cms_WV: 11458

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
11458 EAGLE POINTE 515159 1600 27TH STREET PARKERSBURG WV 26101 2011-05-12 425 D     1I0H11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on observation, record review, and staff interview, a resident received a daily dose of Lisinopril (an ACE inhibitor used to treat hypertension) for five (5) consecutive days even though his record noted he was allergic to this classification of drugs, and he received one (1) of these doses after the physician discontinued the medication due to the allergy. Resident identifier: #61. Facility census: 129. Findings include: a) Resident #61 Observation during medication pass revealed Resident #61 received a dose of Lisinopril 2.5 mg at approximately 9:00 a.m. on 05/10/11. Record review revealed a physician's telephone order, dated 05/09/11 at 9:00 a.m., with clarification of orders to "D/C (discontinue) Lisinopril - allergic to Ace Inhibitors." Review of the medication administration record (MAR) for May 2011 revealed Resident #61 received Lisinopril 2.5 mg orally daily at 9:00 a.m. on 05/06/11, 05/07/11, 05/08/11, 05/09/11, and 05/10/11. In the "allergies [REDACTED]. Review of the monthly recapitulation of physician's orders [REDACTED]. Also found on the monthly recap was an order for [REDACTED]. These orders were checked by a nurse (Employee #167) as attested by her signature which was dated for 05/05/11. Further review of the physician's telephone orders found an order dated 04/14/11 at 6:00 p.m., stating "allergies [REDACTED]. During an interview with a nurse (Employee #18) on 05/10/11 at approximately 4:30 p.m., she agreed the order to stop the Lisinopril was written on 05/09/11 at 9:00 a.m., but the MAR was initialed to indicate this medication was administered by the nurse at 9:00 a.m. on 05/10/11. Employee #18 agreed the clarification order dated 05/09/11 noted the resident was allergic to ACE Inhibitors, as did both the MAR and the monthly recapitulation of physician's orders [REDACTED]. Subsequent record review found an incident report was completed on 05/10/11 at 5:00 p.m., and the physician was notified that the Lisinopril (which was discontinued on 05/09/11) was erroneously given at 9:00 a.m. 05/10/11. Actions taken included monitoring Resident #61's blood pressure and removing the Lisinopril from the medication cart; nursing staff also informed the resident of the occurrence. Record review, on 05/11/11, revealed a physician's progress note dated 05/11/11, stating Resident #61 was recently readmitted from the hospital where he was treated with Lisinopril in the hospital and at the facility without problem, and noting that his history include an ACE inhibitor allergy. The physician clarified that Resident #61 did not have an allergy to Lisinopril or to ACE inhibitors. The physician cancelled the ACE inhibitor allergy notation on his record but left the resident off of the Lisinopril. During an interview with the DON in the early morning 05/11/11, she clarified that Resident #61 actually did not have an allergy to ACE inhibitors but, by history, was noted he was not to be on ACE inhibitors because of his [DIAGNOSES REDACTED]. . 2014-03-01