cms_WV: 5348
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| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5348 | PARKERSBURG CENTER | 515102 | 1716 GIHON ROAD | PARKERSBURG | WV | 26101 | 2015-01-28 | 278 | E | 0 | 1 | 11X211 | Based on medical record review and staff interview, the facility failed to complete an accurate quarterly assessment for (1) of twenty two (22) Stage 2 sample residents. The quarterly assessment for this resident was incorrect related to pressure ulcers. Resident identifier: #65. Facility census: 64. Findings include: a) Resident #65 During a Stage 1 interview, on 01/20/15 at 2:02 p.m., Employee #39, a licensed practical nurse (LPN), indicated Resident #65 had a Stage III pressure ulcer (PU) on his coccyx. She related it may have developed in house. Review of the medical record, on 01/20/15 at 3:47 p.m., revealed a quarterly minimum data set (MDS) with an assessment reference date (ARD) of 12/19/14. Section M 0300 indicated Resident #65 had one (1) unhealed Stage III PU, which was present on admission/entry/reentry. Section S indicated the pressure ulcer developed in house. Section M0900 indicated the resident also had one (1) Stage III pressure ulcer, which was present on the prior assessment and had completely closed. Previous quarterly MDSs with ARDs of 12/31/13, 04/01/14 and 06/24/14 also indicated Resident #65 had a Stage III pressure ulcer which was present upon admission/entry or reentry. Each quarterly MDS indicated the resident had one (1) Stage III pressure ulcer present on the prior assessment which had closed. Section S of the quarterly assessments with ARDs of 12/31/13, 06/24/14, and 12/19/14 indicated the coccyx wound was acquired other than in house. Further review of the medical record, on 01/22/15 at 10:21 a.m., revealed no evidence from 12/31/13 through 01/22/14, which indicated Resident #65 had a pressure ulcer other than on his coccyx. Pressure ulcer record logs, reviewed for the time period of 02/01/14 through 01/22/15, indicated the Stage III coccyx wound had never healed during that time frame. The record provided no indication the resident had another wound. During an interview with the MDS coordinator, on 01/22/15 at 2:54 p.m., she reviewed the quarterly MDS with an ARD of 12/19/14. She confirmed section M did not correlate with Section S, but did not know which was correct. She related she had not observed the wound(s) and could not relate whether the information regarding the healed pressure ulcer was correct. An interview with the director or nursing, on 01/22/15 at 3:30 p.m., revealed the coccyx wound had never healed, and she did not believe the resident had developed another wound. Employee #13, a registered nurse (RN), interviewed on 01/27/15 at 3:24 p.m., related she had completed wound rounds for about the last year. She indicated Resident #65 only had one (1) Stage III pressure ulcer, and no healed ulcers. She conferred with Employee #78 (RN), who confirmed the resident had no other pressure ulcers. She also confirmed the Stage III coccyx PU had not healed at all during the past year. She related Resident #65 acquired the pressure ulcer in house. At 3:55 p.m. on 01/27/15, the MDS nurse confirmed the information on the quarterly MDS was incorrect. She stated it was entered prior to her position, and the information must have been carried over from the comprehensive MDS with an ARD of 09/22/14, which was incorrect. She confirmed the quarterly MDS, with an ARD of 12/19/14, did not accurately reflect the resident's status. | 2019-01-01 |