cms_WV: 8692
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8692 | ST. MARY'S HOSPITAL | 515113 | 2900 FIRST STREET | HUNTINGTON | WV | 25702 | 2012-03-22 | 272 | E | 0 | 1 | GA6A11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, review of the facility's policy and procedures for pressure ulcers, and staff interview, the facility failed to assess pressure ulcers for three (3) of twenty-one (21) stage II sample residents. The pressure ulcers were not measured or described in accordance with the facility's policy and procedures. Resident identifiers: #63, #46, and #64. Facility census: 13. Findings include: a) Resident #63 Resident #63 was admitted to the facility on [DATE]. She remained in the facility from 09/20/11 to 10/07/11. Measurements for the wound were obtained on 09/20/11 and 09/25/11. No evidence could be found the facility had measured the wound with the exception of 09/20/11 and 09/25/11. The facility's policy and procedure manual for pressure ulcer prevention and management stated, wound assessments will be completed with descriptive documentation at every dressing change. During an interview with the clinical care manager (Employee #1), on 03/20/12, at approximately 1:57 p.m., she confirmed the wound should have been measured once a week. b) Resident #46 Resident #46 was admitted to the facility on [DATE]. Review of the medical record found she had soft heels bilaterally. No evidence could be found the facility had measured the areas. The comprehensive assessments for 11/20/11 and 12/01/11 identified Resident #46 as having two (2) stage I pressure ulcers. Record review found no measurements for the areas. During an interview with Employee #1 on 03/20/12, at approximately 1:57 p.m., it was confirmed the wounds should have been measured once a week. c) Resident #64 Resident #64 was admitted to the facility on [DATE]. Review of the wound assessment sheet found she had a 9 x 5 centimeter red area to the sacrum. On 03/10/12, the wound was treated, but no measurements were found for this day. According to the facility's policy and procedures, wounds are to be measured once a week or at dressing changes. On 03/20/12, at approximately 1:57 p.m., Employee #1 confirmed the wound should have been measured once a week. | 2016-04-01 |