cms_WV: 3302
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3302 | MAPLES NURSING HOME | 515186 | 1600 BLAND STREET | BLUEFIELD | WV | 24701 | 2018-04-05 | 692 | D | 0 | 1 | NWDF11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, staff interview, and policy review, the facility failed to provide therapeutic diets in accordance with physician orders [REDACTED].#25. Both residents received foods that were not of the correct consistency. This was true for two (2) of seven (7) residents reviewed for the care area of Nutrition/Hydration Status. This practice had the potential to affect a limited number of residents. Resident identifiers: #22 and #25. Facility census: 46 Findings included: a) Resident #22 Review of records revealed Resident #22 had a [MEDICAL CONDITION] (TBI), was a quadriplegic (one affected with partial or complete paralysis of both the arms and legs), had [MEDICAL CONDITION] (an inability to comprehend and formulate language because of damage to specific brain regions). Review of the resident's quarterly minimum data set (MDS) with an assessment reference date (ARD) of 01/19/18, at 09:58 AM on 04/05/18, revealed the resident's Brief Interview for Mental Status (BIMS) score was zero (0), indicating the resident was severely cognitively impaired. The resident was assessed as totally dependent with all activities of daily living (ADLs). Medical record review found Resident #22 had a swallowing disorder that was demonstrated by loss of liquids and solids from his mouth when eating or drinking, and coughing or choking during meals. The resident required a mechanically altered diet that required change in the texture of food and liquids (pureed food and thickened liquids). The physician's orders [REDACTED]. Diet order puree with honey thickened liquids. Observations on 04/03/18 at 11:49 AM, revealed a bowl of thin tomato soup on the resident's lunch tray. Nurse aide (NA) #34 was preparing to feed the resident his lunch. According to the resident's lunch ticket, the resident was to receive pureed vegetable soup honey consistency. When asked what was in the bowl sitting in front of the resident, NA#34 said it looked like tomato soup. Speech Therapist #100 was at another table assisting a resident and turned quickly around and told NA#34, He (Resident #22) can't have that he will choke. Speech Therapist #100 came over and removed the bowl. Interview with Speech Therapist #100, on 04/05/18 at 10:27 AM, revealed she started working at the facility in (MONTH) (YEAR) and had worked with the resident. She said she mostly worked with the resident to help him with positioning because he was at risk for aspiration, and that he could not have anything thin because he was an aspiration risk and would get choked. Speech Therapist #100 said the resident would have hard fits of coughing and choking if not given at least honey thick consistency. Speech Therapist #100 said, The other day (on 04/03/18 at 11:49 AM) I heard you (this surveyor) ask the NA (NA#34) what was in the bowl. That's why when I turned around and I saw the bowl of tomato soup, I spoke out. It's too thin. He can't have that, he gets choked. b) Resident #25 Review of physician orders [REDACTED].#25 was prescribed a regular liberalized diet mechanical soft. On 04/04/18 at 11:50 AM, Resident #25's lunch meal ticket revealed the resident should have shredded lettuce. Observation of the meal tray revealed the lettuce was not shredded, but was in larger pieces. At 3:08 PM the dietary manager agreed the lettuce should be shredded. | 2020-09-01 |