cms_WV: 2158
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2158 | ANSTED CENTER | 515133 | PO BOX 400 | ANSTED | WV | 25812 | 2018-11-08 | 656 | D | 0 | 1 | I3US11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, and observation the facility failed to develop and/or implement a comprehensive care plan related to psychosocial needs, the use of medication for [MEDICAL CONDITION], nutrition and activities. Resident identifiers: #40 and #48. Facility census: 58. a) Resident #40 Intermittent observations of his room on 11/05/18 found it devoid of any personal effects. The room had no music or television. He wore a hospital gown at every observation. The medical record was reviewed on 11/06/18. This resident first came to the facility the preceding month. He and/or his guardian elected hospice services on 10/04/18. Review of the care plan found it was not person-specific in the care area of things that formerly brought him comfort/pleasure, or past interests. The care plan contained a focus which was initiated on 10/05/18, that he was at risk for alterations in comfort related to chronic pain. Interventions included to Evaluate resident's past coping mechanism to determine what measures work best (relaxation, diversional activities, visualization). However, his past coping mechanisms were not included in the care plan. An interview was conducted with the licensed social worker (LSW) on 11/06/18 at 2:42 PM. We discussed that the care plan was not person-centered in that it did not include things that brought him comfort/pleasure or past interests. Also, his room was absent of any personal memorabilia or connections to his past life that might bring him comfort. The LSW said that mostly he likes for people to talk to him, although that was not included on the care plan. She said he has two (2) grandchildren who visit sometimes. Upon inquiry as to whether they were involved in care planning things that have brought him comfort/pleasure in the past such as favorite pets, type of music preferred, hobbies, pictures from his home, past employment, religious preference, she said she did not know. She added that activities usually assesses those types of things, and she would reach out to hospice for more input in these areas. An interview was conducted with the DON and the administrator on 11/08/18 at 1:30 PM related to the care plan which was not person-centered. No further information was provided prior to exit. b) Resident#48 Review of records, on 11/07/18 at 02:39 PM, revealed a care plan focus of Hypo [MEDICAL CONDITION] Disease [DIAGNOSES REDACTED] disease created and initiated on 07/23/18. The goal is TSH ([MEDICAL CONDITION] Stimulating Hormone) will remain within normal range X 90 days (times ninety days), created and initiated on 07/23/18. An intervention, initiated on 07/23/18, included monitor TSH annually and as ordered by the physician. Review of records revealed no lab for TSH was ever obtained. Interview with the Director of Nursing (DON) revealed no TSH had been obtained by the facility nor had the hospital obtained a TSH during a hospitalization . The DON said, I will contact the physician for orders for TSH for the next lab day. The DON agreed Resident#48 care plan was not implemented concerning this focus area. | 2020-09-01 |