cms_WV: 7620

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

This data as json, copyable

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
7620 WHITE SULPHUR SPRINGS CENTER 515100 345 POCAHONTAS TRAIL WHITE SULPHUR SPRING WV 24986 2013-03-13 314 D 0 1 0BYS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, and observation, the facility failed to ensure pressure relieving interventions were applied as direct by physician's orders [REDACTED]. On 01/01/13, a deep tissue injury to the resident's right heel had healed and interventions were added to promote the prevention of pressure ulcer development. Bilateral boots were to be applied daily to the resident's feet. Observation on two (2) separate occasions found the boots were not applied as ordered. This was true for one (1) of two (2) residents reviewed in Stage II of the quality indicator survey for pressure ulcers. Resident identifier: #40. Facility census: 65. Findings include: a) Resident #40 Medical record review, on 03/12/13, found the resident was currently receiving treatment to a Stage IV pressure area to the coccyx. A physician's orders [REDACTED]. On 01/01/13 a physician's orders [REDACTED]. Further review of the medical record found a Braden scale for predicting pressure ulcer risk had been completed on 09/09/12. The information contained in the Braden scale found the resident was at severe risk for developing pressure ulcers related to the following conditions: very limited sensory perception, constant moisture to the skin, confinement to bed, and completely immobile. A notation was made on the form, Complete lifting without sliding against sheets is impossible. Frequently slides down in bed or chair, requiring frequent repositioning with maximum assistance. [DIAGNOSES REDACTED], contractures, or agitation leads to almost constant friction. Observation of the resident in her room, at 3:40 p.m. on 03/06/13, with Employee #71, a licensed practical nurse, found the resident was not wearing the pressure relieving boots. Review of the Medication Administration Record [REDACTED]. Employee #80, the treatment nurse, was interviewed on 03/06/13 at 3:40 p.m. She stated she had sent the boots to laundry. Observation of the resident at 1:10 p.m. on 3/12/13, with Employee #80, the treatment nurse, and Employee #65, the director of nursing, found the resident was wearing heel protectors to both heels. Employee #80 stated the heel protectors were not ordered by the physician and the resident should be wearing the bilateral boots. Employee #80 was unable to find the boots in the resident's room. She returned later and stated she found the boots in the laundry room. She confirmed the facility only had one set of boots and she could not explain how the physician's orders [REDACTED]. The resident's heels were observed with Employee #80 on 03/12/13 at 4:00 p.m. Employee #80 verified both of the resident's heels were red, but blanchable. 2017-03-01