cms_WV: 5706

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
5706 PINE LODGE 515001 405 STANAFORD ROAD BECKLEY WV 25801 2015-01-29 329 E 0 1 WCKU11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to ensure each resident's drug regimen was free from unnecessary medications. One (1) resident (#54) identified through random opportunity for discovery, and one (1) of ten (10) residents reviewed for unnecessary medications, were affected. Resident #54, did not have a dosage reduction of [MEDICATION NAME] ([MEDICAL CONDITION] medication) as recommended by the nephrologist when the resident was discharged from the hospital. The facility physician did not provide a clinical rationale as to why the medication was not reduced. Resident #120, reviewed for unnecessary medications received [MEDICATION NAME] after the medication had been discontinued by the physician. Resident identifiers: #54 and #120. Facility census: 108. Findings include: a) Resident #54 Medical record review for Resident #54 on 01/26/15 at 11:00 a.m., revealed a hospital discharge summary in which the nephrologist recommended decreasing the [MEDICATION NAME] to 30 milligrams (mg) until 01/10/15. Further medical record review revealed an order from the facility physician for [MEDICATION NAME] 75 mg everyday on 01/07/15. The order was for one (1) tablet of [MEDICATION NAME] to be given daily until 01/10/15. The medical record did not contain a clinical rationale from the resident's attending physician at the facility regarding why the dose of [MEDICATION NAME] was not reduced as recommended by the nephrologist upon the resident's discharge from the hospital. On 01/26/15 at 2:00 p.m., the director of nursing verified there was no clinical rationale provided by the facility's attending physician for not reducing the [MEDICATION NAME] as recommended by the nephrologist when the resident was discharged from the hospital on [DATE]. b) Resident #120 On 11/21/14, the pharmacist reviewed the resident's drug regimen and recommended the medication, [MEDICATION NAME] 20 milligrams (mg) be discontinued because the medication could be interacting with the anticoagulation medication, [MEDICATION NAME]. The pharmacist noted the resident's [MEDICATION NAME] Time and International Normalized Ratio (PT/INRs) had been elevated. The physician agreed with the recommendation and wrote an order to discontinue the medication on 12/08/14. Review of the Medication Administration Record [REDACTED]. At 11:39 a.m. on 01/27/15, the administrator and the director of nursing (DON) were made aware of these findings. Both employees were unable to provide documentation the medication was discontinued on 12/08/14 as recommended by the pharmacist and ordered by the physician. 2018-08-01