cms_WV: 10960

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
10960 EMERITUS AT THE HERITAGE 5.1e+153 RT. 4, BOX 17 BRIDGEPORT WV 26330 2011-07-13 504 D 1 0 V0KG11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on record review and staff interview, the facility failed, for one (1) of five (5) residents reviewed, to obtain a physician-ordered lab study. A resident exhibiting signs and symptoms of a urinary tract infection received a physician's orders [REDACTED]. The physician ordered that the specimen be recollected and submitted for testing. This second submission was not completed. Resident identifier: #6. Facility census: 47. Findings include: a) Resident #6 The medical record of Resident #6, when reviewed on 07/13/11, disclosed this [AGE] year old female had resided at the facility for quite some time but had recently been hospitalized and returned to the facility on [DATE]. The resident's had been hospitalized with a [MEDICAL CONDITIONS] - a blood clot in a deep vein of the leg. Additional medical [DIAGNOSES REDACTED]. - Shortly following her return to the facility, on 06/23/11 at 10:15 am, a nurse documented the following: "Resident c/o (complained of) back of head hurting and dizzy. Dr. (name) was present in the house. B/P (blood pressure) for this resident 110/60, blood sugar 299. Temp (temperature) 98.1 afebrile. After sitting for a while resident felt better. Resident unable to finish therapy session due to being tired." Following this incident on this same day (06/23/11), the resident's daughter requested a urinalysis be completed, and the attending physician gave an order for [REDACTED]. A urine specimen was collected and tested via "dip-stick" by facility staff. A nurse's note, dated 06/23/11 at 12:40 p.m., stated, "Urine obtained via clean catch and dipstick (+) (positive) for leukocytes." The entry further stated that the lab would pick up the urine specimen that day. A nurse's note, dated 06/28/11 at 4:30 p.m., stated, "Dr (name) notified of C&S (culture and sensitivity) report and orders received to repeat C&S." Review of the lab report related to this sample disclosed the urine specimen was contaminated. - Continued review of the resident's nursing notes revealed the following entries related to the resident's physical condition: - On 06/29/11 at 21:30 (9:30 p.m.) - "Evening fingerstick read 'high'." - On 07/03/11 at 21:45 (9:45 p.m.) - "Res. (resident) daughter (daughter's name) stating 'mom is sick and vomiting'. FSBS (fingerstick blood sugar) check. Results 585." - On 07/07/11 at 8:40 p.m. - A nurse again noted the resident's blood sugar fingerstick registered "high" when tested . The elevated blood sugar levels were treated on each occasion, but the medical record disclosed no evidence that staff attempted to determine the cause of the excessively high levels or to rule out the possibility of a urinary tract infection and to repeat the urine testing as ordered by the physician. - On 07/08/11 at 10:40 a.m., a nurse's note stated she had spoken to the resident's daughter and reported a morning fingerstick of 366 and dip stick results indicating a urine infection. This nurse then called the physician and waited for a return call for orders. (The resident's physician had previously given an order for [REDACTED]. At 11:05 a.m. on 07/08/11, according to nurse's notes, the resident experienced a [MEDICAL CONDITION] in the dining room and was unresponsive. Testing at that time disclosed the resident's fingerstick blood sugar was "too high to read". The resident was transported to the hospital at that time. - The urine testing that had been ordered on [DATE] had never been completed, and this was confirmed by the director of nursing (DON), when interviewed at approximately 2:00 p.m. on 07/13/11. - The resident's medical records from the hospital, where she currently was a patient, were requested and received. A medicine progress note, dated 07/11/11, stated, "Her worsening mental status could be secondary to her UTI (urinary tract infection). Her new onset [MEDICAL CONDITION] ? (questionable) etiology, possibly related to [MEDICAL CONDITION] ? (questionably) related to UTI." The available hospital information did state the resident's urine culture displayed greater than 100,000 colonies/ml [MEDICATION NAME] species with identification and susceptibilities not available to this reviewer. The resident was currently being treated at the hospital with intravenous antibiotics for this urinary tract infection. (See also citation at F309.) . 2014-11-01