cms_WV: 9356

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

This data as json, copyable

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
9356	SUMMERSVILLE REGIONAL MEDICAL CENTER D/P	515029	400 FAIRVIEW HEIGHTS ROAD	SUMMERSVILLE	WV	26651	2011-10-04	328	D	0	1	4F0I11	Based on random observation, staff interview, and medical record review, the facility failed to provide oxygen in accordance with physician's orders to one (1) of twenty-five (25) Stage II sample residents, to prevent shortness of breath and low blood oxygen levels. Resident identifier: #36. Facility census: 51. Findings include: a) Resident #36 Random observations were conducted of the evening meal service in the main dining room during the first day of this Quality Indicator Survey (QIS) beginning at 5:30 p.m. on 09/26/11. Viewing of the main dining room noted a female resident seated perpendicular to the dining table in a geriatric chair with her back to the other diners and facing the wall. Her geriatric chair was leaned back slightly and the foot rest was up. A practical nursing student was noted to be unsuccessfully attempting to get the resident to take a bite of food. Observation found Resident #36 was panting through her open mouth and using accessory muscles to breathe. An oxygen concentrator was noted to be sitting beside her chair; the oxygen concentrator was turned off. The resident's nasal cannula and tubing were laying in her lap. When asked if Resident #36 was supposed to be on oxygen, the student stated the staff had brought the resident in that way. - The director of nursing (DON - Employee #55), when informed of the resident's condition following this observation, stated the resident was ordered continuous oxygen. Facility staff applied the resident's nasal cannula and turned on the oxygen concentrator, and the resident was noted to have a decrease in respiratory effort. During a follow-up interview on 10/04/11 at approximately 2:30 p.m., the DON was asked what the resident's pulse oximetry had been after being left without her oxygen in the dining room on 09/26/11. The DON called the nurse who assessed the resident and reported that, after her oxygen had been applied, her pulse oximetry reading was 90%. Subsequent record review found the nurse who had assessed the resident's pulse oximetry had not charted any information concerning the incident in the dining room in the resident's medical record. (See also citation at F514.) - Review of the medical record found a current physician's order, dated 02/16/11, for Resident #36 to receive continuous oxygen at 2 liters-per-minute via a nasal cannula, due to a low pulse oxygen level. - Review of the resident's current care plan (with a goal date of 10/12/11) found the following problem statement: Potential for increased confusion d/t (due to) decreased oxygen sats (saturation levels) by pulse oximetry. The goal was for the resident's oxygen level to be maintained greater than 90%, and staff was to closely monitor the resident to ensure the nasal cannula was in her nose at all times.	2015-11-01