cms_WV: 9585
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
9585 | TEAYS VALLEY CENTER | 515106 | 590 NORTH POPLAR FORK ROAD | HURRICANE | WV | 25526 | 2011-07-14 | 428 | D | 0 | 1 | L3JB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to ensure the physician provided a rationale describing why a dose reduction of Ativan was clinically contraindicated after the pharmacist recommended a gradual dose reduction. This was true for one (1) of forty-six (46) Stage II sampled residents. Resident identifier: #38. Facility census: 114. Findings include: a) Resident #38 Medical record review revealed a [AGE] year old female whose current [DIAGNOSES REDACTED]. The resident was receiving Ativan 0.25 mg in the morning and Ativan 0.25 mg at bedtime for a [DIAGNOSES REDACTED]. Further review of the medical record revealed a consultation report from the pharmacist completed on 05/26/11. The pharmacist recommended the resident's Ativan be reduced from 0.25 mg twice daily to 0.25 mg at night. The physician responded to the pharmacist recommendation on 06/01/11 by documenting, Cont (continue) Ativan. An interview with the director of nursing (DON) was conducted on the afternoon of 07/06/11. The DON was unable to produce a documented rationale from the physician describing why a gradual dose reduction of Ativan was clinically contraindicated for this resident. | 2015-10-01 |