cms_WV: 9882
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
9882 | PUTNAM CENTER | 515070 | 300 SEVILLE ROAD | HURRICANE | WV | 25526 | 2011-08-11 | 328 | E | 0 | 1 | MU6H12 | . Based on observation, staff interview, and policy review, the facility failed to follow its own policy with respect to the use of an oxygen delivery system for a maximum of seven (7) days and/or to dating the oxygen humidifier bottle and oxygen tubing when changed. This was evident for three (3) of fifteen (15) sampled residents, and for three (3) randomly observed residents. Resident identifiers: #27, #111, #38, #4, #105, and #72. Facility census: 115. Findings include: a) Resident #27 Observation, on 08/08/11 at approximately 1:15 p.m., found the humidifier bottle on Resident #27's oxygen concentrator was empty and the oxygen tubing was dated 07/29/11 -- b) Resident #111 Observation, on 08/08/11 at approximately 1:30 p.m., found no date on Resident #111's oxygen tubing or humidifier bottle. -- c) Resident #38 Observation, on 08/08/11 at approximately 1:35 p.m., found the oxygen tubing and humidifier bottle of Resident #38's oxygen concentrator were dated 07/29/11 -- d) Resident #4 Observation, on 08/08/11 at approximately 1:40 p.m., found the humidifier bottle on Resident #4's oxygen concentrator was nearly empty and the tubing was dated 07/29/11. -- e) Resident #105 Observation, on 08/08/11 at approximately 1:45 p.m., found the oxygen tubing and humidifier bottle of Resident #105's oxygen concentrator were dated 07/29/11. -- f) Resident #72 Observation, on 08/08/11 at approximately 1:50 p.m., found the humidifier bottle of Resident #72's oxygen concentrator was empty and the tubing was dated 07/29/11. -- g) Interview with a nurse (Employee #6) and the administrator (Employee #127), on 08/08/11 at 2:00 p.m., revealed the oxygen tubing and humidifier bottles should be changed every week, and they stated these six (6) residents would have theirs changed right away. The administrator reported the employee who typically oversaw changing of the oxygen tubing and humidifier bottles was out on personal leave and was due back tomorrow, and she did not realize the tubing and bottles were not all being changed in her absence. -- h) The staff development nurse (Employee #67), on 08/08/11 at 2:05 p.m., produced the facility's policy on oxygen humidifier containers and tubing changes, which stated: "The intact system shall be used for a MAXIMUM OF SEVEN (7) DAYS. Label the container and oxygen tubing with date change." -- i) Subsequently, the administrator had the tubing and humidifier bottles removed and replaced with new tubing and humidifier bottles dated 08/08/11, for the above six (6) residents. | 2015-08-01 |