cms_WV: 2159

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
2159 ANSTED CENTER 515133 PO BOX 400 ANSTED WV 25812 2018-11-08 657 D 0 1 I3US11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, medical record review, staff interview, and policy review, the facility failed to revise a careplan for two (2) of fifteen (15) sampled residents. Resident #108's care plan was not revised when isolation was discontinued. Resident #5's care plan was not revised related to diet and nutritional supplements. Resident identifiers: #108 and #5. Facility census: 58. Findings included: a) Resident #108 The medical record was reviewed on 11/07/18. This resident was hospitalized for [REDACTED]. She returned to the facility on [DATE] and was placed on contact precautions. Review of the care plan provided by the facility found a focus for being at risk for complications of infection related to pneumonia. One of the interventions included Droplet Precautions, which was initiated on the current care plan with the date of 09/13/18, as it remains today. Observations found no evidence of any type of isolation set up for her room. On 11/07/18 at 4:00 PM an interview was conducted with the director of nursing (DON). She clarified that this resident is no longer on droplet precautions, nor has she been in droplet precautions for at least the past month. She said the care plan should have been revised to reflect that change, and it was not. b) Resident #5 During an interview on 11/06/18 at 3:16 PM, Resident #5 said he thought he was on a renal diet, but he was not sure because no one had explained his diet to him. He also stated that he was given a nutritional supplement via his feeding tube. A review of Resident #5's physician's orders [REDACTED]. Low sodium diet due to fluid overload. Another physician's orders [REDACTED]. A review of Resident #5's care plan revealed instructions to provide a pureed, no added salt (NAS) diet with a sugar substitute and no oranges, OJ, bananas, or tomatoes. Additionally, care plan diet instructions stated to provide double eggs at breakfast, double meats at lunch and dinner, and diet as ordered. Page seven (7) of the care plan instructed to give 720 cubic centimeters (cc) Glucerna. Page fifteen (15) of the care plan instructed to give one (1) can of Nepro (a nutritional supplement formulated for individuals with kidney disease) at 2:00 PM and at bedtime. A review of Resident #5's nutritional supplement orders revealed that he was to receive Nepro one (1) can at 2:00 PM and at bedtime daily, starting on 04/11/18. This order was discontinued on 05/16/18 and a new order was written on the same day to provide one (1) can of Glucerna 1.5 daily at 10:00 AM and at bedtime. Resident #5's Diet Order and Communication Form, dated 09/27/18, was used by the Director of Dining Services (DDS) to assist with preparation of Resident #5's meals. It stated that Resident #5's diet was to be Dysphagia Puree and NAS. It also indicated that the 2gm Sodium diet was to be discontinued. During an interview on 11/07/18 at 12:35 PM, the Director of Nursing (DoN) was asked about the diet the Medical Doctor (MD) had ordered for Resident #5. The DoN reviewed the paper chart and stated that Resident #5's ordered diet was a pureed two (2) gram sodium diet. When asked about the diet and supplement discrepancies between the physician's orders [REDACTED]. On 11/07/18 at 1:00 PM, the DDS was asked why Resident #5 was receiving a NAS diet when a 2 gm Sodium diet had been ordered by the physician. She stated that the facility's Registered Dietitian (RD) had recommended a NAS diet, so Resident #5's Diet Order and Communication Form was updated to reflect this. The DoN added that the diet order needed to be clarified with the MD and that the care plan needed to be updated accordingly. 2020-09-01