cms_WV: 2612

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
2612 WILLOW TREE HEALTHCARE CENTER 515156 1263 SOUTH GEORGE STREET CHARLES TOWN WV 25414 2017-08-17 154 E 0 1 OM4311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to inform the responsible parties of the risks and benefits of receiving psychopharmacological medications in advance of administering them to cognitively impaired residents. This affected two (2) of five (5) residents reviewed for unnecessary medications. Resident identifiers: #46, and #118. The facility census was 101. Findings include: a) Resident #46 On 08/17/17 at 9:32 a.m., review of the resident's medical record revealed [REDACTED]. Review of current physician orders [REDACTED]. Review of the medical record on 08/17/17 at 11:15 a.m. revealed Resident #46 lacked capacity to make her own medical decisions and her daughter was indicated as the resident's responsible party and emergency contact. Concurrent review of the resident's plans of care revealed a current plan of care with a revision dated of 03/29/17 for the resident's use of [MEDICAL CONDITION] drug for dementia. The care plan problem stated the use of [MEDICAL CONDITION] drug use placed the resident at risk for drug related [MEDICAL CONDITION], gait disturbance, cognitive impairments, behavior impairment, activities of daily living decline, decline in appetite, and abnormal involuntary movements. The care planned interventions included antipsychotic side effects list #1 not limited to: [DIAGNOSES REDACTED]: [DIAGNOSES REDACTED] (stiffness of neck), [MEDICATION NAME] symptoms: dry mouth, blurred vision, constipation, [MEDICAL CONDITIONS], sedation/drowsiness, increased falls/dizziness, cardiac abnormalities ([MEDICAL CONDITIONS], irregular heart rate), anxiety/agitation, blurred vision, sweating/rashes, headache, [MEDICAL CONDITION]/hesitancy, pseudo-parkinsonism: cogwheel rigidity, bradykinesia, tremors, appetite change/weight change. Educate resident/family/POA about risk versus benefits of medication/side effects/adverse effects. Further review of the medical record found no evidence the resident's responsible party was educated/informed about the risk versus benefits of the resident's use of the [MEDICAL CONDITION] medications. Interview on 08/17/17 at 10:30 a.m. with the Director of Nursing verified there was no evidence Resident #46's responsible party was educated/informed about the risk versus benefits of the resident's use of the [MEDICAL CONDITION] medications and had given consent for the continued use of the medications. b) Resident #118 Review on 08/16/17 at 1:54 p.m. of the resident's medical record revealed the resident was admitted to the facility on [DATE] and had [DIAGNOSES REDACTED]. Concurrent review of current physician orders [REDACTED]. Review of the medical record on 08/16/17 at 1:57 p.m. revealed Resident #118 lacked capacity to make her own medical decisions and her granddaughter was indicated as the resident's responsible party and emergency contact. Concurrent review of the resident's plans of care on revealed a current plan of care with an initiation date of 11/09/16 for the resident's use of an anti-depressant. The care plan interventions included to administer medications as ordered. (MONTH) cause day time drowsiness, confusion, loss of appetite in the morning, increased risk of falls and fractures, dizziness. Observe for possible side effects. Further review of the resident's plans of care revealed a plan of care for the resident's use of use of [MEDICAL CONDITION] drugs. The plan of care identified the medication placed the resident at risk for drug related [MEDICAL CONDITION], gait disturbance, cognitive impairments, behavior impairment, activities of daily living decline, decline in appetite and abnormal involuntary movements. Interventions with initiation date of 03/22/17 stated sedative/hypnotic side effects not limited to: [DIAGNOSES REDACTED]: [DIAGNOSES REDACTED] (stiffness of neck), [MEDICATION NAME] symptoms: dry mouth, blurred vision, constipation, [MEDICAL CONDITIONS], sedation/drowsiness, increased falls/dizziness, cardiac abnormalities ([MEDICAL CONDITIONS], irregular heart), anxiety/agitation, blurred vision, sweating/rashes, headache, [MEDICAL CONDITION]/hesitancy, weakness and hangover effect. Educate resident/family/POA about risk vs benefits of medication/side effects/adverse effects. Further review of the medical record found no evidence the resident's responsible party was educated/informed about the risk versus benefits of the resident's use of the [MEDICAL CONDITION] medications. Interview on 08/17/17 at 10:30 a.m. with the Director of Nursing verified there was no evidence Resident #118's responsible party was educated/informed about the risk versus benefits of the resident's use of the [MEDICAL CONDITION] medications and had given consent for the continued use of the medications 2020-09-01