cms_WV: 11468

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.

Data source: Big Local News · About: big-local-datasette

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
11468 DUNBAR CENTER 515066 501 CALDWELL LANE DUNBAR WV 25064 2010-10-19 280 D     SHO311 . Based on observation, staff interview, and medical record review, the facility failed to revise the nutrition care plan and Kardex used by nursing assistants caring for Resident #50 to accurately reflect the services to be furnished to the resident following a significant change in the resident's status, after she received a fracture to the right arm and became totally dependent on staff for eating. This was true for one (1) of four (4) sampled residents. Resident identifier: #50. Facility census: 118. Findings include: a) Resident #50 Observation of the evening meal, on 10/17/10 at 6:00 p.m., found Resident #50 being fed by a family member. Resident #50's right arm was in a sling, and she was not moving her arm. A second observation of this resident, in the dining room during the noon meal on 10/18/10, found her being fed by a nursing assistant; the resident was totally dependent on staff for eating and drinking. She was not initiating any movement of her right arm to participate in the task of eating. In an interview with the nursing assistant providing care to Resident #50 (Employee #26) on 10/19/10 at 10:00 a.m., Employee #26 was questioned about the amount of assistance Resident #50 required with meals. Employee #26 stated the resident could not move her right arm and she required total assistance with meals. Review of Resident #50's medical record disclosed a significant change in status minimum data set (MDS) was completed on 09/27/10. According to this assessment, the resident was totally dependent on one (1) staff member for eating. Review of her current care plan found the resident's nutrition plan was not reviewed or revised following her change in condition. The interventions listed for maintaining the resident's weight still stated, "Assist resident with meals to extent needed." It was not specific to the amount of staff assistance she needed with eating. This approach was written on 04/27/10, and was reviewed on 07/16/10, but it was not revised after the resident's significant change assessment on 09/27/10. Further review of the care plan found Resident #50's self-care deficit plan was revised on 09/28/10, to state she required total assistance from one (1) staff member with locomotion, eating, bathing, and personal hygiene. When questioned on 10/19/10 at 10:00 a.m. about how staff knows how much assistance a resident needs according to her/his care plan, Employee #26 said there was an ADL (activity of daily living) sheet that describes each resident's needs. The ADL sheet (Kardex) for Resident #50, when reviewed, found the resident was identified as being "independent with set-up help only" with eating. There was no evidence Resident #50's Kardex (the means by which the facility communicated elements of the care plan to direct care staff for each resident) had been updated to reflect a significant change in the resident's self-feeding ability. 2014-02-01