cms_WV: 5982

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
5982	TAYLOR HEALTH CARE CENTER	515057	2 HOSPITAL PLAZA	GRAFTON	WV	26354	2014-10-15	425	D	0	1	GZSS11	Based on observation, staff interview, review of manufacturer's instructions, and review of guidance provided by the facility's pharmacy, the facility failed, in collaboration with the pharmacist, to ensure the safe and effective use of medications. A multi-dose vial of insulin was open for use for greater than the number of days directed by the manufacturer. Another multi-dose vial of insulin was open and had no date inscribed to indicate when the vial was initially opened. Use of medication from a multi-dose vial which was open for a time period greater than that recommended by the manufacturer had the potential to negatively impact the safety and/or potency of the medication. Resident identifier: #65. Facility census: 59. Findings include: a) Resident #65 On 10/09/14 at 9:00 a.m., the medication storage room on the second floor of the Extended Care Facility (ECF) was observed. An opened, partially used, multi-dose vial of Novolin-N insulin for Resident #65 was stored in the medication refrigerator. It was initially opened on 08/23/14. A second vial of Novolin-N insulin for Resident #65 was observed in the medication refrigerator. It was delivered by the pharmacy on 09/08/14. This nearly full vial was opened (needle punctured), but was not dated to indicate when it was first opened. The manufacturer's instructions for Novolog insulin directed an opened vial be thrown away after six (6) weeks (42 days) of use, even if there was insulin left in the vial. At 11:00 a.m. on 10/09/14, licensed practical nurse (LPN) Employee #29 said the facility had no policy related to dating vials when opened, or how long to keep vials after they were initially opened. She produced a copy of insulin storage recommendations that she said the facility's pharmacy provided as a guideline. According to those recommendations, Novolin-N insulin could be kept refrigerated for up to forty-two (42) days after the initial opening. The LPN said the vial of Novolin-N insulin for Resident #65, that had initially been opened on 08/23/14, should have been discarded and was not. She said the opened vial of Novolin-N insulin that was not dated should also have been discarded and was not. The LPN acknowledged there was no way to know when that vial had been initially opened. She said she would speak with the director of nursing (DON) and see that those two (2) insulin vials were discarded. A discussion was held with the DON on 10/15/14 at 9:00 a.m. She spoke of her awareness of the two (2) insulin vials that had been improperly stored, and subsequently discarded.	2018-05-01