cms_WV: 10929

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
10929 MCDOWELL NURSING AND REHABILITATION CENTER, LLC 515162 PO BOX 220 GARY WV 24836 2011-09-08 425 D 1 0 34ZP12 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on medical record review and staff interview, the facility failed to assure that medications were available to meet the needs of the residents. Resident #68 did not receive insulin to treat her diabetes due to this medication not being available in the facility when it was time for her to have it. This practice affected one (1) of seventeen (17) sampled residents. Resident identifier: #68. Facility census: 98. Findings include: a) Resident #68 According to the nursing notes, this resident was admitted on [DATE] and arrived at the facility at 11:15 p.m. Her [DIAGNOSES REDACTED]. It was noted (on 09/06/11) that this medication was not recorded on the medication administration record until 09/06/11 at 1630 (4:30 p.m.). The hospital records indicated that, prior to this resident being discharged , she received her insulin at 5:00 p.m. on 09/05/11. There was no evidence the resident received the morning dose of 20 units of Novolin 70/30 Insulin as ordered at 0630 (6:30 a.m.) on 09/06/11. The resident's fingerstick at 1130 (11:30 a.m.) on 09/06/11 was 215 mg/dl. This was then repeated at 4:30 p.m., and her fingerstick blood sugar was 132 mg/dl. She then received her Novolin 70/30 insulin as ordered at 4:30 p.m. During an interview with the administrator on 09/07/11 at 3:15 p.m., she was questioned about this medication. She called the nurse at home at that time and verified that this medication was not administered that morning at 6:30 a.m. on 09/06/11, because it had not arrived from the pharmacy. The director of nursing, when interviewed on 09/08/11 at 11:00 a.m., was about the facility's procedure for obtaining medications when a resident is admitted late at night . She provided a copy of the facility's procedure for obtaining medications after hours. She verified the nurse should have called the on-call pharmacist's pager number. 2014-11-01