cms_WV: 10605

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
10605 MONTGOMERY GENERAL HOSP., D/P 515081 WASHINGTON STREET AND 6TH AVENUE MONTGOMERY WV 25136 2011-09-30 152 E 1 0 0VZD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on record review, staff interview, and review of State law, the facility failed to determine a resident's capacity according to State law (WVC 16-30 - West Virginia Health Care Decisions Act) for six (6) of eight (8) sampled residents. Resident identifiers: #38, #40, #17, #35, #9, and #5. Facility census: 38. Findings include: a) Residents #38, #40, #17, and #35 1. Resident #38 A review of Resident #38's medical record revealed the resident was determined to be incapacitated due to bilateral hearing impairment and dementia. - 2. Resident #40 A review of Resident #40's medical record revealed the resident was determined to be incapacitated due to dementia. - 3. Resident #17 A review of Resident #17's medical record revealed the resident was determined to be incapacitated due to dementia. The form was not dated as to when the determination of capacity had been made. - 4. Resident #35 A review of Resident #35's medical record revealed the resident was determined to be incapacitated due to dementia. - 5. According to WVC 16-30-7. "Determination of incapacity. "(a) For the purposes of this article, a person may not be presumed to be incapacitated merely by reason of advanced age or disability. With respect to a person who has a [DIAGNOSES REDACTED]. A determination that a person is incapacitated shall be made by the attending physician, a qualified physician, a qualified psychologist or an advanced nurse practitioner who has personally examined the person. "(b) The determination of incapacity shall be recorded contemporaneously in the person's medical record by the attending physician, a qualified physician, advanced nurse practitioner or a qualified psychologist. The recording shall state the basis for the determination of incapacity, including the cause, nature and expected duration of the person's incapacity, if these are known. ..." - 6. On 09/28/11 at 12:12 p.m., an interview with the director of nursing (DON - Employee #169) and the social worker (SW - Employee #188) revealed the above residents' determinations of capacity were based on a medical [DIAGNOSES REDACTED]. Both employees agreed that, just because a resident was hard of hearing, this did not necessarily mean the resident lacked the capacity to understand and make informed health care decisions. -- b) Resident #9 1. Medical record review, on 09/28/11, revealed this resident's physician determined the resident did not possess the capacity to make health care decisions. The document signed by the physician contained no date of the determination. "Dementia" was written across the areas on the form on which documentation was supposed to include "nature of incapacity" and "cause of incapacity". (The documentation of "dementia" in itself did not provide a description of the how this condition impacted this resident's ability to make informed health care decisions.) - 2. According to WVC 16-30-7: "(c) If the person is conscious, the attending physician shall inform the person that he or she has been determined to be incapacitated and that a medical power of attorney representative or surrogate decisionmaker may be making decisions regarding life-prolonging intervention or mental health treatment for [REDACTED]. The section on the facility's form regarding this requirement required the indication of "yes" or a "no." Neither "yes" or "no" was marked. - 3. During an interview on 09/29/11 at 10:30 a.m., the acting DON confirmed this determination of incapacity did not describe why the resident could not make her own health care decisions, did not contain a date, and did not indicate the resident had been informed of being deemed incapacitated to make health care decision by the physician. -- c) Residents #5 Medical record review, on 09/28/11, revealed this resident's physician determined the resident did not possess the capacity to make health care decisions on 11/23/10. "Dementia" was written across the areas on the form on which documentation was supposed to include "nature of incapacity" and "cause of incapacity." (The documentation of "dementia" in itself did not provide a description of the how this condition impacted this resident's ability to make informed health care decisions.) During an interview on 09/29/11 at 10:30 a.m., the DON confirmed this resident's determination of incapacity did not describe why the resident could not make her own health care decisions. . 2015-01-01