cms_WV: 6835
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6835 | WILLOW TREE MANOR | 515156 | 1263 SOUTH GEORGE STREET | CHARLES TOWN | WV | 25414 | 2013-10-31 | 287 | B | 0 | 1 | PWUW11 | Based on a review of residents minimum data sets (MDS) and staff interview, the facility failed to enter and submit any subsets of items upon a resident's entry, transfer, reentry, or discharge into the computer as required by the Centers for Medicare and Medicaid Services (CMS). A review of the MDS information for three (3) of thirty (30) admission sample residents revealed no admission-entry tracking, reentry tracking, discharge assessment-return anticipated, and/or discharge assessment-return not anticipated, had been completed and entered into the computer as required by CMS. Resident identifiers: Resident #23, #59, and #81. Facility census: 97. Findings include: a) Resident #23 On 10/22/13 at 9:45 a.m., a review of the MDS submissions revealed an Omnibus Budget Reconciliation Act (OBRA) fourteen (14) day admission assessment was completed on 05/20/13, with no prior entry tracking record completed and entered into the computer. On 07/23/13, a significant change readmit tracking record was completed. No discharge and re-entry tracking records were submitted prior to the significant change assessment. On 09/30/13, a death in facility tracking record was completed with no prior discharge-return not anticipated record being submitted. b) Resident #59 A review of Resident #59's MDS was conducted on 10/22/13 at 9:55 a.m An Admission/Medicare - 5 day assessment was completed on 06/18/13. No entry record was submitted prior to the Medicare assessment. On 09/06/13 a death in facility report was submitted and the required discharge - return not anticipated report was not submitted. c) Resident #81 On 10/22/13 at 10:15 a.m., a review of Resident #81's MDS was conducted. A death in facility tracking report was submitted on 10/04/13. The required discharge - return not anticipated report was not submitted. d) An interview was conducted on 10/22/13 at 10:30 a.m., with the MDS coordinator and the DON. They were informed of the findings and were asked if there was any evidence the reports had been completed. The MDS coordinator stated she had no explanation as to why the reports had not been submitted. At 4:00 p.m., the MDS coordinator provided a copy of an MDS correction form which had been submitted for Resident #23. | 2017-11-01 |