBRIDGE DRIVE | SALEM | WV | 26426 | 2019-04-02 | 695 | D | 0 | 1 | HCZ011 | Based on observation, medical record review, and staff interview, the facility failed to deliver respiratory care services consistent with professional standards of practice. Oxygen therapy was not being administered as ordered by the physician. These practices affected three (3) of six (6) residents reviewed for respiratory care during the Long Term Care Survey Process (LTCSP). Resident identifiers: #14, #47, and #279. Facility census: 80. Findings include: a) Resident #14 An observation of the Resident, on 03/25/19 at 12:30 PM, revealed the Resident was in her wheelchair in her room. The Resident had an oxygen concentrator in the room and was receiving 2.5 liters of oxygen via nasal cannula. A review of the physician orders, on 03/25/19 at 12:40 PM, revealed the Resident was ordered Oxygen at 4 Liters per minute via nasal cannula continuously for shortness of breath. The order had a start date of 06/14/18. An interview with Licensed Practical Nurse (LPN) #15, on 03/25/19 at 12:45 PM, revealed the Resident should be receiving oxygen continuously at 4 liters and not 2.5 liters. b) Resident #47 An observation of the Resident, on 03/25/19 at 1:05 PM, revealed the Resident was in bed in her room. The Resident had an oxygen concentrator in the room and was receiving 4 liters of oxygen via nasal cannula. A review of the physician orders, on 03/25/19 at 1:15 PM, revealed the Resident was ordered Oxygen at 2 liters per minute via nasal cannula continuously. The order had a start date of 11/29/18. An interview with Licensed Practical Nurse (LPN) #15, on 03/25/19 at 1:20 PM, revealed the Resident should be receiving oxygen continuously at 2 liters and not 4 liters. The LPN stated sometimes the residents will change the oxygen levels themselves. c) Resident #279 An observation of the Resident, on 03/25/19 at 1:40 PM, revealed the Resident was in bed in her room. The Resident had an oxygen concentrator in the room and was receiving 2.5 liters of oxygen via nasal cannula. A review of the physician orders, on 03/25/19 at 1:45 PM, revealed the Resident was ordered Oxygen at 3 liters per minute via nasal cannula continuously. The order had a start date of 02/25/19. An interview with Licensed Practical Nurse (LPN) #15, on 03/25/19 at 1:50 PM, revealed the Resident should be receiving oxygen continuously at 3 liters and not 2.5 liters. | 2020-02-01 |