cms_WV: 6198

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
6198	MAPLES NURSING HOME	515186	1600 BLAND STREET	BLUEFIELD	WV	24701	2014-09-18	428	D	0	1	O60P11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based of medical record review and staff interview, the pharmacist failed to report a medication irregularity to the attending physician and the director of nursing for one (1) of five (5) residents reviewed. The pharmacist failed to identify and report duplicate medication therapy which did not have clinical justification. Resident identifier: Resident #41. Facility census: 55. Findings include: a) Resident #41 The medical record, reviewed on 09/16/14 at 3:48 p.m., indicated Resident #41 received was admitted on [DATE] and received three (3) medications for gastroesophageal reflux disease (GERD): Pepcid 20 milligrams (mg) by mouth (po) daily at bedtime, Protonix DR (long acting) 40 mg po once a day, and Reglan 10 mg po once a day, for Employee #15, a licensed practical nurse, interviewed on 09/17/14 at 5:30 p.m., indicated medications were assessed for effectiveness through pharmacy review on a monthly basis, and more often if needed. Further review of the medical record, on 09/17/14, at 2:00 p.m., revealed a monthly pharmacy review. No evidence was present to indicate the pharmacist addressed the use of duplicate therapy for the [DIAGNOSES REDACTED]. Employee #12 (RN), interviewed on 09/18/14 at 3:20 p.m., reviewed the record and determined Resident #41 was admitted on all three (3) medications. When asked whether the pharmacist had identified the use of three (3) medications, the RN replied, To be honest, I'm surprised he didn't, he is usually really good about that. She further added, We usually try non-pharmacological interventions, like three (3) inch blocks or something like that. Employee #12 said she was going to ask the daughter about it. The RN returned about 3:35 and related she had spoken with the daughter and the daughter agreed to a medication reduction if the resident could tolerate it. She confirmed the pharmacist did not report irregularities regarding the use of duplicate therapy and/or by excessive dose (used longer than recommended by manufacturer's recommendations), without clear clinical factors that would warrant the continued use of the medication. .	2018-05-01