cms_WV: 3721
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 3721 |
LAKIN HOSPITAL |
5.1e+125 |
1 BATEMAN CIRCLE |
WEST COLUMBIA |
WV |
25287 |
2019-09-12 |
755 |
E |
0 |
1 |
K00K11 |
Based on record review, staff interview, and observation the facility failed to maintain a secure storage method for controlled medications awaiting final disposition. This was a random opportunity for discovery with potential to affect more than a limited number of residents. Facility census: 75 Findings included: a) Controlled substance disposal storage On 09/10/10 at 1:52 p.m. Director of Nursing (DON) was asked to present the storage area for controlled medications awaiting final disposition. The DON then pointed out to a portable black plastic folding storage crate on wheels measuring approximately 18 x 18 x 20 inches. The storage crate was setting in the floor in the corner of her office and was verified by the DON as the designated storage area for the facility's controlled substances awaiting disposal. When the DON was asked if the storage crate was secure, affixed to the floor/wall and locked the DON replied, No, but my office door locks and the other door out there is locked after hours too. Access to a restroom from within the DON's office was noted, with entry to an adjoining office within the restroom. The DON confirmed the adjoining restroom to her office provided an open pathway for entry from the adjoining office and that the door was not locked at all times (and was not locked at the time of observation) and her office could be accessed through the restroom from the adjoining office. During the survey, the DON's office door was observed to be open at various times without her presence in the office, allowing access to the unsecure controlled medications. At 2:00 p.m. on 09/10/11 review of the contents of the black plastic portable storage crate revealed 74 medication cards (bubble packs) containing various controlled mediations awaiting destruction. Review of the Controlled Medication Destruction Log revealed the controlled medications had been removed from the facility's active medication supply as far back as 01/24/19 and were still awaiting destruction with no periodic reconciliation completed. The DON verified the last time any controlled medications were disposed of was 01/16/19, in which at that time all the controlled medications awaiting destruction for last year (2018) were disposed of. The facility's policy and procedure for Storage of Medication (revision date 05/09/18) stated: Compartments (including but not limited to, drawers, cabinets, room, refrigerators, carts, and boxes.) containing drugs and biologicals shall be locked when not in use, and trays or carts used to transport such items shall not be left unattended if open or otherwise potentially available to others. The facility's policy for Storing of Controlled Medications (revision date 07/11/18) stated: The facility must store narcotics in separately locked, permanently affixed compartments. The facility's pharmacy services policy and procedure for Controlled Substance Storage declared the Schedule II-V (controlled) medications and other medications subject to abuse or diversion are to be stored in a permanently affixed double locked compartment. During an interview on 09/10/19 at 4:20 p.m. the DON stated, The pharmacist comes once a month, so we have the opportunity to destroy the medications, but I just have not done it yet. I haven't taken the time. The DON then further stated, I have moved the meds (medications) to the charge nurse's office where they are now locked in a metal file cabinet where they are secure. |
2020-09-01 |