cms_WV: 10049

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.

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
10049 CLAY HEALTH CARE CENTER 515142 HC 75, BOX 153 IVYDALE WV 25113 2012-03-13 278 F 1 0 0FUR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on staff interview and position description review, the facility failed to ensure a registered nurse conducted or coordinated each assessment with the appropriate participation of health professionals. The facility employed and utilized the services of a licensed practical nurse (LPN) to act as the minimum data set (MDS) coordinator. This practice had the potential to affect all residents currently residing in the facility. Employee identifier: #13. Facility census: 55. Findings include: a) During random observations of the facility, on 03/13/12 at 11:15 a.m., a staff member approached and introduced herself as the minimum data set (MDS) coordinator. The employee wore a name badge identifying her as an LPN. A comprehensive interview with this LPN (Employee #13) concerning her role as MDS coordinator was conducted following the introduction. Employee #13 stated she coordinated the schedule for quarterly, annual, and significant change assessments. She stated she completed the MDS, conducted the Care Area Assessment (CAA) and, along with the interdisciplinary team (IDT), made the decision to care plan the Care Area Triggers (CAT). When asked what other members made up the IDT, she identified the social worker, the dietary manager, activities, therapy, etc. When asked if a registered nurse (RN) attended the IDT meetings, LPN #13 stated that no RN attended the IDT meetings. When asked what role an RN plays in the assessment process, LPN #13 stated she had to have an RN sign the MDS was complete. LPN #13 stated she had done this job for [AGE] years and had been the full time MDS coordinator for this facility as of October 2010. She denied RN participation in completing the CAA, making care plan decisions, or development of the care plans for residents. A copy of LPN #13's position description was obtained from the facility following the interview. -- Review of the POS [REDACTED]. --The Accountability Objective included, "Supervise and coordinate all MDS assessments and care plans for residents within the facility." -- The Position Description listed the following "Key Responsibilities": 4. "Responsible to initiate and maintain the Resident Assessment and Care Plan Schedule ensuring all dates for MDS and CAA completion are met in accordance with guidelines. Provide IDT with a copy of schedule" 10. "Responsible for admission and quarterly assessments for all residents, to include MDS and CAAs when applicable" 11. "Develop and/or revise resident care plan quarterly, annually, and with any significant change in condition" 12. Coordinate all care plan meetings and inform DON of any team member who is not participating in the care planning process according to policy" The facility utilized an LPN as the MDS coordinator which required her to conduct in-depth comprehensive assessments, evaluation and analysis of information related to the assessment, and to utilize critical thinking skills in making decisions regarding the decision to care plan triggered areas. These duties remain the purview of the registered professional nurse and are outside the scope of practice for a licensed practical nurse. . 2015-07-01