cms_WV: 10503

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
10503 WAR MEMORIAL HOSP, D/P 5.1e+151 1 HEALTHY WAY BERKELEY SPRINGS WV 25411 2011-01-06 323 D 0 1 CROM11 . Based on observation, staff interview, and record review, the facility failed, for one (1) of seven (7) residents reviewed, to assure each resident's environment was as free from accident hazards as possible, by restraining a cognitively impaired resident in an unsafe device and placing her in a room without staff supervision. Resident #4, whose assessment revealed she had severely impaired cognitive skills for daily decision making and an impaired ability to communicate, was seated in a geriatric chair with the tray table in place that prevented rising. There was sufficient space between the chair and the tray to allow the resident to scoot out of the chair, and the resident was placed in an area with other confused residents without staff present to monitor for safety. Resident identifier: #4. Facility census: 16. Findings include: a) Resident #4 Observation, during the initial tour of the facility on 01/02/11 at approximately 1:15 p.m., found Resident #4 sitting in a geriatric chair with a tray attached; the resident was located in the unit's activity / dining area with two (2) other residents. The tray, when in place, did not allow the resident to rise from the chair. The resident was not being fed, and no staff was present in the room. Further observation revealed that, due to the resident's small body size, there were several inches between her body and the tray. The resident was observed to remain in this chair, in almost constant motion, until approximately 2:30 p.m., when a nursing assistant assisted the resident from the chair to the bathroom. The resident was able to walk with staff assistance. The nursing assistant (Employee #1), when asked why the resident was in the chair, reported that it was to prevent her from ambulating independently. When asked, this nursing assistant agreed that it could be possible for the resident to slid from the chair under the tray. The unit's director of nursing (DON - Employee #14) was made aware of the resident's unsafe restraint and, at that time, the tray from the chair was removed and the chair was reclined. The resident's medical record, when reviewed on 01/04/11, disclosed the most recent minimum data set was dated as completed on 10/27/10. In Section B, the assessor noted the resident was sometimes understood by staff and sometimes able to understand staff. In Section C, the assessor noted the resident's cognitive skills for daily decision making was severely impaired - never / rarely makes decisions. This assessment would indicate the resident did not have the ability to remain safe in the unsafe device. . 2015-03-01