cms_WV: 7333
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7333 | LAKIN HOSPITAL | 5.1e+125 | 1 BATEMAN CIRCLE | WEST COLUMBIA | WV | 25287 | 2013-10-22 | 279 | D | 0 | 1 | TQVD11 | Based on medical record review, staff interview, resident interview, family interview, and observation, the facility failed to develop a care plan for two (2) of twenty-two (22) residents reviewed during Stage 2 of the Quality Indicator Survey. A care plan was not developed to ensure the safety of a resident (Resident #38) who smoked and had a prior history of unsafe smoking practices. Resident #24 was identified with dental needs, but this issue was not addressed in the resident's care plan. Resident identifiers: #38 and #24. Facility census: 87. Findings include: a) Resident #38 Medical record review on 10/17/13 at 8:00 a.m. found a nursing note, dated 09/23/13 at 1:20 p.m. The note indicated Resident #38 returned to the facility, after a smoke break, with an orangish/black burn mark on her right middle finger. According to the note, the resident informed the nurse she had burned herself with a cigarette. The resident confirmed during an interview, on 10/21/13 at 1:20 p.m., she had burned her finger while smoking. Further review of the medical record revealed a hospital transfer summary, dated 05/13/13. The transfer summary noted the resident was a danger to herself and others because she had burned herself several times and had minor accidents at home with the lighted end of the cigarette. On 10/22/13 at 10:45 a.m., the director of nursing (DON) confirmed she was unable to provide evidence a care plan was developed to address how the facility would ensure safe smoking practices for the resident. b) Resident #24 The current care plan, dated 09/04/13, was reviewed for this resident. This care plan identified that Resident #24 received an altered texture diet related to edentulous. The goal was, She will eat the amount of food she is able to eat at each meal daily over the next three (3) months. An intervention for this goal said, Edentulous/ dental PRN (as needed ) for c/o (complaints) of pain or symptoms. During a family interview, conducted on 10/16/13 at 3:00 p.m., it was identified this resident received new dentures a while back, but the family member was not sure when this occurred. The family member stated when she visited Resident #24, her dentures were never in her mouth. The family member stated she was not sure why the resident did not wear them. During an interview with the unit licensed practical nurse, Employee #2, on 10/21/13 at 3:00 p.m., she verified the resident had not worn her dentures in a long time. Employee #2 was asked if she could place the dentures in the resident's mouth providing the resident did not refuse. Employee #2 was observed to place the dentures in the resident's mouth and the dentures were noticeably loose. The resident was unable to talk due to the dentures slipping out of her mouth. The resident then allowed the nurse to apply adhesive to the dentures. After applying the adhesive, the dentures continued to slip out of the resident's mouth. Employee #2 stated she would make an appointment for a dental consult for the resident. There was no care plan identifying the resident's dentures did not fit and she needed a dental consult. | 2017-06-01 |