cms_WV: 11335
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
11335 | GOLDEN LIVINGCENTER - MORGANTOWN | 515049 | 1379 VAN VOORHIS RD | MORGANTOWN | WV | 26505 | 2010-12-28 | 514 | D | OYFI11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on record review and staff interview, the facility failed to ensure the accuracy of the medical record by continuing to indicate, in the physician's progress notes, that two (2) of six (6) sampled residents were on medications and/or dosages that had been changed and/or discontinued. Resident identifiers:#37 and #87. Facility census: 89. Findings include: a) Resident #37 A review of the medical record found Resident #37 presently had physician's orders [REDACTED].@ bedtime" (with a start date of 09/13/10) and "[MEDICATION NAME] (insulin [MEDICATION NAME]) 100 unit/ml solution subcutaneous - once daily Everyday: 4 units" (with a start date of 07/07/10). A review of the physician's progress notes revealed the physician's assistant (Employee #4) had documented on all entries back to 06/15/10 that the resident was receiving the following drug therapy for treatment of [REDACTED]. DM II (diabetes mellitus type II): [MEDICATION NAME] 20U qhs (each night). Presently taking [MEDICATION NAME] 2U with supper and continue 4U with breakfast and lunch. Will continue to monitor qid (four-times-a-day)." During an interview with Employee #4 at 11:50 a.m. on 12/28/10, he acknowledged, after checking the orders, that the notes were inaccurate, but he commented "the nurses know not to go by (his) notes." The medical director, who was present at exit, stated that corrections would be made. -- b) Resident #87 A review of the physician's progress notes written by the physician's assistant (Employee #4), on 12/09/10, 10/19/10, 09/21/10, and 08/24/10, all stated Resident #87 was being treated with the following: "1. [MEDICAL CONDITION]'s chorea: Klonopin 1 mg bid (twice daily). [MEDICATION NAME] mg qhs for [MEDICAL CONDITION]. [MEDICATION NAME] 7.5 mg 1 po (by mouth) qhs." A review of the record found the [MEDICATION NAME] was discontinued on 07/22/10 and [MEDICATION NAME] discontinued in August 2009. During an interview with Employee #4 at 11:50 a.m. on 12/28/10, he acknowledged, after checking the orders, that the notes were inaccurate, but he commented "the nurses know not to go by (his) notes." The medical director, who was present at exit, stated that corrections would be made. | 2014-04-01 |