cms_WV: 11513

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
11513 HEARTLAND OF BECKLEY 515086 100 HEARTLAND DRIVE BECKLEY WV 25801 2010-09-01 353 E     XJ0U11 . Based on record review, resident interview, and staff interview, the facility failed to deploy sufficient direct care staff across all shifts and units to ensure residents received personal hygiene as needed and as planned by the facility. Record review revealed two (2) of four (4) residents (#43 and #66) residing in Building 2 did not receive showers on their scheduled days on four (4) to five (5) occasions each during the period of review from 08/01/10 through 08/31/10. When interviewed, Resident #43 reported she wanted her showers but sometimes did not get them because staff was too busy. In confidential interviews, nursing assistants on both the 7:00 a.m. to 3:00 p.m. (7-3) shift and the 3:00 p.m. to 11:00 p.m. (3-11) shift reported they have not been able to complete showers as scheduled in the past month or obtain the assistance of a second staff member for turning and repositioning residents who were assessed as requiring the assistance of two (2) for bed mobility due to a lack of availability of staff. This practice has the potential to affect more than an isolated number of residents. Resident identifiers: #43 and #66. Facility census: 157. Findings include: a) Resident #43 Medical record review, with a registered nurse (RN - Employee #33) on 08/31/10 at 4:30 p.m., revealed this resident did not receive a scheduled shower on 08/04/10, 08/18/10, or 08/25/10 on the 3:00 p.m. to 11:00 p.m. (3-11) shift. This was three (3) of eight (8) scheduled shower days. (Refusals were not counted in the number of scheduled days for which a shower should have been provided.) At times, a bed bath was provided instead of a shower. At other times, it was not possible to ascertain what type of hygiene was provided, if any. During interview with this resident on 08/30/10, she said she likes showers but sometimes doesn't get them, because staff is too busy. When asked if this was true even recently in the past month or so, she replied in the affirmative. - b) Resident #66 Medical record review, with Employee #33 on 08/31/10 at 4:30 p.m., revealed this resident did not received a scheduled shower on 08/02/10, 08/16/10, 08/23/10, or 08/26/10 on the 3-11 shift. This was four (4) of nine (9) scheduled shower days for which the resident did not refuse a shower. (Refusals were not counted in the number of scheduled days for which a shower should have been provided.) At times, bed baths were provided instead of a shower. At other times, it was not possible to ascertain what type of hygiene was provided, if any. - c) During interview with Employee #33 on 08/31/10 at 4:30 p.m., she said residents are showered twice weekly, and residents are care planned if they often refuse showers. She was unable to find documentation in the medical record regarding either showers or refusals of showers for the above residents on the dates listed. During interview on 09/01/10 at 10:40 a.m., Employee #218 said she had no other shower documentation regarding Residents #43 and #66 to substantiate either refusals of showers, or showers given, on the dates listed above in August 2010. - d) During confidential interviews on 08/30/10 and 08/31/10 with eleven (11) nursing assistants from both the 7:00 a.m. to 3:00 p.m. (7-3) and 3-11 shifts working in Building 2, four (4) of the eleven (11) employees (two (2) from each shift) reported having to leave some showers undone at the end of the shift in the past month. During confidential interviews on 08/30/10 and 08/31/10 with nursing assistants from both 7-3 and 3-11 shifts in Building 1, seven (7) nursing assistants reported having to leave some showers undone at the end of the shift in the past month. - e) During confidential random interviews with nursing assistants in Building 2 on 7-3 and 3-11 shifts on 08/30/10 and 08/31/10, six (6) nursing assistants stated they often have to turn and reposition by themselves residents who are care-planned to be two-person assists for that task. The reason cited was that there is not enough staff available to help them. - f) During confidential interviews with nursing assistants on 7-3 and 3-11 shifts on 08/30/10 and 08/31/10, eleven (11) of twenty-one (21) nursing assistants stated they often have to turn residents who are designated two (2) person assists by themselves due to having no one available to help them. - g) On 09/01/10 at 11:30 a.m., these findings were reported to the administrator and the interim administrative director of nursing services, and no additional information was provided. 2014-01-01