cms_WV: 7037
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7037 | CARE HAVEN CENTER | 515178 | 2720 CHARLES TOWN ROAD | MARTINSBURG | WV | 25401 | 2013-08-14 | 309 | D | 0 | 1 | 66WU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to provide care and services to ensure two (2) of twenty (20) residents reviewed in Stage 2 of the survey maintained or attained the highest practicable well-being according to their individualized plans of care. A physician's orders [REDACTED].#38 was not followed. Medications were held without a physician's orders [REDACTED].#4. Resident identifiers: #38, and #4. Facility census: 68.Finding include: a) Resident #38 Review of the resident's physician's orders [REDACTED]. This is a blood test that measures how long it takes blood to clot. The lab work was to be collected on 04/23/13. Review of the lab requisition and the lab results, on 08/13/13 at 3:10 p.m., revealed the facility collected the blood for the PT-INR on 04/26/13 instead of on 04/23/13 as ordered. An interview was conducted, on 08/13/13 at 4:50 p.m., with Employee #48, the director of nursing (DON). When asked why the facility did not follow the physician's orders [REDACTED]. On 08/13/13 at 4:57 p.m., the DON stated she could not find lab results from 04/23/13. She said staff collected the blood for the PT-INR on 04/26/13, instead of on 04/23/13. She verified no one put in a requisition for the PT-INR to be collected on 04/23/13 as ordered. b) Resident #4 Review of the resident's July 2013 medical administration record (MAR) revealed an order for [REDACTED]. Continued review of the MAR indicated [REDACTED]. The medical record contained no order, no instructions and/or other parameters for holding the [MEDICATION NAME] or the [MEDICATION NAME]. On 08/07/13 at 11:25 a.m., Employee #14, a nurse, stated she could not find a physician's orders [REDACTED]. On 08/07/13 at 2:50 p.m., the director of nursing stated the resident did not have an order to hold the [MEDICATION NAME] or the [MEDICATION NAME]. | 2017-09-01 |