cms_WV: 11350
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 11350 | PARKERSBURG CENTER | 515102 | 1716 GIHON ROAD | PARKERSBURG | WV | 26101 | 2010-12-16 | 225 | D | 17LC11 | . Based on record review, staff interview, and confidential staff interview, the facility failed to report an allegation of resident neglect by a nursing assistant to the appropriate State officials agencies when the identity of the alleged perpetrator was known. This was evident for one (1) of five (5) sampled residents. Resident identifier: #32. Facility census: 65. Findings include: a) Resident #32 Record review revealed Resident #32 received a head injury of unknown origin. Subsequently, this resident was transported to the emergency room for evaluation, then returned to the facility the same day. Record review revealed the facility reported this injury of unknown source to the appropriate State agencies, because the source of the injury was not observed by any person, it could not be explained by the resident (who was cognitively impaired due to a disease process), and the injury was suspicious because of the location and extent of the injury. Further record review revealed a licensed practical nurse (LPN - Employee #32) completed an incident report on the date and time of the discovery of the injury and documented an allegation that a nursing assistant caused the injury during turning and failed to notify the nurse of what she had done. -- Interview with the administrator, director of nursing, and the licensed social worker, on 12/14/10 at 3:00 p.m., revealed their belief that it would have been physically impossible for Resident #32's head to hit the bedside stand while being turned; they reported the aides "speculated" about what might have happened, and a former employee (Employee #84, a nursing assistant who was terminated last week) and other staff who were working the evening of the incident, when interviewed, admitted having no knowledge of how the injury happened. Subsequently, the administrator felt the allegation was hearsay, and the facility did not substantiate abuse or neglect in their investigation of the incident. -- Interview with Employee #32, on 12/14/10 at 3:25 p.m., revealed that the identity of Employee #84, who allegedly caused a head injury to Resident #32, was told to her and she included this allegation on the incident report but without writing the names of the alleged perpetrator or the reporter of this information. -- In an interview, another LPN (Employee #58) confirmed that she, too, was told of the allegation at the same time as Employee #32, that Employee #84 had allegedly caused the head injury while turning the resident but did not tell the nurse what she did. -- A confidential interview with member of the facility's nursing staff, on 12/15/10 at 12:25 p.m., revealed she heard Employee #84 admit to having injured Resident #32 while turning the resident alone, striking the resident's head against the overbed table, but was afraid to tell the nurse. -- During an interview with the administrator on 12/14/10 at 5:00 p.m., she acknowledged the allegation made against Employee #84 should have been reported to the Nurse Aide Abuse Registry, even though the facility did not substantiate abuse or neglect in their internal investigation. . | 2014-04-01 |