cms_WV: 6189

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

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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