cms_WV: 3305

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
3305 MAPLES NURSING HOME 515186 1600 BLAND STREET BLUEFIELD WV 24701 2018-04-05 761 E 0 1 NWDF11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, policy and procedures review, the facility failed to adequately store and dispose of expired medications. Nine (9) oral medications and three (3) vials 0.9% Sodium Chloride Irrigation were not returned to the pharmacy and/or destroyed in a timely manner as per pharmacy policy and procedure. Additionally, the facility failed to ensure all prescription medications were labeled. This practice had the potential to affect more than an isolated number of residents. Findings includes: a) On 04/03/18 at 09:43 AM, Licensed Practical Nurses (LPNs) #39 and #42 were present during the inspection of the facility's medication room and the long hall medication cart. When asked, neither LPN could explain the facility's policy and/or process for identifying a medication's expiration date, or the record keeping and disposing of expired medications. The facility's stock medications included those labeled and dispensed by (name of pharmacy) as well as two (2) stock medications, which were not labeled. The medications dispensed by the pharmacy included the medication's expiration date on each label: 1. Therems-M (Multivitamin with iron and other minerals): expiration date 11/17/17 2. Vitamin C 500 mg: expiration date 01/23/18 3. [MEDICATION NAME] Coated ASA 81 mg: expiration date 11/17/17 4. Zinc Sulfate 200 mg (50 mg): expiration date 11/29/17 5. ASA 81 mg Chewable: expiration date 01/23/18 6. ASA 325 mg: expiration date 02/08/18 7. [MEDICATION NAME][MEDICATION NAME] 25 mg: expiration date 01/06/18 8. [MEDICATION NAME]-HC 25 mg suppositories: expiration date 04/2018 (no pharmacy label) 9. Fast Acting Mi-Acid Regular Strength Antacid/[MEDICATION NAME] Original: expiration 1/18 (January (YEAR)) 10. 0.9% Sodium Chloride Irrigation, USP 3 vials: expiration date 03/06/18 During the inspection of the medication cart, two (2) unlabeled medications, [MEDICATION NAME] 2.5 mcg (micrograms) (Opened 2/12/18) and [MEDICATION NAME] 160/4.5 (Opened 2/12/18), were discovered. LPN #42 stated, Those inhalers are for (name of Resident #46). When asked why the medications were not labeled, LPN #42 stated, I don't know why they aren't labeled. On 04/03/18 at 10:45 AM, the DON brought the large bottle of Therems-M (Multivitamin with iron and other minerals) with an expiration date of 11/17/17. She stated, We do not follow the expiration date that the Pharmacy puts on the label. We follow the actual original expiration date that is on the bottles When asked her if she was aware that the majority of the pharmacy labels were actually placed over the distributor's expiration dates, and were illegible, she replied, Yes. When asked what did they did in those cases, she had no reply other than, I'm going to ask the Pharmacy to stop sending us these large bottles of stock medications. Review of the requested facility's policies regarding medications, including storage & the protocol regarding returning medications and/or destroying medications discontinued medications, and/or a resident was discharged found the following: -- The Administering Medications policy, updated (MONTH) 1, (YEAR) and effective (MONTH) 16, (YEAR), included, 9. The expiration/beyond use date on the medication label must be checked prior to administering. When opening a multi-dose container, the date opened shall be recorded on the container. -- The policy did not address the protocol regarding returning medications and/or destroying medications after a medication was discontinued and/or the resident was discharged . During an interview on 04/05/18 at 11:45 AM, the DON stated, The two (2) inhalers came with (Resident #46's name) when she was discharged from (name of acute care hospital) and readmitted to here. Neither the [MEDICATION NAME] or [MEDICATION NAME] were labeled. They have been disposed of, and new ones have been ordered from the pharmacy. 2020-09-01