cms_WV: 10265

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
10265	PINE LODGE	515001	405 STANAFORD ROAD	BECKLEY	WV	25801	2012-09-26	428	D	0	1	FJI611	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on medical record review and staff interview, the facility failed to ensure a gradual dose reduction was attempted after recommended by the consultant pharmacist and agreed upon by the resident's physician. Resident identifier: #145. Facility census: 109. Findings include: a) Resident #145 Review of the medical record revealed this [AGE] year old resident with dementia was admitted to the facility on [DATE], and was ordered Ativan (an anti-anxiety medication) one (1) milligram (mg.) twice daily for anxiety, on 09/21/11. Approximately two (2) weeks later, the dosage was increased to one (1) mg. three (3) times daily, where it has since remained. Review of the medical record found only one pharmacy request, on 07/03/12, for a Gradual Dose Reduction (GDR) of the Ativan, since the initiation of this medication. On 07/03/12 a gradual dose reduction (GDR) was recommended by the consultant pharmacist, to consider reducing the Ativan dosage to 0.5 mg. three (3) times daily, with the eventual goal of discontinuation of the medication, if possible. However, the physician declined to decrease the dose at that time. Review of a hand-written physician's progress note, dated 07/03/12, revealed the resident had a "nervous tremor," and the physician's intent was to continue the Ativan and observe. During interview with the director of nursing on 09/19/12, at approximately 4:00 p.m., she said she thought this resident had two (2) attempts at a GDR of the Ativan in the past year. No information was provided to support this statement was provided prior to exit.	2015-05-01