cms_WV: 3625

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
3625 MINNIE HAMILTON HEALTH CARE 51A013 186 HOSPITAL DRIVE GRANTSVILLE WV 26147 2019-08-07 655 D 0 1 0WYC11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to develop a baseline care plan for Resident #1 to provide effective and person-centered care of the resident to meet professional standards of quality care. This was true for 1 of 3 residents reviewed for the care area of accidents. Resident identifier: #1. Facility census: 22. Findings included: a) Resident #1 A review of Resident #1's medical record at 9:00 a.m. on 08/07/19 found a nursing note dated 05/10/19 which indicated the resident had a fall on this date. The note indicated the resident was walking with staff and reached for her wheelchair, lost balance and started to fall, and the staff member helped the resident to the floor. Further review of the record found the resident was admitted to the facility on [DATE] at which time her risk for falls was assessed and it was determined Resident #1 was at a high risk for falls. A review of the baseline care plan which was completed on 05/08/19 indicated for the section ambulation the following word was listed, transfers. The base line care plan was created by the Director of Nursing (DON). An interview with Nurse Aide #32, at 11:05 a.m. on 08/07/19, confirmed the facility told the NA's how to care for residents using the care plan. When asked how I would now how to care for someone she directed me to the care plan book which was maintained at the nursing station. She stated, Everything you need to know is right here in the care plan. An interview with the Director of Nursing (DON) at 11:10 a.m. on 08/07/19 confirmed the facility uses the care plans to communicate the care needs of the residents to the NA's. She stated at the time of Resident #1's fall the baseline care plan would have been in the book. We reviewed the baseline care plan together and when asked what the word transfers means after the heading of ambulation she stated, That means she does not ambulate she only transfers. The DON was then asked why staff was attempting to ambulate Resident #1 when she fell she stated, I don't know why. The DON then referred to the Ambulation Assessment which was completed on 05/15/19 and stated the ambulation assessment indicates she can ambulate with an assist of two (2) staff members and a gait belt. She was asked if this information was on Resident #1's base line care plan. She stated, It was not completed until 05/15/19 and I do the baseline care plan 48 hours after admission. She indicated she would have to get nurses to complete the ambulation assessment within the first 24 hours of admission so that the baseline care plan could be more accurate. 2020-09-01