cms_WV: 4747

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
4747	PINE LODGE	515001	405 STANAFORD ROAD	BECKLEY	WV	25801	2016-07-07	514	D	1	0	R67611	> Based on record review and staff interview the facility failed ensure complete documentation was in the medical record for meal consumption, snack intake and a neurological assessment. This was evident for four (4) of eleven (11) medical records reviewed. Resident Census was: 113. Findings include: a) Resident #1 On 07/07/16 at 2:25 p.m., a review of the medical record for this resident revealed the facility had not completed daily meal intake documentation. For the month of (MONTH) there were no intakes listed for breakfast on : 06/02, 06/14/16, 06/20/16, 06/26/16 and 06/28/16. There was no documentation of meal intakes at lunch on : 06/02/16, 06/08/16, 06/11/16, 06/14/16, 06/20/16, 06/26/16 and 06/28/16. Likewise, there was no intakes listed for dinner on : 06/07/16, 06/08/16, 06/09/16, 06/11/16, 06/12/16, 06/14/16, 06/16/16, and 06/26/16. Snack intakes were only shown to be given on 06/01/16, 06/02/16, 06/03/16, 06/15/16, 06/17/16, 06/18/16, 06/19/16, 06/22/16, 06/23/16, 06/24/16, 06/28/16 and 06/29/16. All the other days of the month were blank with no indication it was given and accepted or refused. b) Resident #3 Documentation of this medical record on 07/07/16 at 2:30 p.m. revealed no documentation for meal intake for the following occasions in (MONTH) (YEAR): --breakfast 06/11/16, 06/17/16, 06/18/16; --lunch: 06/11/16; and --dinner: 6/2/16, 6/6/16, 6/9/16, 6/12/16, 6/19/16, 6/24/16 and 6/26/16. c) Resident #4 A review of this resident's medical record on 07/07/16 at 2:40 p.m. indicated there was no documentation for meal intakes on the following occasions in (MONTH) (YEAR): --breakfast: 06/02/16, 06/11/16, 06/12/16, 06/14/16, 06/18/16, 06/19/16, 06/24/16, 06/25/16; --lunch: 06/02/16, 060/3/16, 06/11/16, 06/12/16, 06/14/16, 06/16/16, 06/18/16, 06/19/16, 06/24/16, 06/25/16; and --dinner: 06/02/16, 06/10/16, 06/12/16, 06/15/16, 06/17/16, 06/19/16, 06/20/16, and 06/25/16. All of these dates were verified with Employee #111 on 07/07/16 at 3:15 p.m. at which time she was given time to present any further evidence of these intakes being recorded. No further evidence was provided. d) Resident #9 Review of Resident #9's medical record at 12:30 p.m. on 07/05/16, found Resident #9 experienced a fall on 09/30/15 at approximately 3:00 p.m. Review of incident report regarding this fall indicated nursing initiated a neurological assessment flow sheet completed for the resident to ensure her neurological status was not harmed when she fell . Review of the Neurological Assessment Flow Sheet initiated for Resident #9 on 09/30/15, found for the following times on 09/30/15 the sheet was not completed in its entirety: 3:00 p.m., 4:00 p.m., 4:20 p.m., 4:35 p.m., 5:00 p.m., 6:00 p.m., 7:00 p.m., and 10:00 p.m. The nurse completing the Neurological assessments at these times failed to document Resident #9's level of consciousness, pupil response, motor functions and pain response. An interview with the Director of Nursing (DON) at 3:40 p.m. on 07/05/16 confirmed the Neurological Assessment Flow Sheet was not completed in its entirety.	2019-07-01