cms_WV: 6259
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6259 | MORGANTOWN HEALTH AND REHABILITATION CENTER | 515049 | 1379 VAN VOORHIS RD | MORGANTOWN | WV | 26505 | 2014-01-24 | 309 | D | 0 | 1 | 4OKO11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, observation, and policy review, the facility failed to provide the care and services to attain, or maintain the highest practicable physical,mental,and psychosocial well-being for one (1) of three (3) residents reviewed for skin integrity. A resident with impaired skin integrity was not assessed and monitored. Resident identifier: #147. Facility census: 88. Findings include: a) Resident #147 During a Stage 1 interview on 01/20/14 at 4:09 p.m., a white bandage was observed on Resident #147's 5th finger of his right hand. He said he had scratched it on the wheelchair rim. He related it had bled pretty bad, and staff put a bandage on it. The resident said the rim he used to propel himself had a sharp area on it causing the scratch. The interim care plan, dated 01/08/14, was reviewed on 01/22/14 at 12:59 p.m. It indicated staff would monitor the resident for skin tears, and bruising for increased bleeding related to [MEDICATION NAME] therapy. No actual skin impairment was noted. Review of the comprehensive care plan, dated 01/13/14 noted to inspect skin with care. Further review of the medical record, on 01/22/14 at 1:01 p.m. revealed no orders for treatments to the resident's skin. Progress notes, reviewed from the date of admission, indicated the resident's skin was intact. The determination of capacity, completed on 01/08/14, indicated the resident had capacity. Employee #6, a registered nurse (RN) supervisor, was interviewed on 01/22/14 at 1:15 p.m. She said she was not aware of an injury or concern with the wheelchair. She spoke with the resident. He informed her he had cut his finger on the silver part of the wheelchair because It may have been related to the rust lifted. He added, I bled pretty bad. He showed her rust areas along the rim and the taped area. He indicated staff used tape to cover the area where he cut his finger. Employee #6 told the resident she would have someone look at the wheelchair, and placed the chair by his bed. He informed the nurse he was concerned someone else might get a bigger cut than he did. An interview with the occupational therapist (OT), on 01/22/14 at 1:17 p.m., revealed she was not aware of a problem with the wheelchair. The OT confirmed therapy provided the resident with the wheelchair. She observed the tape and said it was not present when she provided Resident #147 with the wheelchair. Employee #73 (LPN) was interviewed on 01/22/14 at 2:07 p.m. She revealed vital signs were obtained, the physician and family were notified, a DQI (incident report) was completed, and an SBAR (change in condition note) was completed for a change in condition or with an incident/accident. She said staff would Monitor and continue charting for a certain number of days. The LPN also said staff would note the response to care in the medical record. An interview with director of nursing (DON) and executive director (ED), on 01/22/14 at 2:06 p.m.,revealed they were unaware of an injury or problem with the wheelchair. The DON confirmed the policy was to complete a DQI and the facility would follow up with it. The director of nursing reviewed the progress notes and DQI reports and said no information was available. She also reviewed the medical record and confirmed no information was available related to treatment of [REDACTED]. Review of the clinical health status/change of condition guideline, on 01/22/14 at 2:46 p.m. revealed the process for identification of change of condition included gathering of objective data and documenting assessment findings, resident response, physician and family notification. Communication both written and verbal, and was to include a concise statement of the problem, pertinent and brief information related to the situation, subjective and objective assessment of condition, nurse's assessment of the situation, recommendation or action needed to correct the problem. Another interview with the DON on 01/24/14 at 9:50 a.m., confirmed the resident's condition was not assessed, monitored, treated, and evaluated in accordance with standards of practice and the facility policy. | 2018-04-01 |