cms_WV: 6585
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6585 | SUMMERS NURSING AND REHABILITATION CENTER | 515170 | 198 JOHN COOK NURSING HOME ROAD | HINTON | WV | 25951 | 2014-03-27 | 280 | D | 0 | 1 | WK5211 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to revise the care plans for three (3) of nineteen (19) residents reviewed during Stage 2 of the Quality Indicator Survey (QIS). The care plans / interventions were not revised after Resident #26 no longer required bed rest. The care plan was not updated to reflect the addition of a lower extremity orthotic device ordered for Resident #117. The care plan for Resident #20 was not revised after a dental consult. Resident identifiers: #26, #117 and #20. Facility census: 95. Findings include: a) Resident #26 Review of the medical record on 03/25/14 found the resident had a history of [REDACTED]. The care plan contained a focus problem, updated on 12/02/13: (name of resident) experienced an actual fall and has a history of falls while out with family and in her room, she is at risk for further falls. On 01/07/14, an intervention was initiated for prevention of falls. It included Bedrest for 2 to 3 days. The resident's nursing assistant, Employee #102, was interviewed at 4:00 p.m. on 03/25/14. Employee #102 stated the resident was no longer on bed rest. Employee #4, the registered nurse assessment coordinator (RNAC), was interviewed on 03/25/14 at 4:11 p.m. Employee #4 stated the bed rest was initiated after a fall which occurred on 01/05/14. She verified the resident was no longer on bed rest, and the intervention should have been removed from the care plan. b) Resident #117 Medical record review on 03/26/14 found the resident currently had a Stage III pressure area to the left outer ankle, and an unstageable pressure area to the left lateral foot. The physician's orders [REDACTED]. Review of the current care plan, revised on 03/26/14, found a focus problem: (Name of resident) has a pressure ulcer upon return from hospital to left outer ankle. Currently has excoriation to buttocks. Pressure ulcer to left lateral foot. The 03/26/14 care plan did not include the orthotic device which was ordered on [DATE]. Employee #3, the registered nurse assessment coordinator (RNAC), was interviewed at 7:00 p.m. on 03/26/14. Employee #3 confirmed the care plan was not revised to include the orthotic device, which was ordered on [DATE]. c) Resident 20 Resident #20's medical record was reviewed at 9:15 a.m. on 03/27/14. This review revealed Resident #20 was seen by the dentist on 02/06/13. The review of the consult revealed Resident #20 was not cooperative with the dental exam. The consult indicated unless the resident began to experience pain, she would not need to have a follow up appointment. Resident #20's care plan pertaining to dental status revealed the resident's care plan contained an intervention, dated 02/04/13: Coordinate arrangements for dental care, transportation as needed/as ordered. Appt (appointment) (Name of Dentist) on 02/06/13. The resident's care plan was not updated, after the resident was seen by the dentist on 02/06/14, to reflect the need for a follow-up appointment only if she began to experience pain. Employee #3, Registered Nurse Assessment Coordinator (RNAC), was interviewed at 9:42 a.m. on 03/27/14. She confirmed the care plan was not clear in regards to Resident #20's dental appointments. | 2018-01-01 |