cms_WV: 11351

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
11351 PARKERSBURG CENTER 515102 1716 GIHON ROAD PARKERSBURG WV 26101 2010-12-16 281 D     17LC11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on record review and staff interview, the facility failed to follow physician's orders to perform monthly laboratory testing for one (1) of five (5) sampled residents. One (1) resident in the sample did not receive a monthly complete blood count (CBC) per physician's orders, as evidenced by one (1) CBC lab test omission in March 2010. A CBC drawn a month after the omitted lab test, in April 2010, revealed abnormal findings resulting in the resident's hospitalization Resident identifier: #67. Facility census: 65. Findings include: a) Resident #67 Record review revealed Resident #67 was diagnosed with [REDACTED]. A hospice encounter occurred in September 2009 but was declined by the family. Review of a facility's Encounter Sheet, dated 12/10/09, revealed the physician was to be consulted regarding increasing the [MEDICATION NAME] dosage, as this resident with multiple contractures and "pain expressed (symbol for with) even slightest movement". -- Record review revealed Resident #67's physician orders included orders for a basic metabolic profile (BMP) every three (3) months and CBC every month. Review of physicians orders effective from 03/01/10 through 03/31/10 revealed both the BMP and the CBC were both due on 03/10/10 and all CBCs were to be sent to Hospital #1. The BMP, requested and completed on 03/19/10 by the contracted lab service at Hospital #2, yielded results similar to the previous quarterly BMPs; however, there was no evidence to reflect the monthly CBC was requested and/or completed in March 2010. A CBC, requested and completed by the contracted lab service at Hospital #2 on 04/23/10, contained the following abnormal laboratory results: - WBC (white blood cell count) 1.2 (normal reference range 4.9 - 10.8); - RBC (red blood cell count) 1.98 (normal reference range 4.20 - 5.4); - HGB (hemoglobin) 5.9 (normal reference range 12.0 - 16.0); - HCT (Hematocrit) 18.3 (normal reference range 36 - 48%); and - PLT (Platelet) 44 (normal reference range 140 - 440). Review of past lab results revealed Resident #67's monthly WBC ranged from 5.8 in October 2009 to 6.4 on 02/22/10. The hemoglobin ranged from 9.2 in October 2009 to 8.6 on 02/22/10. The hematocrit ranged from 29.0 in October 2009 to 27.7 on 02/22/10. The platelets ranged from 188 in October 2009 to 222 on 02/22/10. -- Review of the interdisciplinary progress notes for 04/23/10 at 10:45 p.m. revealed Resident #67 was admitted to the hospital with [REDACTED]. Review of the interdisciplinary progress notes for 04/30/10 at 1:00 p.m. revealed the resident's medical power of attorney representative (MPOA) stated he had found placement for this resident at another facility, which had a private room the resident needed, and she would be transferred there following the hospital discharge. -- Interview with the administrator, on the early afternoon of 12/16/10, revealed a CBC report could not be located from either of the two (2) hospitals for March 2010. 2014-04-01