cms_WV: 6962
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 |
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6962 | GRAFTON CITY HOSPITAL | 515057 | 1 HOSPITAL PLAZA | GRAFTON | WV | 26354 | 2013-06-25 | 514 | C | 0 | 1 | WVZU11 | Based on record review and staff interview, the facility failed to ensure the accuracy of the medical record by recording that weights were measured on a certain date when, in fact, there was no evidence of the exact date the resident was weighed. This was true for all thirty-two (32) residents in the Stage 1 sample. Resident identifiers: #1, #3, #5, #7, #10, #12, #14, #18, #20, #21, #23, #24, #25, #27, #28, #31, #34, #35, #38, #39, #40, #41, #42, #43, #48, #49, #53, #59, #63, #64, #65, and #66. Facility census: 59. Findings include: a) Residents #1, #3, #5, #7, #10, #12, #14, #18, #20, #21, #23, #24, #25, #27, #28, #31, #34, #35, #38, #39, #40, #41, #42, #43, #48, #49, #53, #59, #63, #64, #65, and #66. While reviewing the medical record for required resident weights, at 10:00 a.m. on 06/18/13, it was revealed that the weight books located at the nurses' station contained only the month and year, although when the medical record was accessed, an exact date was entered for the weights. The nurse on duty (Employee #125) was interviewed at 10:30 a.m. on 06/18/13. She verified that when the residents were weighed by the aides, the weights were documented in the weight book and that only the month and year were entered. She stated that all weights are done on the 1st of the month. When she was shown on the computer that there were different days indicated on different residents, she was surprised and had no answer. During an interview with Employee #162 (aide) at 10:50 a.m. on 06/18/13, she stated that residents were weighed between the 1st and the 5th of each month and verified they are not required to enter the day of the month when they record the weight. When interviewed at 9:00 a.m. on 06/20/13, the Director of Nurses (Employee #178) stated that weights were supposed to be taken during the last week of each month. After reviewing both the Weight Book and the computer record, she admitted that there was no way to tell which day the weight was taken. She had no explanation for the source of the entry date used in the computer record. In an interview with Employee #192 (dietitian) at 9:30 a.m. on 06/20/13, she affirmed that the date was important in calculating the percentage of weight gain or loss for each resident. | 2017-09-01 |