cms_WV: 5073
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5073 | MORGANTOWN HEALTH AND REHABILITATION CENTER | 515049 | 1379 VAN VOORHIS RD | MORGANTOWN | WV | 26505 | 2015-09-14 | 278 | B | 0 | 1 | HR8011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview and record review the facility failed to complete an assessment to accurately reflect the resident's status. Resident #77 had experienced a significant weight loss. This weight loss was incorrectly assessed on three (3) of three (3) Minimum Data Set (MDS) assessments. Resident identifier: #77. Facility census: 88. Findings include: a) Resident #77 A medical record review for Resident #77, on 09/14/15 at 12:00 p.m., revealed Resident #77 was admitted on [DATE] with diagnoses, including [MEDICAL CONDITION] end of right tibia, dislocation of unspecified ankle joint, gastro-[MEDICAL CONDITION] reflux disease without esophagitis, and periapical (encompassing or surrounding the tip of the root of a tooth) abscess without sinus. Her admission weight on 05/29/15 was 238.8 pounds using a mechanical lift. Her weight on 06/10/15 was 221.6 pounds, and this weight was used on the 14-day Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 06/12/15. However, the assessment question at item (K0300) Loss of 5% or more in the last month or loss of 10% or more in last 6 months was answered 0. No or unknown. The general progress note completed by the Dietary Manager #12, on 06/12/15, the same day she completed the MDS stated, Resident has had a 7% wt. (weight) loss since admission. The registered dietician confirmed this in her 06/19/15 note which stated Review for wt (weight) loss: Resident has experienced a 7.2% wt decline The next MDS completed was a 30-day assessment dated with ARD of 06/26/15. The most current weight used for this assessment is still the 221.6 weight from 06/10/15. Again, the question K0300 Loss of 5% or more in the last month or loss of 10% or more in last 6 months was answered 0. No or unknown. A 60 day MDS assessment was completed with an ARD of 07/24/15 and the most recent weight of 213, obtained 07/15/15, was used. Again, the question at item (K0300) Loss of 5% or more in the last month or loss of 10% or more in the last 6 months was answered 0. No or unknown. This weight of 213 was documented by the Dietary Manager #12 as a 10.8% weight loss x 3 months in her 9/18/15 progress note. The registered dietician documented on 08/25/15 in her general note Resident has experienced a 10.8% wt decline The appropriate weights were used when completing the MDS. The dietary department documented the significant weight loss. The care plan included the significant weight loss. The MDS did not reflect the significant weight loss on any of the three (3) assessments listed above. This matter was discussed with the administrator and director of nursing 09/14/15 at 12:30 p.m. They acknowledged the pattern of errors for this resident. The dietary manager was not available for an interview. | 2019-03-01 |