cms_WV: 10012
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10012 | MERCER NURSING AND REHABILITATION CENTER, LLC | 515052 | PO BOX 410 | BLUEFIELD | WV | 24701 | 2010-03-04 | 312 | E | 0 | 1 | 6XNG11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on confidential resident group interview, observation, review of resident bathing information, and staff interview, the facility failed to assure twelve (12) of fifty-three (53) facility residents, with physician's orders [REDACTED]. Resident identifiers: #37, #14, #15, #9, #18, #20, #23, #27, #38, #44, #47, and #50. Facility census: 53. Findings include: a) Confidential Resident Group Meeting (resident identifiers withheld to maintain resident privacy) During the confidential resident group meeting held on the afternoon of 03/03/10, residents stated they wanted to take showers. When asked why they couldn't take showers, they stated the shower bed they had to use for taking showers was broken. b) Resident #37 Following the complaints concerning the lack of showering equipment, Resident #37 was observed in his wheelchair in the resident hallway. Observation found the resident had white scaly patches crusted in and around his ears and hairline. Flakes of skin were noted to be hanging from his eyebrows and the tufts of hair growing from his ears. Review of the medical record found the resident was ordered specialized shampoo and lotions to be applied on shower days. Staff members present in the hallway noted the surveyor looking at the resident. An observation the following morning, at 7:30 a.m., noted the resident's dried, crusty, scaly patches were no longer in evidence. c) The unit charge nurse (Employee #65), was interviewed at 4:45 p.m. on 03/03/10. When asked why the residents did not have a shower bed, she stated it needed a new part. When asked which residents this would affect, she stated all residents who used a mechanical lift for transfers would also need to use the shower bed for showers. On 03/04/10 at 8:00 a.m., nursing assistant Employee #62 was interviewed. She stated that staff had been unable to shower residents who use a mechanical lift for about ten (10) days. d) The director of nursing (DON - Employee #96) was asked to provide a list of all residents who require the use of a shower bed with evidence of showers given during the last two (2) weeks. She provided the list at 9:00 a.m. on 03/04/10, which included Residents #37, #14, #15, #9, #18, #20, #23, #27, #38, #44, #47, and #50. It was noted that all of these residents had physician orders [REDACTED]. None of the residents had received a shower since 02/18/10. e) At 7:30 a.m. on 03/04/10, environmental services assistant (Employee #12) was asked if he had any knowledge concerning the problems with the shower beds. He stated, "The shower beds keep breaking down." The last time it broke down, he gave the part numbers to the environmental services supervisor (Employee #46) one (1) day last week, but Employee #12 could not verify that the needed parts were ordered. Employee #46, when interviewed at 9:20 a.m. on 03/04/10, stated the facility had two (2) shower beds, both of which required new parts. She stated the bariatric shower bed has needed a new wheel assembly for approximately two (2) weeks. When asked to provide evidence the necessary replacement parts were ordered in a timely manner, she provided an order confirmation dated 03/03/10. . | 2015-07-01 |