cms_WV: 9918

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

This data as json, copyable

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
9918	ST. MARY'S HOSPITAL	515113	2900 FIRST STREET	HUNTINGTON	WV	25702	2012-05-08	225	D	1	0	565D11	. Based on review of the facility's complaint log, review of policies and procedures, and staff interview, the facility failed to immediately report and failed to investigate all allegations of abuse and neglect. One (1) of two (2) complaints in the past three (3) months was not reported in accordance with State law or facility policy. In addition, this allegation regarding care, treatment, and potential neglect was not thoroughly investigated. This was true for one (1) of four (4) sampled residents. Resident identifier: #14. Facility census: 13. Findings include: a) Resident #14 Review of the facility's complaint log revealed two (2) complaints made to the facility in the last three (3) months. One of these complaints was reported and investigated. The clinical manager for the skilled unit, Employee #24, was responsible for addressing the complaint regarding Resident #14. The complaint alleged staff members did not treat residents with dignity and respect, staff members did not ensure resident rights, therapy was not provided as ordered by the physician, staff members were not implementing appropriate infection control practices, and staff members did not intervene in a timely manner when a resident became dehydrated. This complaint was written in a letter to the facility by a family member after the resident was discharged home. Review of the documentation completed by Employee #24 revealed these allegations were not thoroughly investigated. The investigation consisted only of written responses by Employee #24. The written responses to the allegations merely stated she was not aware of the issues when the resident was at the facility. Employee #24 also noted she was on the floor a lot during that time and did not hear those things. Additionally, she noted she was unaware of to whom the family had spoken. The statements written by Employee #24 contained no evidence of any attempts to identify witnesses, interview staff, or to engage in any type of investigation to determine whether or not the allegations were valid. There was no evidence the multiple allegations in this complaint were investigated. Review of the facility's policy revealed instructions which stated, "In all instances where neglect or abuse is alleged to have occurred, known to have occurred, or there is reason to suspect that abuse may have occurred, follow the decision tree. All forms must be faxed immediately to the appropriate state agency." This policy also instructed staff that information gathered in the investigation would include identification of all witnesses; and if the identity was unknown, the investigator was supposed to list all individuals known to have had contact with the resident at the time of the event, or at the time the incident probably occurred. Instructions were given to interview all individuals who may have information concerning the incident, including the resident, all individuals working at the time of the incident, and anyone with whom the resident may have shared information. The results of the investigation were then to be sent to the state agency within five (5) working days of the incident. During an interview with Employee #24, at 9:00 a.m. on 05/08/12, she confirmed she had not thoroughly investigated the allegations in this complaint. She stated she had not gathered statements and had no evidence she interviewed the care givers. The reason given for not conducting a thorough investigation was because the resident went home a month ago and was no longer at the facility when she received the complaint. At this time, Employee #24 also verified the complaint was not reported to the State agency as required by the facility's policy and by regulation. Employee #24 did not follow the facility's policies regarding reporting and investigating allegations of neglect or abuse. .	2015-08-01