cms_WV: 7691

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
7691	SUMMERSVILLE REGIONAL MEDICAL CENTER	515029	400 FAIRVIEW HEIGHTS ROAD	SUMMERSVILLE	WV	26651	2013-04-18	156	D	0	1	JBS911	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure a resident, who the facility determined was no longer eligible for Medicare services, received the proper notice before discontinuing Medicare services. This was true for one (1) of three (3) residents reviewed for liability notices during the Quality Indicator Survey. Resident identifier: #58. Facility census: 51. Findings include: a) Resident #58 Medical record review found Resident #58 was admitted to the facility on [DATE]. Further review found the resident was notified in writing, by a facility generated form, on 12/06/13, that Medicare services would end on 12/12/12. The reason for the discontinuation of services was listed as, discontinuation of skilled therapy. According to the Centers for Medicare and Medicaid Services (CMS), termination (end of covered care) requires the provider to, Use the notice of provider non coverage (form CMS ) also known as the 'Generic Notice' to notify the resident of the right to an expedited review by a QIO (Quality Improvement Organization): All covered services are ending for coverage reasons and resident has benefit days remaining. The director of nursing (DON) was interviewed at 2:00 p.m. on 04/17/13. She verified the facility had not used the CMS form to notify the resident of the discontinuation of Medicare services. She further agreed the facility notice provided to the resident did not include the telephone number of the QIO for appeal. The DON also verified the resident had remaining benefit days when Medicare was discontinued. .	2017-02-01