cms_WV: 1551

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
1551	WHITE SULPHUR SPRINGS CENTER	515100	345 POCAHONTAS TRAIL	WHITE SULPHUR SPRING	WV	24986	2018-02-22	688	E	0	1	TLOK11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to provide physician ordered restorative therapy services to maintain, improve or prevent avoidable decline in range of motion and mobility for one (1) of five (5) resident's reviewed for the care area of activities of daily living (ADL's) and one (1) resident reviewed for the care area of rehabilitation services. Resident identifiers: #16 and #13. Facility census: 60. Findings include: a) Resident #16 Review of the resident's medical record on 02/20/18 found two (2) physician's orders [REDACTED]. --Ambulate with assistance of 1 aide, requiring supervision for distance of 800 feet with use of rolling walker 5 days a week for 6 weeks. --Range of Motion all bilateral lower extremities joints-motion all planes with 10 repetitions x 3 sets with 3 pound weight or green thera-band 5 days a week times 6 weeks. Review of the restorative nursing record found: --Therapy began on 01/22/18 and continued to 01/26/18 (5 days). The resident did not receive therapy on 01/27/18 or 01/28/18. The next week of therapy started on 01/29/18 and continued until 01/31/18. (Only 3 days of therapy services.) The resident did not receive therapy for another 4 days, (02/01/18 through 02/04/18). The next week of therapy started on 02/05/18 and continued for 5 days until 02/09/18. The resident did not receive therapy again until 02/12/18. This week of therapy was only three days; 02/12/18, 02/13/18, and 02/14/18. The resident did not receive any therapy for the next four (4) days, (02/15/18 through 02/18/18). The following week of therapy started on 02/19/18. At 9:31 a.m. on 02/21/18, the director of nursing confirmed the resident did not receive restorative therapy 5 days a week as ordered by the physician. b) #13 Resident #13 had [DIAGNOSES REDACTED]. On 01/19/18 at 3:10 PM, Resident #13's attending physician wrote an order for [REDACTED]. On (MONTH) 21, (YEAR), review of Resident #13's Restorative Nursing Record for January, (YEAR), revealed Resident #13 received Restorative Nursing Program (RNP) on (MONTH) 22, (YEAR) and (MONTH) 26, (YEAR). On (MONTH) 21, (YEAR), review of Resident #13's Restorative Nursing Record for February, (YEAR), revealed Resident #13 received Restorative Nursing Program (RNP) on (MONTH) 6, (MONTH) 7, (MONTH) 8, (MONTH) 9, (MONTH) 12, (MONTH) 13, (MONTH) 14, (MONTH) 19, (MONTH) 20, and (MONTH) 21. Resident #13 received RNP two (2) times a week during the week of (MONTH) 21, (YEAR), zero (0) times a week during the week of (MONTH) 28, (YEAR), four (4) times during the week of (MONTH) 4, (YEAR), and three (3) times during the week of (MONTH) 11, (YEAR). The week of (MONTH) 18, (YEAR), had not been completed at the time of the long term care survey. During an interview on 02/21/18 at 2:29 PM, the Director of Nursing (DoN) agreed Resident #13 did not receive Restorative Nursing Program five (5) days a week as ordered by her attending physician on 01/19/18.	2020-09-01