cms_WV: 10082
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10082 | ARBORS AT FAIRMONT | 515189 | 130 KAUFMAN DRIVE | FAIRMONT | WV | 26554 | 2010-03-04 | 502 | E | 0 | 1 | FFCS11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on record review and staff interview, the facility failed to ensure laboratory tests were completed as ordered by the physician. This was true for four (4) of twenty-three (23) sampled residents' records. The facility failed to obtain laboratory test timely for Residents #45, #92, #115, and #108. Facility census: 112. Findings include: a) Resident #45 Resident #45's medical record, when reviewed on 03/02/10 at 8:45 a.m., revealed a [AGE] year old female with a history of [MEDICAL CONDITION]. Review of the current physician orders, dated 02/17/10, revealed the physician ordered a complete blood count (CBC) test monthly. Review of the laboratory test results revealed the CBC test was not done as ordered. The registered nurse (RN - Employee #25), when interviewed on 03/02/10 at 9:30 a.m., confirmed the CBC was not completed for 02/2010 as ordered. b) Resident #92 Resident #92's medical record, when reviewed on 03/02/10 at 10:00 a.m., revealed a [AGE] year old female who was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. Review of the current physician orders [REDACTED]. Review of the laboratory test results revealed the [MEDICAL CONDITION] level was not done as ordered. Employee #25, when interviewed on 03/2/10 at 3:30 p.m., confirmed the [MEDICAL CONDITION] test was not completed as ordered. c) Resident #115 Resident #115's closed medical record, when reviewed on 03/04/10 at 10:00 a.m., revealed a [AGE] year old resident with end stage [MEDICAL CONDITION]. The resident received outpatient [MEDICAL TREATMENT] treatments three (3) times a week at a [MEDICAL TREATMENT] center. Review of the 08/17/09 physician orders [REDACTED]. Review of the medical record noted there was no hematological laboratory results in the medical record. The director of nurses (DON - Employee #2 ), when interviewed on 03/04/10 at 11:37 a.m., acknowledged the PTT test were not completed as ordered by the physician. d) Resident #108 Review of Resident #108's medical record, on 03/02/10, revealed a physician's orders [REDACTED]. Further review of the medical record revealed the most recent lab results for BUN, creatinine, and electrolytes were dated 08/31/09. There were no lab results for November 2009 or February 2010. Interview with medical records staff (Employee #12), on 03/02/10, revealed there were no lab results for the BUN, creatinine, or electrolytes found on the resident's thinned chart. These findings were reported to the DON on 03/02/10 at approximately 11:15 a.m.; subsequently, she stated she would contact the physician and request an order for [REDACTED].) . | 2015-07-01 |