cms_WV: 5937
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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5937 | ELKINS REGIONAL CONVALESCENT CENTER | 515025 | 1175 BEVERLY PIKE | ELKINS | WV | 26241 | 2015-01-07 | 242 | D | 0 | 1 | RDRC11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident interview, staff interview, and medical record review, the facility failed to ensure a treatment schedule significant to a resident was honored for one (1) of one (1) residents reviewed for choices. The facility failed to offer Resident #20 her bone stimulator on the time schedule requested by the resident. Resident identifier: #20. Facility census: 104. Findings include: a) Resident #20 During a Stage 1 interview on 12/30/14 at 11:14 a.m., Resident #20 related she had fractured her left arm and was receiving rehabilitation services. physician's orders [REDACTED]. It was scheduled for 7:30 p.m. Review of electronic Medication Administration Record [REDACTED]. On 09/13/14 at 3:16 a.m., the bone stimulator was offered. This note related the resident told staff she wanted it at 8:00 p.m. A Stage 2 interview was conducted with the resident on 12/31/14 at 11:14 a.m. Upon inquiry, the resident said she had complained and complained about the times the treatment was offered, but staff did not listen to her. Although the resident informed staff she wanted the treatment at 8:00 p.m., and the order was for 7:30 p.m., staff continued to offer the treatment at times which were not satisfactory to the resident: -- 10/01/14 at 3:19 a.m. -- 10/02/14 at 11:25 p.m. -- 10/11/14 at 10:57 p.m. -- 10/13/14 at 10:46 p.m. -- 10/2514 at 11:16 p.m. -- The e-mars dated 11/02/14, 11/21/14, 11/22/14, 11/27/14, 11/28/14, and 11/31/14 noted the treatment was not administered because the resident was sleeping. -- On 12/08/14 at 22:45 p.m., the e-mar note indicated the resident said, If not done before 9:00 p.m., it couldn't be done. Although the resident informed staff she would not accept the treatment if it was not done before 9:00 p.m., staff continued to offer the treatment at times which the resident said were too late: -- 12/10/14 at 9:58 p.m. -- 12/11/04 at 9:45 p.m. -- 12/13/04 at 10:21 p.m. -- 12/16/04 at 11:30 p.m. -- 12/18/04 at 10:29 p.m. -- 12/24/04 at 10:45 p.m. -- 12/25/04 at 11:07 p.m. According to the e-mar notes, staff continuously offered the treatment at times which the resident considered too late. An e-mar note, dated 12/09/14, indicated the bone stimulator was offered at 9:30 p.m. The resident refused the treatment, stating she needed it done no later than 9:00 p.m. An interview with the director of nursing (DON), on 12/31/14 at 12:12 p.m., revealed she was aware the resident continued often refused her treatment. The DON said, It is being offered earlier. The DON reviewed Resident #20's medication administration records, then confirmed times offered were still outside the parameters considered satisfactory to the resident. | 2018-05-01 |