cms_WV: 3275

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
3275 MAPLES NURSING HOME 515186 1600 BLAND STREET BLUEFIELD WV 24701 2017-02-09 278 D 0 1 UXFJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to accurately complete Resident #43's quarterly Minimum Data Set (MDS), in the areas of prognosis and falls. Resident #51's thirty (30) day MDS was inaccurate in the area of weight loss. This was true for two (2) of seventeen (17) Stage 2 residents MDS's reviewed during the Quality Indicator Survey (QIS). Resident identifiers: #43 and #51. Facility census: 58. Findings include: a) Resident #43 1. Falls A review of Resident #43's medical records on 02/08/17 at 1:30 p.m., revealed a quarterly MDS, with an assessment reference date (ARD) of 02/05/17, which indicated Resident #43 had one (1) fall since the prior assessment. Review of Resident #43's incident reports for the period of time since the last MDS, found Resident #43 had three (3) fall during this period: --On 11/09/16 at 11:30 a.m., Leaned over from his wheelchair to pick something up from the floor and fell to the floor. No injuries. --On 01/05/17 at 2:15 a.m., fell when attempting to get out of bed to check on his wife (roommate). No injuries noted. --On 01/05/17 at 9:00 a.m., Slid out of bed to floor. Resident had a lump on right side of forehead and complained of knee pain. 2. Prognosis Further review of Resident #43's medical records on 02/08/17 at 1:30 p.m., revealed a quarterly MDS, with an assessment reference date (ARD) of 02/05/17, which indicated Resident #43 did not have a life expectancy of six (6) months or less. 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 three (3) falls since the last MDS assessment, inlcuding one (1) fall on 11/09/16, and two (2) falls on 01/05/17. She further verified this should have been noted on the quarterly MDS with ARD of 02/05/17. In addition, she verified the resident had a decline in condition and was restarted on hospice services on 10/24/16. The MDS Coordinator confirmed the MDS with an ARD of 02/05/17 was inaccurate in the areas of falls and hospice/prognosis. b) Resident #51 Review of the medical record on 02/08/17 found the admission minimum data set (MDS), with assessment reference date (ARD) 09/02/16, assessed her weight at 255 pounds. The thirty (30) day MDS, with ARD of 10/03/16, assessed her weight at 237 pounds. This amounted to a seven (7) percent weight loss of eighteen (18) pounds. The thirty (30) day MDS erroneously assessed her as having no weight loss of greater than five (5) percent in the past month. An interview was conducted with MDS registered nurse, Employee #26 on 02/08/17 at 8:52 a.m. She reviewed the resident's MDS weight assessments and the resident's weights recorded in the computer. She agreed the resident sustained [REDACTED]. Employee #26 said she believed this was an expected weight loss resulting from a loss of [MEDICAL CONDITION], so she elected to assess her with no weight loss. She said the 30-day MDS should have assessed her with a weight loss greater than five (5) percent, and it did not. These findings were shared with the director of nursing on 1:10 p.m. on 02/09/17. The facility provided no further information prior to exit. 2020-09-01