cms_WV: 5923
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5923 | GUARDIAN ELDER CARE AT WHEELING | 515002 | 20 HOMESTEAD AVENUE | WHEELING | WV | 26003 | 2015-06-11 | 280 | D | 1 | 0 | P4O811 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, resident interview, and staff interviews, the facility failed to accurately revise the comprehensive care plan for two (2) of seven (7) residents whose care plans were reviewed. The care plan for Resident #80 was incorrectly revised when the assistance needed for transfers changed. The care plan for Resident #37 was not revised for [MEDICAL CONDITIONS] transmission precautions. Resident identifiers: #80, and #37. Facility census: 138. Findings include: a) Resident #80 Resident #80 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. On 05/15/15, the physician signed and dated the Resident Capacity to Make Medical Decisions form, stating the resident demonstrated the capacity to make medical decisions. On 06/09/15 at 10:15 a.m., a review of the care plan for Resident #80 revealed a focus area related to functional deficits. The focus stated the resident was not steady during transfers and ambulation. The goal of the focus area was for Resident #80 to maintain the current level of functioning without decline. Interventions included assistance of one (1) staff member and a gait belt for transfers and ambulation, with a revision date of 04/10/15. A review of the physician's orders [REDACTED]. The previous order, written upon admission in July 2014, was to transfer with the assistance of two (2) and a gait belt. During an interview with Resident #80, on 06/10/15 at 9:25 a.m., the resident was asked how much assistance she received when transferring from the bed to the wheelchair, or the wheelchair to the toilet and back. She said sometimes she received assistance from one (1) staff member and sometimes she received assistance from two (2) staff members. When asked if the staff members used a gait belt to assist with transfers, Resident #80 replied, No, they just help me move from place to place. On 06/10/15 at 2:45 p.m., the care plan and physician orders [REDACTED]. The DON verified the care plan was incorrectly revised on 04/10/15. She said the care plan should have reflected the order to transfer with the assistance of one (1) staff member. The DON said the care plan should not have included the use of the gait belt. b) Resident #37 Observation on 06/10/15 at 9:30 a.m., revealed Resident #37 resided in a semi-private room with her spouse. Signage at the door directed staff to see the nurse before entering the room. A plastic cart outside the door contained personal protective equipment, which included disposable gowns and latex gloves. Review of the resident's current care plan on 06/10/15 at 10:00 a.m., found no mention of contact precautions, or the reason for contact precautions. During an interview with the DON on 06/10/15 at 3:30 p.m., it was shared that there was no care plan focus or intervention related to the resident's [MEDICAL CONDITIONS] and/or contact precautions. The DON said the resident was still in contact precautions because they wanted to be proactive and, if anything, to error on the side of caution. She said the facility did not re-test stool samples for [MEDICAL CONDITION] after treatment with antibiotics was completed. On 06/10/15 at 4:00 p.m., an interview was conducted with Registered Nurse #55 and Registered Nurse #91 (minimum data set (MDS) coordinator). They said this resident received a full course of antibiotic therapy for treatment of [REDACTED]. Although she no longer had diarrhea, she had occasional loose stools. They said they chose to maintain contact precautions as a proactive intervention. Upon inquiry as to why the care plan did not reflect this decision, they said the former care plan contained focus and interventions related to the [MEDICAL CONDITION] and contact precautions, but erroneously was not carried over to the current care plan. | 2018-05-01 |