cms_WV: 6189
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6189 | MAPLES NURSING HOME | 515186 | 1600 BLAND STREET | BLUEFIELD | WV | 24701 | 2014-09-18 | 272 | D | 0 | 1 | O60P11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to conduct a complete and accurate initial comprehensive assessment. A resident's initial minimum data set (MDS) comprehensive assessment did not provide a complete assessment of urinary incontinence for one (1) of two (2) Stage 2 sample residents whose assessments were reviewed for the area of urinary incontinence. The Care Area Assessment (CAA) was not completed to assess the cause and type of incontinence experienced. Resident identifier: #17 Facility Census: 55. Findings include: a) Resident #17 This resident was admitted to the facility on [DATE]. Her initial Minimum Data Set (MDS) assessment had an assessment reference date (ARD) of 11/25/13. This date was seven (7) days following her admission to the facility. The assessment identified the resident had no problems with her cognition. Section H0300 of the assessment, was coded 2, indicating the resident was frequently incontinent of bladder. According to the instructions provided on the MDS, this indicated there were seven (7) or more episodes of urinary incontinence, but at least one (1) episode of continent voiding in the last seven (7) days prior to the ARD. Section V of the MDS indicated the Care Area of Urinary Incontinence was triggered and needed to be assessed further. It stated the location and date of the CAA documentation was the Urinary CAA summary assessment dated [DATE]. Review of the Urinary CAA summary assessment found it did not provide a further assessment of this resident's incontinence. There was no assessment to indicate what type of urinary incontinence the resident was experiencing or any information to assist with identifying the cause of her incontinence. The analysis of findings stated she had decreased mobility and used a diuretic. Based on this inadequate assessment, the resident was never placed on any type of toileting program to see if she could improve in the area of incontinence. During an interview with Employee #76 (MDS Nurse) 09/18/14 at 3:00 p.m., she verified Resident #17's assessment was not completed to identify the causal factors of her incontinence. She confirmed the initial CAA form they used to further assess the urinary incontinence was not completed in the section provided to identify the type of Incontinence. She also confirmed there had been no toileting plan implemented for the resident since her admission, but she might be able to participate in one. | 2018-05-01 |