cms_WV: 7441

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
7441	GOLDEN LIVING CENTER - RIVERSIDE	515035	6500 MACCORKLE AVENUE SW	SAINT ALBANS	WV	25177	2013-04-10	279	D	0	1	KU9T11	Based on medical record review and staff interview, the facility failed to develop an accurate comprehensive care plan for two (2) of thirty-six (36) Stage 2 sample residents. Residents #128 and #125 had bladder incontinence which was not addressed in their care plans. Resident identifiers: Residents #128 and #125. Facility census: 92. Findings include: a) Resident #128 On 04/08/13 at 4:50 p.m., a review of Resident #128's medical record revealed the resident experienced bladder incontinence while at the facility. The minimum data set (MDS) admission assessment, with an assessment reference date (ARD) of 11/28/12, indicated the resident was always incontinent of urine. An MDS 30 day assessment, with an ARD of 12/08/12, indicated the resident was frequently incontinent of urine. An MDS 60 day assessment, with an ARD of 01/28/13, indicated the resident was frequently incontinent of urine. An MDS 90 day assessment, with an ARD of 02/28/13, indicated the resident was always incontinent of urine. The nursing progress notes, dated 02/28/13, indicated the resident was occasionally incontinent of bowel and bladder and sometimes used the bathroom with assistance. The nursing progress notes dated 03/01/13 and 03/05/13 indicated the resident was incontinent of urine and sometimes used the bathroom with assistance. The care area assessment (CAA), completed with the admission assessment on 11/28/12, indicated the facility would care plan the area of urinary incontinence to ensure staff were aware of the resident's toileting/incontinence needs. On 04/08/13 at 5:00 p.m., upon inquiry regarding why Resident #128 had no care plan for incontinence, Employee #75 (registered nurse/assessment coordinator) said the facility had care planned the incontinence/toileting needs for this resident until February 2013, then discontinued this area from the resident's care plan. Employee #75 confirmed the resident remained incontinent and needed assistance with toileting. b) Resident #125 Review of a minimum data set (MDS), with an assessment reference date (ARD) of 12/11/12, revealed Resident #125 was frequently incontinent of urine. The MDS, with an ARD of 01/10/13, revealed Resident #125 was always incontinent. Resident #125's care plan, with an initiated date of 11/16/12 and a target date of 12/04/12, was the only care plan found in the medical records. This care plan did not address urinary incontinence. During an interview, on 04/04/13 at 10:30 a.m., the director of nursing (DON), stated the facility was in the process of changing care plan reviews. The DON presented a care plan meeting form, dated 02/16/13, for Resident #125. The form only contained a date and signatures. It did not contain specific goals and interventions. At the time of the interview, on 04/14/13, the DON was unable to provide a care plan for incontinence for Resident #125.	2017-04-01