cms_WV: 5691
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 |
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5691 | PINE LODGE | 515001 | 405 STANAFORD ROAD | BECKLEY | WV | 25801 | 2015-01-29 | 203 | D | 0 | 1 | WCKU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, policy review, and staff interview, the facility failed to notify the resident and/or the family in writing of: 1) the reason for the resident's discharge from the facility, 2) the effective date of transfer or discharge, 3) a statement that the resident had the right to appeal the action to the State, and 4) the name, address and telephone number of the State long term care ombudsman. This was evident for one (1) of three (3) residents reviewed for the care area of admission, transfer, and discharge. Resident #83 was transferred to a local hospital for exit seeking behaviors. The facility did not provide the resident or family member/legal representative the necessary documentation necessary at the time of the discharge. Resident identifier: #83. Facility census: 108. Findings include: a) Resident #83 The record review for Resident #83, on 01/28/15 at 1:30 p.m., revealed the facility discharged Resident #83 to a local hospital on [DATE] for exit seeking and combative behaviors. During Stage 1 of the Quality Indicator Survey (QIS), the facility provided a copy of information provided to residents upon transfer or discharge. The facility provided a form entitled, Notification of Transfer/Discharge. The form required the facility to complete the effective date of the transfer, the reason for the resident's discharge, a statement that the resident had the right to appeal the action to the State, and the name, address and telephone number of the State long term care ombudsman. At 2:30 p.m. on 01/28/15, the administrator was asked for a copy of the information provided to the Resident #83 and/or his family at the time of discharge. Review of the facility's policy, entitled, Discharge and Transfer found, All patients will receive a Notice of Transfer or Discharge and/or Discharge Transition Plan whenever a voluntary or involuntary transfer/discharge occurs . At 3:00 p.m. on 01/28/15 the medical record clerk, Employee #100, and the administrator confirmed they could find no evidence the required information was provided to the resident/and or the family at the time of discharge. | 2018-08-01 |