cms_WV: 6248
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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6248 | SUMMERSVILLE REGIONAL MEDICAL CENTER | 515029 | 400 FAIRVIEW HEIGHTS ROAD | SUMMERSVILLE | WV | 26651 | 2014-08-14 | 490 | E | 0 | 1 | EXXT11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and a review of the Centers for Medicare and Medicaid (CMS) State Operations Manual, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical well-being of each resident. Facility administration failed to ensure residents were as free as possible from accident hazards over which it had control. Water temperatures in the public restrooms, that could be accessed by more than an isolated number of residents, were too high for safety. The public restrooms, for men and women, registered 160 degrees Fahrenheit (F) on 08/13/14. Those restrooms were unlocked, and could be accessed by mobile residents. Also, water temperatures were high in two (2) resident common use restrooms, registering 120 degrees (F) on 08/13/14. Those restrooms were unlocked, and could be accessed by mobile residents. These situations created a potential for serious injury to more than an isolated number of residents. Affected areas included the men's and women's public restrooms that were located in the corridor between the front hall and back hall resident living quarters, and the two (2) common use restrooms located at the entrance to the C hall resident living quarters. A facility maintenance employee verbally reported that they check the water temperatures in all the resident areas once per month. However, they do not keep a log, or records, of when the water temperatures were tested , and/or the results of the testing. There was no evidence the facility monitored and/or used the results of the monitoring of hot water temperatures to ensure resident safety. Census: 50. Findings include: a) Men and Women public restrooms between the front and back resident halls While completing the survey, it was noticed that the water temperature of the sink in the female public restroom seemed hot to touch. This prompted further investigation of water temperatures in public and common use restrooms. An interview was conducted with Maintenance Employee #99 on 08/13/14 at 8:30 a.m. He said the facility did not maintain logs on the water temperatures. He said the water temperatures were checked monthly, and they strive to keep the water temperatures for the resident environment around 112 degrees, and not more than 117 degrees. He said the water in the two (2) public restrooms located in the corridor between the front and back resident halls, were on a separate line. The water lines for these two (2) restrooms were on the same line as the kitchen and the laundry. Employee #99 said the water temperatures of these two (2) restrooms were much higher than the others, and were probably around 140 degrees Fahrenheit (F.). Review of the State Operations Manual revealed that the time required for a 3rd degree burn to occur at 140 degrees water temperature is five (5) seconds. On 08/13/14 beginning at 9:45 a.m., the water temperatures of resident common use restrooms and public restrooms, at or near the residents' living quarters, were assessed. The water temperatures at the sinks of the men's and women's public restrooms were checked by Maintenance Employee #97, using the facility's thermometer. These two (2) restrooms were located in the corridor between the front and back resident halls. These two (2) restrooms were unlocked, and could be accessed by anyone who desired to do so. It was not known at that time if any residents used these two (2) restrooms. The temperature of the water from the sinks in both the women's and men's restroom in this corridor was 160 degrees F. Review of the State Operations Manual revealed that the time required for a 3rd degree burn to occur at 155 degrees water temperature is one (1) second. Licensed Practical Nurse (LPN) #38 was interviewed on 08/13/14 at 10:10 a.m. She said there were a total of four (4) ambulatory residents who resided on the C wing, and three (3) ambulatory residents who resided on the B wing. LPN #52 said there were three (3) residents on the A wing who were ambulatory. On 08/13/14 at 12:25 p.m., Nursing Assistant (NA) #16, and LPN #38 both said they had seen one (1) mobile resident on occasion use the women's public restroom located in the corridor between the front and back halls. They said Resident #17 from the C hall had been observed independently entering or exiting this women's public restroom after meals as she was walking from the back hall dining room to the front of the building. An interview was conducted with Resident #17 on 08/13/14 at 12:30 p.m. She said she occasionally used the women' public restroom located in the corridor between the front and back resident halls. She said she had never noticed the water from the sink being too cool in that restroom, but had noticed the water from the sink was too warm on occasion. Upon inquiry, she said she had never been burned by the water. The medical record of Resident #17 was reviewed on 08/13/14 at 12:40 p.m. According to the 04/23/14 care plan progress note, Resident #17 was understood, made her needs known, and was able to understand others. She was [AGE] years old with [DIAGNOSES REDACTED]. b) Two (2) resident common use restrooms on the C wing On 08/13/14 beginning at 9:45 a.m., the water temperatures of resident common use restrooms and public restrooms at or near the residents' living quarters were assessed. Employee #97 checked the water temperatures from the sinks in two (2) common use restrooms at the entrance to the C hall. These restrooms were located on the opposite wall from the B and C wing nurses' station. One (1) restroom door had a sign designating it was the residents' restroom. The second restroom was located directly behind the first, and had a sign on the door designating it was the women's restroom. The water temperature from the sinks of both of these common use restrooms was 120 degrees F. According to the State Operations Manual, the time required for a 3rd degree burn to occur in water temperatures of 120 degrees F is five (5) minutes. LPN #38 was interviewed on 08/13/14 at 10:10 a.m. She said there were a total of four (4) ambulatory residents who resided on the C wing, and three (3) ambulatory residents who resided on the B wing. LPN #52 said there were three (3) residents on the A wing who were ambulatory. On 08/13/14 at 12:25 p.m., LPN #26 said she had seen mobile residents from the C Hall, Residents #15 and #53, sometimes independently use the large common use toilet just off the C wing. At 1:02 p.m. on 08/13/14, the Person in Charge (PIC) was notified that the water temperatures of the sinks in the two (2) common use toilets on the C wing registered 120 degrees. She was informed that there were at least two (2) residents on the C hall who independently used those two (2) toilets. Another interview was completed with the PIC on 08/13/14 at 2:00 p.m. The women's restroom, located in the corridor between the front hall and back hall residents' living quarters, was just outside her office. She said she would typically use that restroom. She said she had reported at least once that the water temperature at the sink had seemed too warm. She could not recall the date this occurred. She said it seemed like the water temperatures went up and down in the women's restroom. | 2018-04-01 |