cms_WV: 2795

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.

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
2795 WAYNE NURSING AND REHABILITATION CENTER 515168 6999 ROUTE 152 WAYNE WV 25570 2017-05-05 155 D 1 1 43JR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review, resident interview and staff interview, the facility failed to ensure Resident #9 was afforded the right to execute an advanced directive. Resident #9 was determined to have capacity to make medical decisions, however; her son had signed her Physician order [REDACTED]. Resident identifier: #9. Facility census: 55. Findings include: a) Resident #9 A review of Resident #9's medical record, at 1:12 p.m. on [DATE], found this [AGE] year old resident was admitted to the facility on [DATE]. Contained in Resident #9's medical record was a form titled, Authority to act on behalf of patient for purposes of nursing facility admission. This form was signed by Resident #9 on [DATE] and gave her son permission to act as her representative for the purpose of executing the admission agreement. Further review of the record found a POST form signed by Resident #9's son which was also dated [DATE]. This form indicated Resident #9 was designated as Do Not Resuscitate (DNR) with limited additional interventions with Intravenous Fluids for a trial period and no feeding tube. This form was not signed by Resident #9. Further review of the record found a Physician's Determination of Capacity dated [DATE] which indicated Resident #9 was capacitated to make her own medical decisions. Review of Resident #9's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of [DATE], found Resident #9's Brief Interview of Mental Status (BIMS) score was 15. This score indicates Resident #9 was cognitively intact. Further review of the record found no evidence to suggest the decisions made by Resident #9's son on her POST form were ever discussed with Resident #9. During an interview with Resident #9 at 10:21 a.m. on [DATE], when asked, Has any one here ever talked to you about your wishes for CPR (Cardiopulmonary Resuscitation) and the use of other life sustaining measures? Resident #9 stated, No they have never talked to me about any of that. She further stated, I am against feeding tubes I don't think I would want one of them to prolong my suffering. An interview with the Social Services Supervisor (SSS), at 10:26 a.m. on [DATE], confirmed she completed the POST form with Resident #9's son on [DATE]. She stated, what typically happens if the resident is capacitated the POST form would be reviewed with the resident to make sure it accurately reflected their decisions in regards to advance directives. She then reviewed Resident #9's record and stated, It looks like I did not follow up with her. She indicated, she must have just missed this and she would follow up with the resident today and clarify the POST form decisions with her. 2020-09-01