cms_WV: 9483
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9483 | GREENBRIER MANOR | 515185 | ROUTE 2, BOX 159A | LEWISBURG | WV | 24901 | 2011-02-02 | 280 | E | 0 | 1 | SJCY11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, resident interview, and care plan review, the facility failed to revise the activity care plans for three (3) of thirty-two (32) Stage II sample residents (#111, #55, and #98) who were in contact isolation. In addition, the facility failed to ensure two (2) of thirty-two (32) Stage II sample residents (#28 and #7) were invited to their quarterly care plan meetings. Resident identifiers: #111, #55, #98, #28, and #7. Facility census: 84. Findings include: a) Residents #111, #55, and #98 A review of Resident #111, #55, and #98's medical records, on 01/25/11, revealed all three (3) were currently in contact isolation precautions due to having [MEDICAL CONDITION]-resistant Staphylococcus aureus (MRSA) and/or [MEDICATION NAME]-resistant [MEDICATION NAME] (VRE). Resident #111 was diagnosed with [REDACTED]. Resident #98 was diagnosed with [REDACTED]. Resident #55 was diagnosed with [REDACTED]. The care plans for the three (3) residents were revised to address the provision of contact isolation precautions after these [DIAGNOSES REDACTED]. On 01/25/11 at 3:00 p.m., a licensed practical nurse (LPN - Employee #11) reported that, since these residents were in contact isolation, they could not come out of their rooms. On 01/27/11 at approximately 2:00 p.m., the activity director (Employee #54) reported these residents could not participate in out of room activities, because they were in contact isolation. She also stated she had particular concerns about residents on contact isolation attending food-related activity programs. She said she had ensured these residents had things in their rooms they enjoyed doing. She also said her staff provided one-on-one visits for these residents. On 02/02/11 at approximately 3:00 p.m., the activity director indicated she had not updated the three (3) residents' care plans after they were placed on contact isolation. She agreed these updates were important to ensure the residents were not denied participation in activities they wished to attend. She stated she would consult with the infection control nurse to determine an appropriate care plan for these three (3) residents. -- b) Resident #28 During a Stage I interview in 01/25/11 at 9:30 a.m., Resident #28 reported she had never been invited to a care plan meeting. Review of Resident #28's medical record revealed no evidence that she had been invited to a care plan meeting. On 01/31/11 at 2:05 p.m., an interview with an LPN (Employee #22) revealed residents are always invited to care plan meetings. In an interview on 01/31/11 at 2:55 p.m., one (1) of the facility's social workers (Employee #53) reported Resident #28 had been invited to all care plan conferences, but she did not have any documentation regarding these invitations. She further stated Employee #89 (who worked in the front office) always invited residents to care plan conferences. On 01/31/11 at 3:10 p.m., an interview with Employee #89 revealed she asked all residents if they would like to attend care plan meetings; she further stated she did not have any documentation of this. -- c) Resident #7 During a Stage I interview on 01/25/11, when asked if she participated in planning her care and treatment, Resident #7 replied, No. Further probes were made to determine if the resident had the opportunity to select between alternative treatments. The resident again stated she had not been involved in these decisions. Record review revealed this resident was admitted to the facility on [DATE]. Further review of her record, on 02/0211, found no evidence of discussions with the resident, by any means, regarding the provision of her care while residing in the facility. Nothing was found to reflect any involvement by the resident in the care planning process, including but not limited to evidence she had been invited and/or attended her initial care planning session. Interview with Employee #53, at 11:45 a.m. on 02/02/11, revealed the facility had not been keeping any type of record that residents were invited to care plans. | 2015-11-01 |