cms_WV: 11494

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
11494	JACKIE WITHROW HOSPITAL	5.1e+110	105 SOUTH EISENHOWER DRIVE	BECKLEY	WV	25801	2010-10-07	257	F			50Z111	. Based on observation, staff interviews, measuring of ambient air temperatures, and information from the National Weather Service, the facility failed to maintain comfortable and safe temperatures (between 71 and 81 degrees Fahrenheit (F)) throughout the building to minimize the risk of hypothermia. Ambient air temperatures in occupied resident rooms, measured in the presence of facility staff, were found to be below 65 degrees F. This deficient practice presented the potential for more than minimal harm to all residents in the facility and constitutes a finding of substandard quality of care. Facility census: 81. Findings include: a) Interview with the facility's administrator and the maintenance director, on 10/04/10 at approximately 1:40 p.m., revealed the facility's heating boiler system was in need of repair. The boilers intended to heat the resident rooms and common areas had been inspected by a boiler inspector and were "red tagged" as not operational (prohibiting the use of the boiler system until defects in the system were corrected) during inspections dated 08/06/10 and 08/09/10. - b) Ambient air temperatures of resident rooms were taken by the life-safety code (LSC) surveyor, accompanied by a licensed practical nurse (LPN - Employee #158), between the hours of 5:30 a.m. to 6:35 a.m. on 10/05/10. Fifty-eight (58) of sixty-five (65) occupied resident rooms were found to be below 70 degrees F, and nineteen (19) of sixty-five (65) occupied resident room were found to be below 65 degrees F. According to the National Weather Service, the minimum outdoor temperature in the Beckley, WV area on 10/04/10, measured at 3:35 a.m., was 43 degrees F. The outside ambient air temperature, during the time of testing resident rooms on the morning of 10/05/10, was found to be 49 degrees F. Ambient temperatures of occupied resident rooms, measured on 10/05/10 between 5:30 a.m. and 6:35 a.m., were as follows: B333 - 71 degrees F; B331 - 65 degrees F; B329 - 62 degrees F; B327 - 62 degrees F; B325 - 66 degrees F; B323 - 67 degrees F; B321 - 72 degrees F; B317 - 70 degrees F; B315 - 68 degrees F; B313 - 69 degrees F; B311 - 62 degrees F; B309 - 59 degrees F; B310 - 60 degrees F; B324 - 67 degrees F; B326 - 66 degrees F; B328 - 64 degrees F; B330 - 63 degrees F; B332 - 63 degrees F; C315 - 63 degrees F; C314 - 67 degrees F; C313 - 69 degrees F; C312 - 73 degrees F; C311 - 65 degrees F, C307 - 71 degrees F; C306 - 64 degrees F; C305 - 66 degrees F; C304 - 70 degrees F, C303 - 68 degrees F; C301 - 66 degrees F; C300 - 64 degrees F; C302 - 67 degrees F, C308 - 66 degrees F; C309 - 67 degrees F; C310 - 68 degrees F; C316 - 61 degrees F, C317 - 68 degrees F; B129 - 63 degrees F; B127 - 62 degrees F; B125 - 68 degrees F, B123 - 67 degrees F; B121 - 66 degrees F; B119 - 68 degrees F; B117 - 72 degrees F, B113 - 73 degrees F; B122 - 64 degrees F; B124 - 63 degrees F; B126 - 61 degrees F, C115 - 65 degrees F; C114 - 61 degrees F; C113 - 65 degrees F; C112 - 67 degrees F, C111 - 65 degrees F; C107 - 69 degrees F; C106 - 61 degrees F; C105 - 67 degrees F, C104 - 68 degrees F; C103 - 64 degrees F; C101 - 66 degrees F; C100 - 62 degrees F, C102 - 65 degrees F; C108 - 68 degrees F; C109 - 64 degrees F; C110 - 65 degrees F, C116 - 66 degrees F; C117 - 58 degrees F. According to the Guidance to Surveyors for this requirement found in Appendix PP of the CMS State Operations Manual, "'Comfortable and safe temperature levels' means that the ambient temperature should be in a relatively narrow range that minimizes residents' susceptibility to loss of body heat and risk of hypothermia or susceptibility to respiratory ailments and colds. ... For facilities certified after October 1, 1990, ... the temperatures may fall below 71 (symbol for degrees) F for facilities in areas of the country where that temperature is exceeded only during brief episodes of unseasonably cold weather (minimum temperature must still be maintained at a sufficient level to minimize risk of hypothermia and susceptibility to loss of body heat, respiratory ailments and cold). ..." - c) Resident room ambient air temperatures were taken again between the hours of 8:30 a.m. to 9:15 a.m. on 10/06/10. At this time, forty-four (44) of forty-eight (48) occupied resident rooms tested were found below 70 degrees F, and twenty (20) of forty-eight (48) occupied resident rooms were below 65 degrees F. According to the National Weather Service, the minimum outdoor temperature in the Beckley, WV area on 10/05/10, measured at 11:59 p.m., was 41 degrees F. The outside ambient air temperature, during the time of testing resident rooms on the morning of 10/06/10, was 46 degrees F. Ambient temperatures of occupied resident rooms, measured on 10/06/10 between 8:30 a.m. to 9:15 a.m., were as follows: B331 - 66 degrees F; B325 - 62 degrees F; B323 - 69 degrees F; B321 - 69 degrees F; B315 - 67 degrees F; B313 - 67 degrees F; B311 - 61 degrees F; B310 - 65 degrees F; B324 - 68 degrees F; B328 - 64 degrees F; B330 - 61 degrees F; C314 - 61 degrees F; C313 - 69 degrees F; C312 - 67 degrees F; C311 - 64 degrees F; C307 - 63 degrees F; C306 - 63 degrees F; C305 - 57 degrees F; C303 - 67 degrees F; C301 - 66 degrees F; C300 - 64 degrees F; C302 - 68 degrees F; C309 - 65 degrees F; C310 - 66 degrees F; B127 - 62 degrees F; B125 - 67 degrees F; B123 - 68 degrees F; B119 - 69 degrees F; B117 - 70 degrees F; B113 - 68 degrees F; B122 - 62 degrees F; B124 - 64 degrees F; B126 - 59 degrees F; B128 - 61 degrees F; C114 - 62 degrees F; C112 - 71 degrees F; C107 - 65 degrees F; C106 - 63 degrees F; C105 - 64 degrees F; C103 - 68 degrees F; C101 - 67 degrees F; C100 - 62 degrees F; C102 - 66 degrees F; C108 - 68 degrees F; C109 - 67 degrees F; C110 - 71 degrees F; C116 - 60 degrees F; C117 - 66 degrees F. d) A review of the National Weather Service's extended seven (7) day forecast for the Beckley area, for 10/06/10 through 10/12/10, revealed low temperatures ranging from 40 to 49 degrees F. With the boilers not operational, the facility could not maintain safe and comfortable environment for residents to prevent the risk of hypothermia. .	2014-02-01