cms_WV: 7157
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7157 | PINE LODGE | 515001 | 405 STANAFORD ROAD | BECKLEY | WV | 25801 | 2013-09-16 | 280 | D | 0 | 1 | XYYM11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to revise the care plan for one (1) of thirty-one (31) residents reviewed during Stage 2 of the survey. The physician ordered the discontinuation of a resident's anti-anxiety medication. A subsequent revision of the resident's care plan contained focus statements and interventions related to the use of the anti-anxiety medication. Resident Identifier: #88. Facility Census: 111. Findings Include: a) Resident #88 The resident's medical record was reviewed at 2:34 p.m. on 09/10/2013. This review revealed a physician's orders [REDACTED]. The resident's care plan was reviewed. The care plan had revision dates of 09/06/13 and 09/07/13. The post-revision care plan included a focus statement of Potential for decline in mood and cognition related to [DIAGNOSES REDACTED]. An additional focus on the care plan was, Chronic/Progressive decline characterized by: deficit in memory, judgement, decision making and thought process related to dementia/Alzheimer Disease. Receiving anti-anxiety medication for dementia, and anti-depressant (being used for appetite stimulant). The resident's care plan also contained the following intervention related to the resident's ineffective coping skills, Administer medications as ordered for dementia and anxiety. The care plan also indicated the facility should monitor for side effects of the anti-anxiety medication. Employee #1, Director of Nursing (DON), was interviewed at 8:21 a.m. on 09/11/13. She confirmed the resident's anti-anxiety medication was discontinued and the resident was not receiving any other anti-anxiety medication at that time. The DON confirmed Resident #88's care plan contained focus statements and interventions which indicated the resident was still receiving an anti-anxiety medication. She confirmed the revision date of the care plan was after the date the resident's anti-anxiety medication was discontinued and the care plan should have been revised to reflect the change. | 2017-07-01 |