cms_WV: 5706
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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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 |