cms_WV: 6279

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
6279	RALEIGH CENTER	515088	1631 RITTER DRIVE	DANIELS	WV	25832	2013-11-08	312	D	0	1	FSTL11	Based on observation, medical record review, review of shower sheets, and staff interview, the facility failed to ensure a resident, who was totally dependent upon staff for activities of daily living (ADL) care, was free of odors. The resident did not receive scheduled showers and no efforts were made to address possible refusal of showers or how the facility would maintain good personal hygiene for this individual. This was true for one (1) of four (4) residents reviewed for activities of daily living (ADL) care during Stage 2 of the Quality Indicator Survey. Resident identifier: #6. Facility census: 66. Findings include: a) Resident #6 Observation of the resident during meal time, on 11/04/13 at 11:45 a.m., by (3) three surveyors, found the resident had a strong, foul urine odor. The urine odor was so strong it could be detected when the surveyors were at least five (5) feet from the resident. Observation again, at 12:10 p.m. on 11/07/13, found the resident was sitting directly beside the front door of the facility. Three (3) surveyors again detected a strong urine odor emanating from this resident. Review of the resident's bathing schedule with Employee #4, the registered nurse care plan coordinator, at 9:00 a.m. on 11/08/13, found the resident was to receive showers on Mondays and Thursdays by the night shift nursing assistants (11:00 p.m. to 7:00 a.m. shift). Further review of the documentation on the daily ADL record, by the night shift nursing assistants on 11/07/13, found the resident's last shower occurred on 10/17/13. The resident's current minimum data set (MDS), a quarterly MDS with an assessment reference date (ARD) of 08/21/13, was reviewed on 11/08/13. The resident was coded as being always incontinent of urine in Section H, bowel and bladder, and totally dependent upon staff for showers in Section G, bathing. The director of nursing (DON) was interviewed at 9:20 a.m. on 11/08/13. The observations 11/04/13 and 11/07/13 were discussed with the DON. She stated she would see if she had any documentation that the resident had refused to shower. At 9:42 a.m. on 11/08/13, the DON returned with shower sheets, dated 10/21/13, 10/24/13, and 10/31/13, containing information about this resident and other residents who were to be showered on these dates. The shower sheets were stored in a file cabinet in the DON's office and were not a part of the medical record. According to the shower sheets, the resident had refused a shower on 10/21/13, 10/24/13, and 10/31/13. She agreed the facility had not addressed the resident's refusal to shower. The DON stated she did not realize the resident had begun refusing showers until it was brought to her attention by the surveyor.	2018-04-01