cms_WV: 9482
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9482 | GREENBRIER MANOR | 515185 | ROUTE 2, BOX 159A | LEWISBURG | WV | 24901 | 2011-02-02 | 279 | E | 0 | 1 | SJCY11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, resident interview, medical record review, and staff interview, the facility failed to develop a comprehensive plan of care for seven (7) of thirty-two (32) Stage II sample residents. There were no care plans to address the dental needs for two (2) residents or the nutritional needs for five (5) residents. Resident identifiers: #7, #37, #84, #31, #35, #28, and #79. Facility census: 84. Findings include: a) Resident #7 During a Stage I interview on 01/26/11 at 8:55 a.m., observation revealed Resident #7's natural teeth were in very poor condition, and many were missing. When the resident was asked the interview questions about dental condition, she stated her teeth were half gone. review of the resident's medical record revealed [REDACTED]. This assessment was not accurate, as it was the resident's natural teeth which were in poor condition. There was no further assessment, evaluation, or plan to address the resident's dental needs. This was brought to the attention of the director of nursing (DON - Employee #1) at 10:00 a.m. on 02/01/11, at which time the DON confirmed the resident should have a care plan if she had dental needs. -- b) Resident #37 Observation of the preparation of this resident's meal, at noon on 01/27/11, revealed dietary staff were adding water to portions of pureed foods and were attempting to push the foods through a small strainer. A small amount of thin liquid came through the strainer. Staff then added more water and pushed it through. This continued until a portion of watery food substance was acquired for each food item. At 12:00 p.m. on 01/27/11, this was discussed with the dietary manager (DM - Employee #61), who stated the resident's family wanted the resident to be able to drink his meal through a straw. When the nutritional content of the meal as prepared was discussed, the DM confirmed the manner dietary staff were preparing this resident's meals was not a method which assured the provision of adequate nutrition. When asked if this had been assessed by the consultant registered dietitian (RD), the DM was unsure. Review of the resident's dietary assessments revealed no evidence the RD had assessed how this resident's meals should be provided and/or if the manner they were provided was meeting the resident's nutritional needs. Additionally, review of this resident's care plan revealed no plan to provide the resident with foods in this consistency while also meeting the resident's nutritional needs. -- c) Residents #84, #31, #35, and #28 Observation of the preparation of these residents' meals, at noon on 01/27/11, revealed they were each provided half portions of each food item. At 12:00 p.m. on 01/27/11, this was discussed with the DM, who stated the dietitian had planned this for the specific residents. When asked if the dietitian had assessed whether the half portions were meeting each residents' needs, the DM was unsure. Review of the residents' dietary assessments revealed no evidence the RD had assessed whether the serving of half portions of foods at each meal was meeting the individual needs of each of these residents. In addition, review of each resident's care plan revealed no plan regarding what additional nutrients, if any, were necessary to assure each resident's nutritional needs were met while being provided half portions of foods by dietary. -- d) Resident #79 On 02/01/11 at 3:05 p.m., review of the resident's admission nursing assessment, dated 11/23/10, revealed the resident wore a partial, had obvious or likely cavity or broken natural teeth, and her remaining teeth were in poor shape. Review of the resident's initial social review revealed the resident had natural teeth, but they were in poor condition. No further information given. On 02/01/11 at 3:50 p.m., an interview with a licensed practical nurse (LPN - Employee #11) revealed she was not aware whether the resident had had a dental appointment since admission, and the resident had not mentioned any gum soreness to Employee #11 Review of the resident's care plan found no plan to address dental problems. On 02/01/11 at 4:10 p.m., a follow-up interview with the DON revealed Resident #79 had not had a dental appointment since admission nor any further intervention. | 2015-11-01 |