cms_WV: 11425
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 11425 | HEARTLAND OF BECKLEY | 515086 | 100 HEARTLAND DRIVE | BECKLEY | WV | 25801 | 2011-01-07 | 520 | E | U2Q612 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on medical record review and staff interview, the facility's quality assessment and assurance committee failed to identify quality deficiencies of which it was (or should have been) aware and develop and implement plans of action to correct these quality deficiencies. This resulted in the facility's continuing non-compliance with the Medicare / Medicaid conditions of participation. During the current survey from 01/03/11 through 01/07/11, the facility failed to correct deficient practices cited during previous survey events that concluded on 09/01/01 and 11/02/10, with respect to the following regulatory requirements: Comprehensive Care Plans (F279), Quality of Care (F309), and Pharmaceutical Services (F425), resulting in repeat deficiencies in these areas. These deficient practices affected three (3) of ten (10) sampled residents and presented the potential for more than minimal harm to more than an isolated number of residents at the facility. Resident identifiers: #150, #151, and #152. Facility census: 142. Findings include: a) Quality of Care 1. The facility demonstrated non-compliance with the Medicare / Medicaid conditions of participation with respect to the provision of Quality of Care (F309) resulting in findings of deficiencies at a level of actual harm to an isolated number of residents during two (2) previous survey events at the facility, which concluded on 09/01/10 and 11/02/10. During this current survey event from 01/04/11 through 01/07/11, based on medical record review and staff interview, the facility failed to assure that necessary care and services were provided to attain or maintain the highest practicable physical and mental well-being for (2) of ten (10) sampled residents. 2. Resident #151 was initially admitted to the facility at 11:00 p.m. on 12/10/10 with [DIAGNOSES REDACTED]. The facility failed to obtain from the pharmacy in a timely manner and administer medication, in accordance with physician orders, to treat the resident's anxiety. 3. Resident #152 was admitted to the facility on [DATE] following a hospitalization for urinary tract infection [MEDICAL CONDITIONS] and [DIAGNOSES REDACTED]. Nursing staff at the facility failed to appropriately assess and monitor this resident for exacerbation of these conditions. Nursing staff failed to institute neurological assessments for Resident #152 (who was receiving [MEDICATION NAME] therapy which placed her at high risk for bleeding) following a fall sustained on 12/05/10. Nursing staff members did not begin monitoring the resident's neurological status until the evening of 12/07/10, and the director of nursing (DON), when interviewed, stated these neuro-checks should have been initiated immediately after the fall. Additionally, Resident #152, who had a [DIAGNOSES REDACTED]. (See also citation at F309.) -- b) Pharmaceutical Services (F425) 1. The facility demonstrated non-compliance with the Medicare / Medicaid conditions of participation with respect to the provision of Pharmaceutical Services (F425) resulting in findings of deficiencies presenting the potential for more than minimal harm to more than an isolated number of residents during a previous survey event, which concluded on 11/02/10. During this current survey event from 01/04/11 through 01/07/11, based on medical record review and staff interview, the facility failed to assure that pharmaceutical services were provided to meet the needs of two (2) of ten (10) sampled residents, both of whom had a [DIAGNOSES REDACTED]. 2. Resident #151 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The resident did not receive her first dose of [MEDICATION NAME] at the facility until the evening of 12/12/10, because the facility failed to obtain and/or fax a script to the pharmacy in a timely manner. 3. Resident #152 was readmitted to the facility on [DATE] with [DIAGNOSES REDACTED]. This resident missed twelve (12) scheduled doses of [MEDICATION NAME] between 6:30 p.m. on 12/02/10 and 9:00 a.m. on 12/06/10, because the facility failed to obtain and/or fax a script to the pharmacy in a timely manner. (See also citation at F425.) -- c) Comprehensive Care Plans (F279) 1. The facility demonstrated non-compliance with the Medicare / Medicaid conditions of participation with respect to the provision of Comprehensive Care Plans (F279) resulting in findings of deficiencies presenting the potential for more than minimal harm to more than an isolated number of residents during a previous survey event, which concluded on 11/02/10. During this current survey event from 01/04/11 through 01/07/11, based on medical record review and staff interview, the facility failed to assure the interdisciplinary care team developed a comprehensive care plan, to include measurable objectives and timetables, to meet each resident's medical and nursing needs for two (2) of ten (10) sampled residents. 2. Resident #150, who was sent to the emergency room at a local hospital on the early morning of 11/27/10 for rectal bleeding with clots, did not have a current care plan (as of 01/06/11) to address the need to assess and monitor for [MEDICAL CONDITION]. 3. Resident #151, who was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. (See also citation at F279.) | 2014-03-01 |