cms_WV: 8184
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8184 | PINE LODGE | 515001 | 405 STANAFORD ROAD | BECKLEY | WV | 25801 | 2013-08-01 | 441 | D | 1 | 0 | HEN111 | Based on observation, medical record review, and staff interview, the facility failed to maintain proper care of a resident's catheter to prevent the spread of infection. Observation found the resident's catheter drainage bag was lying on the floor. This was true for one (1) of four (4) observations of residents with catheters. Resident identifier: #82. Facility census: 111. Findings include: a) Resident #82 During the initial tour of the facility, on 07/30/13, the resident was in bed at 9:45 a.m. on 07/30/13. His catheter drainage bag was lying on the floor beside the bed. Employee #46, the assistant director of nursing (ADON) was in the hallway outside the resident's room at 9:45 a.m. on 07/30/13. She was asked to witness the observation. She entered the room and stated, I will get a new bag and change it because of infection control issues. She verified the catheter bag should not be lying on the floor. At 5:00 p.m. on 07/30/13, the director of nursing (DON) was made aware of the above situation. She stated the resident could have knocked the catheter onto the floor by moving around in bed. Further review of the resident's care plan found a problem, initiated on 07/29/13, related to the resident's deep tissue injury, which stated the resident was immobile. Review of the resident's most recent minimum data set (MDS) assessment, with an assessment reference date (ARD) of 06/27/13, found Item G0110, (activities of daily living assistance - bed mobility - how resident moves to and from lying position, turns side to side, and positions body while in bed or alternate sleep furniture,) reflected the resident required the extensive assistance of two (2) staff persons to complete the activity of moving while in bed. . | 2016-07-01 |