cms_WV: 1534
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 |
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1534 | WHITE SULPHUR SPRINGS CENTER | 515100 | 345 POCAHONTAS TRAIL | WHITE SULPHUR SPRING | WV | 24986 | 2019-02-14 | 657 | D | 0 | 1 | Y5ZN11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview, the facility failed to revise the care plans for two (2) of seventeen (17) residents reviewed during the Long-Term Care Survey Process (LTCSP). Resident #62's care plan was not revised in the area of positioning to reflect noncompliance. Resident #80's care plan was not revised to include updated treatment schedule for [MEDICAL TREATMENT]. Resident identifiers: #62 and #80. Facility census: 62. Findings included: a) Resident #62 Review of the care plan on 02/12/19 at 2:00 PM, found a focus/problem of, Resident is at risk for skin breakdown as evidence by limited mobility, recurring MASD (moisture associated skin damage), [DIAGNOSES REDACTED]. The goal (Revised 09/20/18, target date of 05/09/19) associated with the problem were: - Resident will not show signs of skin breakdown through next review. Interventions included: - Float heels while in bed. - Wedge pillow for positioning while in bed. Observation of Resident #62 on 02/12/19 at 4:00 PM and 8:47 PM revealed positioning device wedge pillow not in use, and not positioned with heels floated while in bed. During an interview at 11:40 AM on 02/13/19, Resident #62 stated, Don't like my feet elevated or touched, not comfortable with any kind of pillow under my back and like to lie flat in bed with head slightly elevated. At 11:45 AM on 02/13/19, Nurse Aide (NA) #46 stated, That wedge pillow has not been in her (Resident #62) room for a long time, she doesn't let us use it and she hates for her feet to be touched or elevated. At 11:50 on 02/13/19, Unit Manager, Licensed Practical Nurse (LPN) #5 confirmed Resident #62's care plan still reflected positioning orders of a wedge pillow and floating heels which the resident refuses. LPN #5 agreed the care plan needed updated to reflect Resident #62's refusal/noncompliance. with positioning and devices. b) Resident #2 Review of medical record on 02/12/19 at 12:30 PM, revealed an order dated 02/01/19, [MEDICAL TREATMENT] (name of [MEDICAL TREATMENT] Center, Physician, phone number, and address of [MEDICAL TREATMENT] Center) on Monday and Friday transport via (name of ambulance service) with transport at 0715. Previously the resident was going to [MEDICAL TREATMENT] on Tuesday, Thursday and Saturday with transport at 0715. On 02/01/19 [MEDICAL TREATMENT] was changed to Monday and Friday, with [MEDICAL TREATMENT] scheduled at 1:30 PM. Review of care plan, on 02/12/19 at 04:01 PM, revealed a focus area Resident is at risk for impaired renal function and is at risk for complications related to [MEDICAL CONDITION]. An intervention included, [MEDICAL TREATMENT] at (name of center) on Tuesday, Thursday and Saturday. (center phone number). Pick up at 130 PM by EMS. Send double bagged snack with resident to [MEDICAL TREATMENT]. Date Initiated: 03/12/2018. An interview with the Center Nurse Executive (CNE#27) on 02/13/19 at 12:16 PM, confirmed the order was written with the wrong time for transport. CNE#27 said, The day charge nurse must have forgot to change the time, it is not at 0715 anymore. The CNE said, the resident originally went three (3) days a week and transported in the mornings, now it is two (2) days in the afternoon. On 02/14/19 at 09:18 AM, the Registered Nurse Clinical Reimbursement Coordinator (RNCRC#9), explained changes should be reflected on a resident's care plan within 24 hours of a change. RNCRC #9 said the care plan should have already been changed to reflect when the resident started going to [MEDICAL TREATMENT] two days a week instead of three days. RNCRC #9 said he would clarify orders concerning transport time and make appropriate changes to revise the care plan to show the resident's current [MEDICAL TREATMENT] treatment schedule. | 2020-09-01 |