cms_WV: 6575

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
6575	PIERPONT CENTER AT FAIRMONT CAMPUS	515155	1543 COUNTRY CLUB ROAD	FAIRMONT	WV	26554	2014-03-27	428	D	0	1	BWIF11	Based on record review and staff interview, the pharmacist failed to identify a medication irregularity during monthly medication reviews for one (1) of six (6) Stage 2 sample residents. A hand written order for insulin did not contain a route of administration. When the order was transcribed into the computer and the medication administration record (MAR), a route was added; however the route was inaccurate. Resident identifier: #66. Facility census: 105. Findings include: a) Resident #66 The medical record was reviewed on 03/19/14 at 11:00 a.m. Resident #66 was a seventy-nine (79) year old male with uncontrolled diabetes who required an Accu-chek instant glucose tests four (4) times a day to monitor his blood glucose level. Review of the resident's medical record found a medication order was handwritten in the chart on 08/06/13. The order was, HumaLOG twelve (12) units before meals. The order did not include a route of administration. The order was put into the computer system as: HumaLOG Solution injection 12 unit intramuscularly before meals related to diabetes. It had a start date of 08/07/13. The medication administration record (MAR) also had, HumaLOG Solution (Insulin Lispro (Human)) Inject 12 unit intramuscularly before meals related to diabetes . It had a start date of 08/07/13. (Note: Humalog is a rapid acting insulin. Insulin injected into a muscle is absorbed more rapidly than when injected into subcutaneous tissue.) The pharmacist's monthly medication regimen review summary indicated Pharmacist #129 reviewed the resident's medications monthly between 09/05/13 and 03/04/14. The pharmacist documented no irregularities and made no recommendations during these six (6)months. The pharmacist did not identify and report the order and MAR indicated the insulin was to be administered intramuscularly instead of subcutaneously. During an interview, on 03/19/14 at 4:30 p.m., registered nurse (RN), Employee #4, reviewed Resident #66's MAR and active orders. The nurse confirmed the insulin order contained an incorrect route, as Humalog insulin was not given intramuscularly. RN #4 agreed the pharmacist should have identified this incorrect order during the monthly review.	2018-01-01