cms_WV: 4769

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
4769	ST. JOSEPH'S HOSPITAL	515051	AMALIA DRIVE #1	BUCKHANNON	WV	26201	2016-03-31	278	D	0	1	6SHE11	Based on record review and staff interview, the individual assessing and certifying the accuracy of the number of pressure ulcers in Section M for Resident #17, and rejection of care in Section E of Resident #1's and Resident #23's Minimum Data Set (MDS) assessments, failed to ensure the assessments were accurate. Resident identifiers: #17, #1, and #23. Facility census: 16. Findings include: a) Resident #17 Review of Resident #17's medical record on 03/31/16 at 9:55 a.m., found a quarterly MDS assessment with an assessment reference date of 11/14/15. Review of the MDS found Section M entitled skin conditions, indicated the resident had four (4) pressure ulcers during the seven (7) day look back period. Review of Resident #17's weekly pressure ulcer evaluation dated 11/13/15, completed by Registered Nurse (RN) #20, indicated the resident had the following wounds: -- Stage 2 pressure ulcer to right hip measuring 4.5 centimeter (cm) in length and 3.5 cm in width and less than 0.25 cm in depth. -- Stage 3 pressure ulcer to left heel measuring 1 cm in length and 1.5 cm in width and less than 0.25 cm in depth. -- Stage 2 pressure ulcer to coccyx measuring 3 cm in length and 2.2 cm in width and less than 0.25 cm in depth. -- Stage 4 pressure ulcer to left buttock measuring 2.5 cm in length and 1.5 cm in width and 0.5 cm in depth. -- Stage 2 pressure ulcer to right buttocks measuring 5 cm in length and 4.5 cm in width and less than 0.25 cm in depth. An interview with RN #20, at 12:30 p.m. on 03/31/16, confirmed the MDS with the ARD of 11/14/15 did not accurately reflect Resident #17's pressure ulcer status. She confirmed the resident had five (5) pressure ulcers at the time of the assessment, not four (4), as indicated on the assessment. b) Resident # 1 A review of Resident #1's medical record, at 2:08 p.m. on 03/29/16, found a 14-day MDS with an ARD of 02/03/16. Review of the MDS found Item E 0800, entitled Rejection of Care - Presence & Frequency, indicated Resident #1 rejected care on a daily basis during the seven (7) day look back period. Further review of the resident's medical record found no indication that Resident #1 rejected care during the seven (7) day look back period 01/28/16 through 02/03/16. An interview with RN #20 at 2:30 p.m. on 03/29/16, confirmed the MDS with the ARD of 02/03/16 did not accurately assess Resident #1's rejection of care. c) Resident #23 A review of Resident #23's medical record, at 3:08 p.m. on 03/29/16, found a quarterly MDS with an ARD of 02/03/16. Review of the MDS found Item E 0800, entitled Rejection of Care - Presence & Frequency, indicated Resident #23 rejected care on a daily basis during the seven (7) day look back period. Further review of the resident's medical record found no indication that Resident #23 rejected care during the seven (7) day look back period from 01/28/16 through 02/03/16. An interview with RN #20 at 10:37 a.m. on 03/30/16, confirmed the MDS with the ARD of 02/03/16 did not accurately assess Resident #17's rejection of care.	2019-07-01