cms_WV: 10696
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10696 | PINE LODGE | 515001 | 405 STANAFORD ROAD | BECKLEY | WV | 25801 | 2011-08-09 | 309 | E | 1 | 0 | UBFP12 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on medical record review and staff interview, the facility failed to ensure (1) of thirteen (13) sampled residents, whose physician gave orders on 10/11/11 for intravenous (IV) antibiotic therapy ([MEDICATION NAME] 1 Gm daily for seven (7) days) to treat a urinary tract infection [MEDICAL CONDITION], received the first dose of [MEDICATION NAME] as scheduled on 10/11/11 due to lack of availability of the medication from the pharmacy. Resident identifier: #16. Facility census: 102. Findings include: a) Resident #16 Medical record review for Resident #16, on 10/25/11, found this [AGE] year old female was admitted to the facility on [DATE] after a four-day hospital stay. The hospital discharge summary revealed the resident had the following Diagnoses: [REDACTED]. The discharge summary also stated: "She was treated with intravenous [MEDICATION NAME]. Urine culture grew proteus mirabilis, sensitive to [MEDICATION NAME]." On 10/25/11 at approximately 1:00 p.m., review of Resident #16's medical record review revealed a physician's orders [REDACTED]." A nursing note dated 10/11/11 at 11:30 a.m. stated, "Resident admitted previous shift to Room (number) under Dr. (name) services. MD in to see Resident today clarification orders obtained as follows: (Symbol for change) [MEDICATION NAME] to 1 grm (gram) IV q (every) 24 hr x 7 days, [MEDICATION NAME] 600 mg PO (by mouth) BID (twice a day) x 10 days r/t (related to) VRE ([MEDICATION NAME]-resistant [MEDICATION NAME]) on left heel wound. MD to write order for referral to (name) upon family request. MPOA (medical power of attorney) wants resident to continue wound care with Dr. (name) next appt (appointment) is 10/14/11 @ 3:00 pm. Resp (respirations) even and nonlabored. Abdomen soft and nontender. BS (bowel sounds) (+) (positive) all quads (quadrants). Denies pain @ this time. Will continue to monitor. ABT (antibiotic therapy) ongoing UTI and VRE to left heel wound contact precautions maintained QS (every shift)." - Review of Resident #16's medication administration record (MAR), with the registered nurse (RN) unit manager for the East wing on the afternoon of 10/26/11, revealed an "X" where a nurse was to have initialed the MAR to indicate the first dose of IV [MEDICATION NAME] had been administered on 10/11/11. The East wing unit manager said the resident had a med port (IV access) and that all the initials on the other days of administration were from RNs. She commented that an RN would have had to administer all the IV doses. She looked at the "X" and said this meant the [MEDICATION NAME] was not administered on that date. She said she did not know why it was not given. - On the afternoon of 10/27/11, the director of nursing (DON - Employee #12) also reviewed the resident's MAR and said she, too, did not know why the dose of IV [MEDICATION NAME] scheduled for 10/11/11 was not given. In a subsequent interview on 10/27/11 at approximately 1:50 p.m., the DON confirmed Resident #16 had arrived at the facility on 10/10/11 and should have received a dose of [MEDICATION NAME] on 10/11/11 but did not. According to the DON, the facility did not have this medication available for administration on 10/11/11. . | 2014-12-01 |