cms_WV: 2557

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
2557	PIERPONT CENTER AT FAIRMONT CAMPUS	515155	1543 COUNTRY CLUB ROAD	FAIRMONT	WV	26554	2018-08-16	578	B	0	1	WFEZ11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to inform and provide written information concerning the right to formulate an advanced directive. This affected three out of five sampled residents reviewed for advanced directives. Resident identifiers: #56, #17, #15. Facility census: 98. Findings included: a) Resident #56 Review of the clinical record, on 08/14/18 at 10:15 AM, for Resident #56 revealed an admission history form with an original admission date of [DATE] and a re-admission date of [DATE]. The quarterly minimum data set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 13 which represented minimal memory impairment. A Physician Determination for Capacity form dated 02/03/17 documented that Resident #56 lacked the capacity to make health care decisions due to [MEDICAL CONDITION] and that a surrogate had been named to make health care decisions. There was no evidence of information in the clinical record to document that the surrogate decision maker and/or the resident was provided with information about the right to formulate an advanced directive. b) Resident #17 Review of the clinical record, for Resident #17 on 08/14/18 at 10:25 AM, revealed an admission history form with an original admission date of [DATE] and a re-admission date of [DATE]. The significant change of condition minimum data set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15 which represented no memory impairment. A Physician Determination for Capacity form, dated 10/31/14, documented that Resident #17 had the capacity to make health care decisions. There was no evidence of information in the clinical record to document that the resident was provided with information about the right to formulate an advanced directive. c) Resident #15 Review of the clinical record, for Resident #15 on 08/13/18 at 3:30 PM, revealed an admission history form with an original admission date of [DATE] and a re-admission date of [DATE]. The quarterly minimum data set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score too low to score which represented significant memory impairment. A Physician Determination for Capacity form, dated 01/21/16, documented that Resident #15 lacked the capacity to make health care decisions and that a surrogate had been named. There was no evidence of information in the clinical record to document that the surrogate decision maker and/or the resident was provided with information about the right to formulate an advanced directive. Review of the Health Care Decision Making Policy, dated 06/01/93 and revised on 01/01/13, revealed under the section titled Process Advanced Directive: 2. Upon admission, the Center Admissions designee will review the Admissions Agreement with the patient/responsible party informing them of the rights under state law regarding health care decision making, including the right to prepare and advanced directive. 2.1 Advance directive information will be available and provided to patients/responsible party by the Center Admissions Designee as part of the admission process. 2.3 A signed acknowledgment that such information had been received by the patient/family is required. On 08/15/18 at 9:45 AM Employee #106 and Employee #136 were interviewed about the process to provide written information concerning the right to formulate an advanced directive. Employee #136 stated that as long a power of attorney was designated then that was all she thought she needed to complete. On 08/15/18 at 12:05 PM Employee #100 was interviewed. He stated that the nursing home could not provide any acknowledgement that they had educated the patients/responsible parties on Advanced Directives.	2020-09-01