cms_WV: 10602
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10602 | PLEASANT VALLEY NSG. & REHAB C | 515064 | 1200 SAND HILL ROAD | POINT PLEASANT | WV | 25550 | 2009-05-22 | 514 | B | 0 | 1 | 5BYT11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Resident 1: oxygen tubing treatment sheets not complete Based on observation, medical record review, and staff interview, the facility failed to each resident's clinical record was accurate and complete. Staff failed to document weekly oxygen tubing changes ordered by the physician. Resident identifiers: #2188 and #3439 on the 400 Hall, and Residents #3163 and #1889 on the 100 Hall. Facility census : 95. Findings include: a) Residents #2188, #3439, #3163, and #1889 During random observations during tour on 05/19/09 and during resident interviews on the day of entry, four (4) residents were observed to have no dates on their oxygen tubings to indicate when they had most recently been changed. Also, there was no documentation on the residents' treatment records to reflect the tubing had been changed weekly as the physician had ordered. 1. Residents #2188 and #3439 On the 400 Hall on 05/19/09 at 9:30 a.m., Residents #2188 and #3439 were noted to have oxygen concentrators in use with no dates to show when the tubing had been changed. The filters on both concentrators were dirty. On 05/20/09 at 9:55 a.m., interview with the charge nurse (Employee #26) revealed the facility did not have a separate respiratory therapy department. Rather, a nurse came to the facility twice weekly, and she changed all the oxygen tubing in the facility on Fridays. Employee #26 also reported they had aides change the tubing if the nurse is not there. The charge nurse and surveyor checked the residents' treatment records and found Resident #2188's tubing change was not recorded for 05/08/09, and Resident #3439's tubing change was not recorded for 05/08/09 or 05/15/09. Both residents had orders for oxygen tubing to be changed weekly. The director of nursing (DON), who was present at this time, stated oxygen tubing was changed weekly in the facility and, when told of the above findings, said they would take care of it right away. 2. Residents #3163 and #1889 On the 100 Hall on 05/19/09 at 4:30 p.m., Residents #3163 and #1889 were noted to have oxygen concentrators with no dates on their tubings to indicate then they had last been changed. Also, Resident #3163's humidifier bottle contained about one-half inch of water, and Resident #3163's humidifier bottle had less than one-half inch of water. Review of the residents' treatment records revealed blank spaces where oxygen tubing changes were to have been recorded. Neither resident's record had been written on or initialed in the month of May 2009. Physician orders [REDACTED]. On 05/20/09 at 5:00 p.m., the nurse (Employee #15) said Resident #3163 receives nebulizer treatment four (4) times daily and wears her oxygen about two days weekly, and Resident #1889 wears oxygen two (2) to three (3) days per week. This surveyor observed both residents wearing oxygen for intervals on every day of the survey. 3. On 05/22/09 at 11:00 a.m., this surveyor asked the administrator for the facility's policy on changing oxygen tubing. She said they had no written policy, but staff changed the tubings weekly and recorded the changes on the residents' treatment records. This surveyor then gave her the names and room numbers of the above four (4) residents who had no documentation of weekly tubing changes as ordered by the physician. | 2015-01-01 |