cms_WV: 5927

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
5927 GUARDIAN ELDER CARE AT WHEELING 515002 20 HOMESTEAD AVENUE WHEELING WV 26003 2015-06-11 502 D 1 0 P4O811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview, the facility failed to ensure a physician ordered laboratory test was obtained for one (1) of seven (7) sample residents, so assessment and treatment could be maximized. Resident identifier: #139. Facility census: 138 Findings include: a) Resident #139 A review of the medical record for Resident #139, on 06/09/15 at 4:00 p.m., revealed the resident was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 06/09/15 at 4:15 p.m., a review of the resident's physician's orders [REDACTED]. These were ordered for 05/18/15, 05/22/15, 05/26/15, and 05/30/15. At 5:15 p.m. on 06/09/15, the results of the ordered laboratory specimens were reviewed. The normal laboratory values for Ammonia Levels range from nine (9) to thirty (30). The resident's Ammonia levels increased from 56 on 05/13/15 to 86 on 05/18/15. The record contained no results for an Ammonia Level on 05/22/15, as ordered for the resident on 05/18/15. There was, however, a laboratory specimen drawn for a comprehensive metabolic panel (CMP) on 05/22/15, and these results were in the resident's medical record. The Ammonia Level was obtained on 05/26/15. It indicated a slightly decreased level of 82. The Ammonia Level obtained on 05/30/15 was even lower, at 69. On 06/10/15 at 2:15 p.m., when asked to provide the results for the Ammonia Level ordered for 05/22/15, Nurse Manager (NM) #167 said on 05/18/15, the Nurse Practitioner (NP) told her it was not necessary to obtain the level on 05/22/15 since the resident had poor intravenous access, and it was difficult to obtain a specimen. When asked if the order was discontinued or if a clarification was made regarding the order, NM #167 said, No, it probably should have been. At 9:55 a.m. on 06/11/15, an interview was conducted with the Director of Nursing (DON), the Assistant Director of Nursing (ADON), and the NP, regarding the order to obtain an Ammonia Level for the resident on 05/22/15. The NP confirmed the information provided by NM #167, regarding the decision to just wait until 05/26/15 for the Ammonia Level. When asked why the order to obtain the Ammonia Level on 05/22/15 was not discontinued or clarified, the NP said it should have been, but was overlooked. When asked if the Ammonia Level could have been obtained with the CMP, which was drawn on 05/22/15, the NP agreed it could have been. The NP stated that without an order to discontinue the order written on 05/18/15, the Ammonia Level should have been obtained on 05/22/15 as ordered. 2018-05-01