cms_WV: 3711

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
3711	LAKIN HOSPITAL	5.1e+125	1 BATEMAN CIRCLE	WEST COLUMBIA	WV	25287	2018-07-19	684	D	0	1	W6NO11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility failed to follow physician orders [REDACTED]. Resident identifiers: #1, #40, and #48. Facility census: 79. Findings include: a) Resident #1 A random observation of Resident #1, on 07/18/18 at 8:15 AM, revealed the Resident's fall mat was off the floor beside the bed and leaned against the wall. The Resident was in bed at the time of the observation. An interview with Licensed Practical Nurse (LPN) #151, on 07/18/18 at 8:20 AM, revealed the fall mat was supposed to be on the floor beside Resident #1's bed due to a high fall risk. A review of Resident #1's physician orders, on 07/18/18 at 8:30 AM, revealed an order for [REDACTED].>A review of the Care Plan was conducted on 07/18/18 at 8:55 AM. The Care Plan, with a creation date of 01/12/18, contained the problem the Resident is at risk for falls related to impaired mobility due to lower extremity impairment, history of fracture, antidepressant medications, and noncompliance with asking for assistance with the intervention mat at bedside. b.) A review of the medical record, for Resident #40, on 07/17/18, revealed a physician's orders [REDACTED]. Observations made on 07/17/18, at 11:02, Resident #40 was having difficulty maneuvering the wheelchair. During an interview, on 07/17/18, at 11:35 AM, Resident #40 stated he wanted his walker back. An interview with LPN#153, on 07/18/18, at 11:05 AM revealed Resident #40 uses a wheelchair to Propel on and off the unit and not the forward wheeled walker as ordered by the physician. c) Resident #48 The medical record was reviewed on 07/18/18. Pertinent [DIAGNOSES REDACTED]. physician's orders [REDACTED]. The physician's orders [REDACTED]. Nursing staff documented they administered the [MEDICATION NAME] daily at 8:00 p.m. in July, (YEAR). Review of the vital signs record found that the blood pressure and pulse rate were assessed most days in July, (YEAR), at 8:00 a.m. and at 4:00 p.m. daily. However, on (MONTH) 02, 07, 12 the blood pressure and pulse rate were assessed only once daily at 4:00 p.m. On (MONTH) 13 and 14 the blood pressure and pulse rate were assessed only once daily at 8:00 a.m. The medical record was silent every day in (MONTH) (YEAR) for any blood pressure or pulse assessments just prior to the administration of the nightly [MEDICATION NAME]. This failure to check the the blood pressure and pulse would therefore make it impossible for the nurse to know whether to hold or to administer this medication. Review of the pulse rate assessments found that the pulse rate was less than 60 beats per minute on the following dates and times: -07/01/18 at 8:00 a.m., pulse rate 55 beats per minute. -07/05/18 at 8:00 a.m., pulse rate 58 beats per minute. -07/11/18 at 8:00 a.m., pulse rate 58 beats per minute. -07/11/18 at 4:00 p.m., pulse rate 56 beats per minute. -07/16/18 at 2:41 p.m., pulse rate 56 beats per minute. An interview was conducted with the assistant director of nursing (ADON) on 07/18/18 at 1:05 p.m. She said staff obtained the vital signs twice daily at 8:00 a.m. and 4:00 p.m. in July. She admitted that a few days they were taken only once per day. She said their computer system does not remind the nurse to assess the blood pressure and pulse prior to administering the 8:00 p.m. [MEDICATION NAME], and to hold the medication if the systolic was less that 60 mm/hg or the pulse rate less than 60 beats per minute. She acknowledged that the nurse would not know whether to hold or administer the [MEDICATION NAME] at 8:00 p.m. if the nurse did not assess the vital signs at that time.	2020-09-01