cms_WV: 11390
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 |
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11390 | OHIO VALLEY HEALTH CARE | 515181 | 222 NICOLETTE ROAD | PARKERSBURG | WV | 26104 | 2010-12-29 | 329 | D | CYQN11 | **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 assure the resident's drug regimen was free of unnecessary drugs. A resident receiving a medication that had the ability to affect her level of consciousness, and which was ordered to treat the symptom of anxiety, was awakened by the nurse by having her face bathed with a cold cloth in order to receive an additional dose of that same medication. Resident identifier: #65. Facility census: 61. Findings include: a) Resident #65 When reviewed on 12/28/10, the closed medical record of Resident #65 divulged the resident had been admitted to the facility in February 2001 and was 80-years old at that time. When transferred to the hospital from the facility on 12/11/10, the resident's weight was noted to be 70 pounds. The resident was noted to have [DIAGNOSES REDACTED]. The resident's record further revealed she suffered with severe breathing problems and frequent episodes of anxiety, possibly associated with the inability to breathe without difficulty. The resident had been receiving the medication Klonopin for anxiety, in varying dosages since the time of admission to the facility. On 12/10/10, a physician's orders [REDACTED]. According to the resident's Medication Administration Record [MEDICATION ADMINISTRATION RECORD DETAILS REDACTED]. According to http://www.fda.gov/downloads/Drugs/DrugSafety, the patient medication guide for the medication Klonopin indicated the most common side of the medication is drowsiness. Facility nurse's notes, on 12/11/10 at 10:50:57 a.m., stated, "Klonopin 0.5mg given this am (morning) and resident very hard to awaken. Cold wash cloth applied to forehead and to resident's face. Resident aroused long enough to give meds. Also was unable to feed resident breakfast or to give am (morning) snack..." The resident was not exhibiting the symptom of anxiety for which it was ordered, and she was actually experiencing a decreased level of consciousness prior to the administration of the dose (as stated in the 12/11/10 nurse's note). This documented statement would indicate the evening dose of the medication was unnecessary at that time. On 12/28/10 at approximately 4:00 p.m., the facility's director of nurses (DON), when questioned about this statement of the need to awaken a resident to administer an anti-anxiety medication, could provide no reason for a sleeping resident to be awakened to receive a medication prescribed to treat anxiety. | 2014-04-01 |