cms_WV: 5646
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5646 | PIERPONT CENTER AT FAIRMONT CAMPUS | 515155 | 1543 COUNTRY CLUB ROAD | FAIRMONT | WV | 26554 | 2015-07-29 | 166 | D | 0 | 1 | DSPZ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, resident interview, and family interview, the facility failed to make prompt efforts to resolve grievances a resident and/or representative may have. A family member reported she voiced multiple complaints and concerns regarding her family member's care and said, Nothing gets done. A resident reported he had voiced complaints about another resident for the past two and a half (2.5) years and said, It falls on deaf ears and, No one does anything. Resident identifiers: #90 and #18. Facility census: 99. Findings include: a) Resident #90 A medical record review on 07/27/15 at 10:55 a.m., found this resident was admitted to the facility 07/01/11 with [DIAGNOSES REDACTED]. A physician's progress note dated 07/06/15 stated, She is no longer verbal with the exception of a few occasional words, and, She has fallen due to her trying to get in or out of bed/chair without assistance but is unable to call or ask for assistance. The most recent recreation assessment completed on 07/15/15 asked, What are the most important parts of your typical daily routine at home? for which the response by the resident representative was, lay down and take naps after her meals. The current care plan stated Resident is to be offered to be laid down after breakfast and dinner, if she says no, offer again a little later. The most recent Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/23/15 coded resident under Section G, Item G0110, as being totally dependent for transfers and needing two (2) staff members for assistance. During an interview with the resident's responsible party, on 07/23/15 at 10:30 a.m., she voiced concern regarding staff not following the care plan she agreed to in the care plan meeting. The staff at the meeting agreed her mother would be out of bed at certain times, and returned to bed at certain times. She said staff were not doing that. She also said she came in frequently and found her family member wet. She said she had always reported concerns and there should be records of them. In an interview on 07/27/15 at 2:45 p.m., Social Worker #40 said Resident #90's responsible party had not voiced a complaint in a long time. Upon review the past six months complaints, performed on 07/27/15 at 3:30 p.m., there was a complaint dated 01/19/15 regarding Resident #90's bed sheets being brown ringed, a condition where the sheets had a dried brown circular area, presumably of old urine. There was a second complaint dated 07/01/15, which described two (2) occasions of Resident #90 not being laid down after breakfast. One occurrence was 06/29/15 and the other 07/01/15. The facility administrator documented this concern and part of the resolution was to educate staff regarding laying Resident down at key times. During an interview with the Administrator, on 07/28/15 at 10:00 a.m., this education had still not taken place yet. During an interview with the Director of Nursing, (DON) on 07/27/15 at 4:00 p.m., he said Resident #90's responsible party had come to him in the past about laying Resident down because she was tired and he had staff immediately lay her down each time. He said other than the 07/01/15 concern handled by the Administrator, it had been a long time since anything was written up formally. A second interview was held with the DON on 07/28/15 at 10:03 a.m. about the concern filed 07/01/15 that had still not had the education piece completed. He stated that is not a typical length of time to resolve a grievance and said, I'm not sure what happened there. A second interview was held with the responsible party of Resident #90 on 07/28/15 at 11:00 a.m. She reiterated she had complained many times in the past about Resident #90's bed being wet at various times and about Resident #90 being up in a wheelchair when she was care planned to be in bed. She said she did not attend the care plan meetings anymore, because it was not followed. She said she had complained to Nurse Manager #202 and to the DON and felt like nothing gets done. She said from now on she will go to the Administrator because at least the Administrator wrote down her concerns, although, she still does not feel the Administrator acted upon her concerns timely. b) Resident #18 On 07/27/15 at 11:00 a.m., Resident #18 requested to speak with a surveyor regarding problems he had with Resident #44. An incident report review performed on 07/28/15 at 8:45 a.m. for the past three (3) months found no reports of incidents regarding both residents. Review of grievance and concerns forms for the past six (6) months performed 07/27/15 at 3:30 p.m., found no concerns or grievances regarding disagreements between both residents. An interview was held with Resident #18 on 07/28/15 at 2:00 p.m. and he said Resident #44 had bullied him since he (Resident #18) was admitted two and a half (2.5) years ago. He denied being afraid of Resident #44, but he did say if Resident #44 did not leave the facility, then he (Resident #18) would have to go live somewhere else. He said he had complained multiple times to Nurse Manager #202, the DON, Social Worker #154, and the Administrator. He said, It falls on deaf ears, and, No one does anything. An interview was held with the DON on 07/27/15 at 3:45 p.m. and he said both Resident #18 and #44 instigate problems with each other and he and the staff frequently have to redirect both men. He said, You know how men are. An interview with Social Worker #154 was held on 07/27/15 at 2:45 p.m. and she said they do not fill out complaints for Resident #18's concerns; they document issues on his progress notes. | 2018-09-01 |