cms_WV: 1534

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

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
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