cms_WV: 6286

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

This data as json, copyable

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
6286 WHITE SULPHUR SPRINGS CENTER 515100 345 POCAHONTAS TRAIL WHITE SULPHUR SPRING WV 24986 2014-07-25 514 D 0 1 OTV811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interviews, the facility failed to maintain organized medical records for two (2) residents who were receiving [MEDICATION NAME] therapy. Documents pertaining to Resident #103 were found in Resident #93's medial record. Two (2) of twenty-four (24) Stage 2 sample residents were affected. Resident identifiers: #93 and #103. Facility census: 68. Findings include: a) Resident #93 Review of the resident's medical record, on 07/23/13, at 9:30 a.m., found Resident #93 was readmitted to facility on 05/05/14. The resident had multiple [DIAGNOSES REDACTED]. Resident #93 resided on the 400 hallway of the facility. Resident #103 was also a resident in the facility, and resided on the on the 200 hallway of the facility. Upon review of the medical record for Resident #93, thirteen (13) medical record documents for Resident #103 were found within the medical record of Resident #93. Those thirteen (13) documents included the following: -- Nine (9) pages of medication administration records (MAR's),with numerous order changes; -- One (1) PRN (as necessary) sheet; -- One (1) Flow sheet for monitoring customers taking [MEDICATION NAME], with numerous order changes; -- One (1) psychoactive medication monthly flow record; and -- One (1) peripheral catheter treatment record. In and interview with the director of nursing (DON), on 7/23/2014 at approximately 10 a.m., she stated she was aware on the previous day that there were documents in Resident #93's chart that actually belonged to Resident #103. The DON stated she was not sure how the documents for Resident #103 actually ended up within the medical record of Resident #93. The DON also stated when she made the copies of the documents for this surveyor, she noticed the error and further stated she had removed the 13 documents after noticing they belonged to Resident #103, not Resident #93. An interview was also conducted with the 400 hall Unit Manager #80 on 07/23/14 at 2:00 p.m. Unit Manager #80 was assigned to care for Resident #93 who resided on the 400 hall of the facility. Unit Manager #80 stated she was unsure how this mix up occurred, as the residents resided on two (2) different hallways. She commented, I'm thinking they were in a collaborative chart and then just filed wrong. She went on to say, We audited the charts for the two residents (#93 and #103) after discovering the error yesterday, and all of the orders and INR's (International Normalized Ratios) matched for both residents. Unit Manager #80 also stated there were about about ten (10) days of overlap when both residents were on [MEDICATION NAME] therapy and having their INR labs drawn with multiple order changes. Again she re-iterated that upon the audit of both medical records, all of the physician's orders [REDACTED]. 2018-04-01