cms_WV: 9171

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
9171	HILLTOP CENTER	515061	PO BOX 125	HILLTOP	WV	25855	2013-01-01	309	D	1	0	8XAM11	br>Based on closed medical record review, review of the facility's policy and procedure for neurological assessment, review of incident reports, and staff interview, the facility failed to monitor and assess neurological vital signs in accordance with facility policy after a resident fell out of bed and hit her head on the floor. This affected one (1) of five (5) sample residents reviewed who fell and hit their heads. Resident identifier: #111. Facility census: 110. Findings include: a) Resident #111 Review of incident reports revealed a report, dated 09/06/12 at 9:30 p.m., which described this resident had fallen. The report included, Resident sitting up on side of bed prior to fall. Aide heard resident fall to floor. Resident found on floor beside bed. Resident alert and states hit head. One bruise on forehead and another on eye and cheek of left side. Skin tear (deep) on left elbow. Floor free of clutter. Head placed a foot away from night stand and resident between bed and sink. Lying on back. Resident denies pain and sat up to be put back to bed. fell out of right side of bed (side facing door). No mats in place. Bed low. Review of Resident #111's neurological assessment flow sheet, revealed neurological checks were completed as follows: -09/06/12- 9:30 p.m.-completed -09/06/12- 9:45 p.m.- completed -09/06/12-10:00 p.m.- completed -09/06/12-10:15 p.m.- Out of facility to acute care facility for evaluation -09/07/12-completed- Back in facility from acute care facility -09/07/12- completed No further entries were noted on the form. A review of facility's policy and procedures for neurological assessment revealed the following: Policy- Neurological assessment will be performed as indicated or ordered. When a patient sustains an injury to the head and/or has an unwitnessed fall, neurological assessment will be performed: -every 30 minutes x two hours, then -every one hour x four hours, then -every four hours x 24 hours Purpose- To monitor patient for neurological compromise. An interview with Employee #126, the director of nursing, on 01/01/13 at 10:00 a.m., confirmed there were no further neurological assessments on the resident's flow sheet. She was unable to provide evidence the facility completed neurological assessments, as required by facility policy, on 09/07/12. .	2016-01-01