cms_WV: 3396

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
3396	FAIRMONT HEALTHCARE AND REHABILITATION CENTER	515189	130 KAUFMAN DRIVE	FAIRMONT	WV	26554	2019-01-31	695	D	0	1	0LCE11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview, the facility failed to ensure the necessary respiratory care and services that is in accordance with professional standards of practice, the resident's care plan, and physician's orders [REDACTED]. Resident identifier: #67. Facility census: 108. Findings include: a) Resident #67 Review of the resident's current physician's orders [REDACTED]. Start O2 at 5 liters with mask continuously. Review of the nursing notes found a change of condition note completed on 01/26/19 at 11:03 AM. The residents oxygen saturation level was recorded as 87.0%. The nurse recorded, Nursing observations, evaluation, and recommendations are decreased O2 saturation on 5 liters of oxygen via nasal cannula. On 01/28/19 at 2:50 PM, observation of the residents oxygen concentrator with Registered Nurse, #76 found the resident's oxygen concentrator was set at 10 liters instead of 5 liters, the current physician's orders [REDACTED].#76 said we need a clarification order from the physician. RN #76 said the resident has a non-rebreather mask and, You can't run it with anything less than 10 liters of oxygen. RN #76 said she would have to ask the unit manager, Registered Nurse (RN) #75 about getting an order. At 3:21 PM on 01/28/19, RN #75 said, I am writing a clarification order right now. I had the order this morning but I just hadn't transcribed it yet RN #75 said the oxygen had been running at 5 liters until this morning. According to the American Red Cross a non-rebreather mask is a face mask with an attached oxygen reservoir bag and one-way valve between the mask and bag; victim inhales oxygen from the bag and exhaled air escapes through flutter valves on the side of the mask. The common air flow rate for a non-rebreather mask is 10 to 15 liters. On 01/30/19 at 10:04 AM, the Director of Nursing (DON) said the nurse had until the end of her shift to document new orders. The DON could not say when the resident began receiving 10 liters of oxygen, the amount required for the non-rebreather mask.	2020-09-01