cms_WV: 11015

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
11015	HEARTLAND OF KEYSER	515122	135 SOUTHERN DRIVE	KEYSER	WV	26726	2009-02-05	274	D	0	1	53ZE11	Based on medical record review, review of minimum data set (MDS) assessments, and staff interview, the facility failed to recognize a significant change and complete a comprehensive resident assessment for two (2) of twenty one (21) sampled residents. Resident identifiers: #84 and #92. Facility census: 121. Findings include: a) Resident #84 On 02/03/09 and 02/04/09, review of the resident's comprehensive admission MDS, with an assessment reference date (ARD) of 07/25/08, found the assessor indicated (in Section G1, subsections b, c, d, and e) that resident was independent in the following activities of daily living (ADLs): transfer, walking, and locomotion. In addition, assessor indicated the resident needed supervision and set-up help only for dressing (section G1g) and set-up help only for eating (section G1h). The resident was independent in toilet use (section G1i) and continent of bowel and bladder (sections H1a and b). Review of the resident's abbreviated quarterly MDS assessment, with an ARD of 10/26/08, revealed the assessor indicated the resident was now totally dependent for transfer and required the physical assistance of one (1) person to walk in his room. In addition, the assessor indicated the resident was totally dependent for dressing and feeding, requiring one (1) person to physically assist, and the resident was incontinent of bowel and bladder and totally dependent for toilet use. A comprehensive assessment was not conducted to address the significant decline in multiple ADLs that occurred to this resident over the preceding three (3) months. On 02/05/09 at 9:25 a.m., the MDS nurse (Employee #148) provided a quarterly MDS assessment, with an ARD of 01/18/09, which showed the significant changes had not resolved. The MDS nurse was interviewed at that time about the significant change. After reviewing the issue, she verified she "could see where there could have been significant change (comprehensive) assessment." b) Resident #92 A review of the medical record revealed the facility had failed to determine there had been a significant change in the resident's physical condition. The comprehensive admission MDS, with an ARD of 07/29/08, indicated the resident exhibited a sad mood up to five (5) days a week; was totally dependent upon staff for transferring and eating; did not ambulate in the previous seven (7) days; was totally incontinent of bowel; and exhibited moderate pain less than daily. In the abbreviated quarterly MDS, with an ARD of 10/26/08, the resident exhibited NO moods; had improved to requiring extensive assistance for transfers and ambulation; was now independent after set-up for eating; had a significant weight loss of nine (9) pounds, and had NO bowel incontinence or pain. When these changes were discussed with the MDS nurse (Employee #171) at 4:15 p.m. on 02/04/09, she stated that all the assessments were correct, but the computer had not registered this as a significant change in status. .	2014-09-01