cms_WV: 10045
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10045 | CLAY HEALTH CARE CENTER | 515142 | HC 75, BOX 153 | IVYDALE | WV | 25113 | 2012-03-13 | 225 | E | 1 | 0 | 0FUR11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on review of facility documents, review of facility policy, and staff interview, the facility failed to ensure all allegations of abuse and neglect were immediately reported and thoroughly investigated in accordance with State law and facility policy. The facility failed to immediately report, thoroughly investigate, and provide protection to facility residents related to allegations of abuse/neglect involving three (3) of seven (7) sampled residents. Resident identifiers: #56, #31 and #21. Facility census: 55. Findings include: a) Resident #56 Review of facility documents found this former resident complained to the social worker, on 01/30/12, of staff members being too rough when removing her clothing. The documents indicated the resident had a history of [REDACTED]. Further review of documents found no evidence this allegation had been immediately reported to the state survey and certification agency and other officials in accordance with state law. Additionally, the documents contained no evidence the facility had conducted any investigation or obtained statements from staff members or the resident involved. Review of the facility's policy prohibiting abuse and neglect, amended 09/23/92, section entitled "Reporting," found the following language, "...7. The facility will report all allegations and substantiated occurrences of abuse, neglect or misappropriation of resident property to the state agency and to all other agencies as required by law." Further review of policy, section entitled "Investigations," found the following language, "1. The facility will thoroughly investigate all allegations and take appropriate actions. 2. Investigations will be prompt, comprehensive and responsive to the situation ... g. Interviews and written statements from individuals, whether residents, visitors, or staff, who may have first hand knowledge of the incident. (Written statements should include name, title, date and time statement is being written and include name of resident, date and time of incident the statement is about.)." An interview with the administrator, Employee #63, on the afternoon of 03/13/12, was unsuccessful in eliciting any evidence this allegation was reported or investigated by the facility in accordance with state law and facility policy. b) Resident #31 Review of facility documents found Resident #31 made allegations of abuse against nursing assistant (NA) #32 to Employee #65, at approximately 2:00 p.m., on 02/17/12. Resident #31 was crying and informed the staff member she was "scared" of NA #32. Employee #65 immediately informed the social worker of the resident's allegation. Documentation revealed the social worker and administrator spoke with the resident, at approximately 5:00 p.m., on 02/17/12. Resident #31 informed them NA #32 had been in a bad mood throughout the day and had been slamming things around in her room. She informed them NA #32 took her to therapy and had a mean look on her face, and the resident was afraid the NA would dump her on the floor out of her wheelchair. NA #32 was permitted to work and provide care in the facility on 02/18/12. The facility failed to report this resident's allegations of abuse or conduct any investigation until 02/22/12, after being informed that Adult Protective Services would be investigating the allegations. The regional director of continuous quality improvement directed the facility to report the resident's allegations. NA #32 was suspended pending further investigation on that date. Review of facility policy prohibiting abuse and neglect, amended 09/23/92, section entitled "Reporting" found the following language, "...7. The facility will report all allegations and substantiated occurrences of abuse, neglect or misappropriation of resident property to the state agency and to all other agencies as required by law." Further review of facility policy, section entitled "Investigations," found the following language, "1. The facility will thoroughly investigate all allegations and take appropriate actions. 2. Investigations will be prompt, comprehensive and responsive to the situation...g. Interviews and written statements from individuals, whether residents, visitors, or staff, who may have first hand knowledge of the incident. (Written statements should include name, title, date and time statement is being written and include name of resident, date and time of incident the statement is about.)." The section entitled "Protection" contained the following language, "1. All residents will be immediately protected from harm. 2. Allegations involving staff who have been identified will result in immediate suspension pending investigation...". The facility allowed NA #32 to continue providing care to facility residents with no investigation, or reporting of the allegations of abuse lodged against her by Resident #31. This practice was not in accordance with facility policy. c) Resident #21 Review of facility documents found a family member of Resident #21 alleged, on 02/27/12, three (3) NAs were asked to assist the resident out of bed to attend church services on 02/26/12. None of the NAs reportedly assisted the resident as requested. Further review found no evidence the facility reported or investigated this allegation of neglect. . | 2015-07-01 |