cms_WV: 8732
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8732 | PINE VIEW NURSING AND REHABILITATION CENTER | 515184 | 400 MCKINLEY STREET | HARRISVILLE | WV | 26362 | 2012-04-12 | 323 | D | 0 | 1 | QOYO11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, policy review, resident interview, and staff interview, the facility failed to provide adequate supervision to prevent accidents for one (1) of thirty-one (31) sampled residents. Staff failed to respond to a request for assistance by a dependent resident in a timely manner. Resident identifier: #42. Facility census: 54. Findings include: a) Resident #42 A review of the medical record revealed Resident #42 weighed 344.2 pounds. The resident's [DIAGNOSES REDACTED]. This resident had an over-sized wheelchair and relied on it for ambulation. The resident could only ambulate for short distances (approximately 48 feet) with a walker and assistance. This individual was alert, oriented, conversed freely, and could make needs known. During an interview with a licensed practical nurse (Employee #21), at 10:15 a.m. on 04/12/12, she stated Resident #42 required at least one person to assist with transfers from bed to wheelchair or wheelchair to toilet. She added that the resident was ever-conscious of falling and requested assistance. At 11:22 a.m. on 04/12/12, while standing at the nurses' station, an announcement over the intercom was heard, Emergency assistance - men's restroom. This surveyor proceeded down the hall. When the corner toward the dining room was turned, a flashing light could be seen outside of the men's bathroom located at the entryway to the dining room. No staff members were seen proceeding in this direction. At 11:26 a.m., the same announcement was made a second time. A nurses' aide (Employee #54) came down the hall, passed by the flashing light and went into a room further down the hall. Then the dietitian (Employee #85) also walked by the flashing light and entered a room further down the hall. At 11:30 a.m., the assistant administrator (Employee #84) exited a nearby office, proceeded to the bathroom, knocked on the door, and entered. Resident #42 was in the bathroom and needed assistance. Employee #84 provided the needed assistance and started out of the room with the resident in a wheelchair. At that point, Employee #54 came out of the room up the hall and proceeded to stop to assist. Employee #85 also stopped on her way back down the hall and a third unidentified aide came out of the dining room and proceeded to push the resident to his / her room. When asked about this occurrence, the assistant administrator stated all staff were instructed to answer lights, but there had not been an emergency really, the resident just needed assistance. She did acknowledge that when she answered the light she did not know who was in the bathroom or what the need was. The charge nurse (Employee # 22) agreed that all staff were responsible for answering lights and intercom directed needs for assistance. The facility policy regarding Call lights states, 1. When light comes on over doorway or sounds at nursing station panel, go to the resident's room. | 2016-04-01 |