cms_WV: 3274
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3274 | MAPLES NURSING HOME | 515186 | 1600 BLAND STREET | BLUEFIELD | WV | 24701 | 2017-02-09 | 272 | D | 0 | 1 | UXFJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, medical record review, and staff interview, the facility failed to complete an accurate comprehensive assessment for two (2) of seventeen (17) Stage 2 sampled residents whose comprehensive assessments were reviewed. Resident #42 sustained a fall with injury which was not assessed on her annual comprehensive assessment. Resident #43's comprehensive assessment was incorrect in the areas of falls and prognosis. Resident identifiers: #42 and #43. Facility census: 58. Findings include: a) Resident #42 The medical record was reviewed on 02/08/17. According to nurse progress notes, she sustained a fall with injury on 10/31/16, which consisted of a nickel sized bruise to the right knee, and complaints of pain to that area. Nursing notified the physician of the incident, and received new orders for x-rays of the right knee. Nursing administered a scheduled pain medication at that time. Review of this resident's annual minimum data set (MDS) with assessment reference date (ARD) of 12/15/16, incorrectly assessed this resident sustained [REDACTED]. An interview was conducted with MDS registered nurse #26 on 02/08/17 at 2:00 p.m. After she reviewed the 10/31/16 nursing progress note and the 10/31/16 incident report, she said the resident's annual MDS with ARD 12/15/16 should have assessed she sustained one (1) fall with injury since the previous MDS, and it did not. This information was shared with the director of nursing on 02/09/17 at 1:10 p.m. She provided no further information prior to exit. b) Resident #43 1. Falls A review of Resident #43's medical records on 02/08/17 at 1:30 p.m., revealed an admission date of [DATE]. A significant change MDS, with an assessment reference date (ARD) of 09/10/16, indicated Resident #43 had no falls since admission, entry or reentry or prior assessment, whichever is more recent. Review of Resident #43 incident reports for the period of time since the last MDS and the significant change MDS with ARD of 09/10/16, found Resident #43 had one (1) fall during this period on 08/29/16 at 6:12 a.m., resident was sitting in the bathroom floor, he stated he missed sitting on the commode and he stated he hit the back of his head when he fell . Additionally, a significant change MDS, with an ARD of 11/07/16, indicated Resident #43 had had no falls since admission, entry or reentry or prior assessment, whichever is more recent. Review of Resident #43 incident reports for the period of time since last MDS on 09/10/16 found the resident had six (6) falls: --09/30/16 at 10:22 a.m., Slid from side of bed to floor. No injuries. --10/09/16 at 2:37 a.m., Slid from bed to floor. No injuries. --10/09/16 at 1:30 p.m., Found sitting in the floor beside his bed. Complained of right hip and right wrist pain. --10/13/16 at 7:30 a.m., Slid off the edge of wheelchair in the bathroom. No injuries. --10/19/16 at 2:00 a.m., fell while trying to get to the wheelchair from the bed . No injuries. --10/30/16 at 2:56 p.m., Transferring from bed to wheelchair and slid to floor. No injuries. 2. Prognosis A review of Resident #43's medical records on 02/08/17 at 1:30 p.m., revealed an admission date of [DATE]. A significant change MDS, with an assessment reference date (ARD) of 09/10/16, indicated Resident #43 was receiving hospice care. Review of Resident #43 physician progress notes [REDACTED]. Additionally, a significant change MDS, with an ARD of 11/07/16, indicated Resident #43 did not have a condition or chronic disease that may result in a life expectancy of less than six (6) months. Further review of the physician progress notes [REDACTED]. 3. Interview During an interview on 02/09/17 at 9:15 a.m., MDS Coordinator #24 said Resident #43 had one (1) fall on 08/29/16 and should have been noted on the significant change MDS with ARD of 09/10/16 and his hospice services had ended on 08/28/16. Additionally she said the resident had six (6) falls from 09/10/16 through 11/07/16 as previously documented and should have been placed on the significant change MDS with ARD of 11/07/16 and the resident had had a decline and was restarted on hospice services on 10/24/16. The MDS Coordinator confirmed the MDS with an ARD of 09/10/16 and MDS with ARD of 11/07/16 were inaccurate in the areas of falls and hospice/prognosis. | 2020-09-01 |