cms_WV: 5933
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5933 | MADISON PARK HEALTHCARE | 515021 | 700 MADISON AVENUE | HUNTINGTON | WV | 25704 | 2015-01-16 | 502 | D | 0 | 1 | 947511 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview the facility failed to ensure laboratory services were obtained to meet the needs of one (1) of five (5) residents reviewed for the care area of unnecessary medications. The facility had not received the results of a prothombin time and international normalized ratio (PT/INR) test for one (1) resident. Resident identifier: #39. Facility census: 38. Findings include: a) Resident #39 On 01/15/14 at 10:00 a.m., a review of the physician's orders [REDACTED]. The order, written on 11/14/14, indicated the facility would obtain a PT/INR every two (2) weeks. At 10:45 a.m. on 01/15/15, a review of the treatment administration record (TAR) revealed laboratory specimens were obtained on 12/04/14, 12/18/14, and 01/01/15. The results for the specimens obtained on 12/04/14 and 12/18/14 were located in the resident's medical record. The medical record did not contain evidence of the results for the specimen obtained on 01/01/15. At this time, the director of nursing (DON) was asked to locate and provide the results for the specimen obtained on 01/01/15. On 01/15/15 at 11:05 a.m., during an interview with both the DON and Employee #5 (administrator), both employees verified there were no results obtained for the PT/INR obtained on 01/01/15. Upon inquiry as to the reason, the administrator said the facility never received the results. The administrator said she telephoned the laboratory on 01/05/15, in order to receive the results. She said the laboratory had no record at that time of receiving the specimen. The administrator said on 01/09/15, the laboratory notified the facility of the fact that the specimen obtained on 01/01/15 had not been a sufficient specimen. Upon inquiry as to what the facility should have done when the results were not available in a timely manner, the DON said, the lab should have been drawn again, and resubmitted. A review of the PT/INR results with both employees revealed the last results received were dated 12/18/14. Both employees verified that four (4) weeks had passed since the the facility received the last PT/INR results. | 2018-05-01 |