cms_WV: 5588

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
5588	HERITAGE CENTER	515060	101-13TH STREET	HUNTINGTON	WV	25701	2014-12-12	329	D	0	1	VNJW11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview the facility failed to make sure the residents drug regimen was as free from unnecessary medications as possible for two (2) of six (6) residents reviewed for the care area of unnecessary medications during Stage 2 of the Quality Indicator Survey (QIS). Resident #222 was administered an anti-hypertensive medication on three (3) consecutive days when his pulse fell below the physician established parameter of 60 beats per minute. Also, Resident #222 was not administered the correct dosage of [MEDICATION NAME] on 11/10/14 and 11/11/14. Additionally, Resident #201 had a pharmacy recommendation dated 08/06/14 which recommended her dose of [MEDICATION NAME] (a medication used to treat depression) be decreased to 20 milligrams a day from 40 milligrams per day. The physician accepted this recommendation, but the facility failed to implement the physician order. Resident Identifiers: #222 and #201. Facility Census: 154. Findings Include: a) Resident #222 1. A review of Resident #222's medical record at 12:56 p.m. on 12/04/14, revealed a physician order [REDACTED]. The heart rhythm is fast and irregular in this condition) . Review of the MAR for 11/10/14 and 11/11/14 revealed Resident #222's previous dose of [MEDICATION NAME] 2 mg was not removed from the MAR until after he received that dose on 11/11/14. The new dosage of 2.5 mg was added to the MAR indicated [REDACTED]. An interview with the Director of Nursing (DON) at 2:00 p.m. on 12/04/14, confirmed the facility administered the wrong dose of [MEDICATION NAME] on 11/10/14 and 11/11/14. 2. Review of Resident #222's MAR for 11/14/14 through 11/16/14 revealed the following medication, [MEDICATION NAME] 50 mg po qd (one time a day) dx (diagnosis)[MEDICAL CONDITION](hypertension) hold SBP The DON, at 2:00 p.m. on 12/04/14, confirmed facility staff administered the [MEDICATION NAME] 50 mg on 11/14/14, 11/15/14 and 11/16/14, when the resident ' s pulse was below 60 bpm. She stated the medication should not have been administered. b) Resident #201 A review of Resident #201's medical record at 1:42 p.m. on 12/10/14 revealed a current physician's orders [REDACTED]. The medical record also contained a consultation report from the consultant pharmacist dated 08/06/14 which contained the following text (typed as written): Recommendation: Please consider decreasing [MEDICATION NAME] ([MEDICATION NAME]) to 20 mg orally daily. Following any gradual dose reduction attempt, residents should be closely monitored for re-emergence of target symptoms and/or withdrawal symptoms. If symptoms emerge, alternative or adjunctive therapy may be warranted. Rationale for recommendation: An FDA (food drug administration) safety alert released (MONTH) 28, 2012, states that the maximum dose of [MEDICATION NAME] for patients greater than [AGE] years of age is 20 mg daily due to the potential risk of abnormal heart rhythms with higher doses . Resident #201's attending physician reviewed and accepted this recommendation as written on 08/18/14. The physician indicated on the form the recommendation should have been implemented as written. The consultation report was signed by the director of nursing (DON) on 08/19/14. Review of Resident #201's physician orders [REDACTED]. The resident has continued to receive [MEDICATION NAME] 20 mg twice daily since this recommendation on 08/18/14. An interview with the DON at 3:18 p.m. on 12/10/14, confirmed the recommendation to decrease Resident #201's [MEDICATION NAME] to 20 mg daily was never implemented as recommended by the pharmacist and accepted by the physician.	2018-09-01