cms_WV: 9566
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 |
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9566 | HARPER MILLS | 515086 | 100 HEARTLAND DRIVE | BECKLEY | WV | 25801 | 2012-10-09 | 441 | D | 1 | 0 | 9WM911 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and staff interview, the facility failed to provide signage at the entrance of rooms of residents who were to be isolated due to having infectious organisms. Failing to provide signage to alert visitors and/or staff to see the nurse before entering the room, and/or giving guidance as to what precautions are necessary when entering the room, created the potential to spread infectious organisms. Two (2) of six (6) isolation rooms observed had no signage present. Resident identifiers: #128 and # 59. Facility census: 148. Findings include: a) Resident #128 Observation on 10/08/12, at approximately 12:50 p.m., found a small cart in the hallway near the room of Resident #128. There was no signage at the door to see the nurse before entering, or instructions as to what precautions should be taken before entering the room. A speech therapy employee was observed sitting in the chair beside the resident's bed, watching him eat some food. She was not wearing gloves or a gown. A brief interview at the nurses' station, on 10/08/12, at approximately 1:00 p.m., with Employees #76 and #192 (nurses), found the isolation cart belonged to Resident #128 who was in a private room, but they were unsure why he was in isolation. Employee #192 stated Resident #128's nurse was in the dining room, and she would go ask her. Upon her return only minutes later, Employee #192 reported that his nurse said he had ESBL (extended-spectrum class A beta-lactamase), an infectious organism resistant to multiple antibiotics), in his urine. When asked if they typically post signage at the door to alert those wishing to enter his room, she applied in the affirmative. She then placed a sign instructing visitors to see the nurse before entering. Review of the medical record on 10/09/12, at approximately 2:00 p.m., found a new physician's orders [REDACTED]. However, at the time of the observation on the previous day, this had not been known. b) Resident #59 Observation, on 10/08/12, at approximately 1:15 p.m., found a small cart near the room of Resident #59. There was no signage at the door to see the nurse before entering, or instructions as to what precautions should be taken before entering the room. The Director of Nursing said Resident #59 was in contact precautions due to having Clostridium difficile (C-diff), an infectious gastrointestinal organism. She agreed there should be signage at the door to inform entrants of the need for contact precautions, as their policy dictated, and there was not. | 2015-10-01 |