cms_WV: 9474
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9474 | OHIO VALLEY HEALTH CARE | 515181 | 222 NICOLETTE ROAD | PARKERSBURG | WV | 26104 | 2011-02-02 | 280 | D | 0 | 1 | U0V411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, medical record review, and staff interview, the facility failed to revise the care plans of two (2) of thirty-seven (37) Stage II sample residents when changes occurred in their condition and/or when previously developed interventions proved to be ineffective or inappropriate to address each resident's needs. Resident #44 experienced a significant weight loss in a short period of time with no review or revision of her care plan to address this. Resident #66's care plan was not reviewed / revised to include interventions specific to her individual activity needs. Resident identifiers: #44 and #66. Facility census: 63. Findings include: a) Resident #44 1. Record review revealed this [AGE] year old female resident was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. The resident was recently hospitalized from [DATE] through 01/13/11 for an irregular heart rate. Resident #44, when readmitted to the facility on [DATE], weighed 94#. On 01/22/11, she again weighed 94#. On 01/28/11, the resident weighed 86#; this represents an 8# weight loss over a 6-day period. On 01/29/11, the resident weighed 84#. On 02/01/11, the resident was weighed at the surveyor's request, and the resident's weight was 82.8#. Review of the resident's most recent care plan for nutrition, dated 01/05/11, identified the following problem statement: Needs Low concentrated sweet NAS (no added salt) puree diet with nectar fluids. Was pocketing food on previous consistency. Diet snack tid. Able to make food preferences know if asked. Needs seated at supervised table to assist with eating needs encouraged. Wt. loss in past 180 days. The goal associated with this problem stated: Resident will try to consume at least 50% of meals and take snacks tid to try to help bs (blood sugar) be wnl (within normal limits) and try to prevent wt loss by next quarter. Interventions included: Offer Diabetic snack tid as ordered; Monitor weight; Monitor food intakes tid to assure adequate nutrition; Needs seated at assist table to try to encourage adequate at meals and feed if necessary. Observation of this resident, in the dining room during the noon meal on 01/31/11, found a nursing assistant (Employee #55) feeding the resident. When asked, Employee #55 said that, since the resident had been sick, her ability and desire to eat had decreased. The resident's care plan had not been revised to adequately address the recent weight loss that occurred for the resident. -- b) Resident #66 During Stage I of the survey, observations found Resident #66 did not attend any out-of-room activities on 01/24/11 and 01/25/11, and the resident was unable to complete an individual interview with the surveyor due to an inability to understand and respond to the questions asked. A review of the resident's minimum data set (MDS) assessment, with an assessment reference date (ARD) of 05/03/10, found the assessor encoded in Section N (Activity Pursuit Patterns) found the resident was awake in the morning, preferred all activity settlings, and her general activity preferences included crafts, music, spiritual / religious activities, watching TV, and talking or conversing. Review of her most recent activity assessment, dated 05/06/10, found the resident's preferred activity setting included the dining room and bedroom. Documentation records in the notes section stated, The resident frequently demonstrates anxiety and tearfulness. She needs one-to-one intervention and may want to return to her room prior to an activity's conclusion. Review of her most recent care plan for activities, dated 10/28/10, revealed the following problem statement: (Resident #66) best benefits from individual one-to-one activities. She demonstrates difficulty in verbally communicating her needs and interests. Individual intervention such as reading to the resident or sensory stimulation exercises are recommended for her recreation. The goal for activities stated: (Resident #66) will take part in a minimum of two individual, one-to-one recreational visits from an activates staff member each week as evidenced by making eye contact with the staff member present and by looking at or holding objects provided for sensory stimulation. The interventions included: Provide a minimum of two individual visits with (Resident #66) each week to promote social interaction and to validate her presence within the facility. Deliver (Resident #66)'s mail to her on a daily basis, offering to open letters for her and also to read her mail out loud to her. When speaking to (Resident #66), allow ample time for her to respond verbally, but does make eye contact with the staff member present. An activity progress note, dated 01/20/11, stated, Care plan reviewed 1-20-11. No changes to the recreational activity portion of (Resident #66's) plan of care. She best benefits from individual interventions such as reading her mail aloud to her, reading scripture from the Bible, and providing music for her to listen to. Activities staff members provide a minimum of two individual visits with her each week. Review of the resident's activities participation records for December 2010 found the resident only participated in one (1) activity during that month. In January 2011, documentation reflected she only participated in two (2) activities during that month. Review of the record of individual visits for January 2011 found the resident received only one (1) individual visit, which occurred during the week of 01/02/11 through 01/08/11. During a confidential staff interview on the early afternoon of 01/31/11, this staff member reported not having seen Resident #66 receive any in-room individual visits. Review of the care plan with the activity director, on 02/01/11, found it should have been revised to address the fact that the resident stays in bed most of the time, with interventions to provide in-room activities to meet her needs. | 2015-11-01 |