cms_WV: 8222
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8222 | HILLTOP CENTER | 515061 | PO BOX 125 | HILLTOP | WV | 25855 | 2013-07-25 | 279 | D | 1 | 0 | 1LKT11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to to develop a care plan for one (1) of seven (7) residents related to multiple health conditions and psychosocial needs for the resident. The care plan did not include information related to the care and use of a PICC line, Foley catheter, [MEDICAL CONDITION], and the use of pain medications. The care plan was also incomplete, as it did not address the identified distressed mood symptoms of this resident. Resident identifier: #114. Facility census: 112. Findings include: a) Resident #114 During a review of the medical record for Resident #114 on 07/23/13, it was found the resident entered the facility on 06/10/13. Further review identified this resident had a [MEDICAL CONDITION] in place, a peripheral inserted central catheter (PICC), a Foley catheter, and was also receiving Oxy-fast liquid and Oxy IR for pain. Review of the care plan found nothing relative to the Foley catheter, PICC line, [MEDICAL CONDITION], or the use of pain medication. This review of the care plan revealed the facility identified the resident exhibited distressed mood systems; however, the facility did not develop goals and interventions for the identified distressed mood symptoms. On 07/23/13 at 2:12 p.m. Employee #123 (director of nursing) confirmed the care plan did not identify the use of a Foley catheter, pain medications, [MEDICAL CONDITION] and PICC line. Employee #123 also confirmed the care plan for distressed mood symptoms was incomplete, in that it had no goals and interventions for the identified problem. | 2016-07-01 |