cms_WV: 5638
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5638 | MEADOWVIEW MANOR | 515141 | 41 CRESTVIEW TERRACE | BRIDGEPORT | WV | 26330 | 2015-04-16 | 314 | D | 0 | 1 | CDOG11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, resident interview, and record review, the facility failed to provide care and services to prevent the development of new pressure ulcers for one (1) of three (3) Stage 2 residents reviewed for pressure ulcers. The resident, with a history of development of pressure ulcers, did not have physician ordered interventions in place. Resident identifier: #36. Facility censuses: 55. Findings include: a) Resident #36 Observation of Resident #36, on 04/16/15 at 10:00 a.m., with Nurse Aide (NA) #48, found the resident had a suspected deep tissue injury (SDTI) on her right heel. Interventions in place included an air mattress and a device to prevent the heels from touching the bed, called a heels off cushion. A review of the physician's orders [REDACTED]. At 10:40 a.m. on 04/16/15, an interview was conducted with Licensed Practical Nurse (LPN) #2, who identified herself as the nurse in charge of Resident #36 for that shift, and Registered Nurse (RN) charge nurse #28. When asked about the heel protectors and the right elbow protector, they stated they were unaware Resident #36 needed these preventative devices. They said they would have to check the medical record. At 10:50 a.m. on 04/16/15, NA #48 was asked if she knew the resident was supposed to wear an elbow protector and heel protectors. She stated, Not until (LPN #2) just told me. | 2018-09-01 |