cms_WV: 3769

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
3769 WAR MEMORIAL HOSPITAL 5.1e+151 1 HEALTHY WAY BERKELEY SPRINGS WV 25411 2019-04-17 759 D 0 1 R53F11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, review of manufacturer's guidelines, and review of Nursing 2019 drug handbook, the facility failed to maintain a medication administration error rate of less than five percent (5%). The error rate was 7.69% (percent). This was evident for two (2) medication errors out of twenty-six (26) opportunities. Resident identifier: #10. Facility census: 16. Findings included: a) During an observation on 04/16/19 at 7:36 AM licensed practical nurse #30 (LPN #30) handed a [MEDICATION NAME] 160/4.5 microgram inhaler to resident #10. Resident #10 immediately inhaled two (2) puffs of the medication in rapid succession, then rinsed her mouth with water. On 04/16/19 at 7:37 AM LPN #30 handed her a ProAir 90 microgram inhaler. The resident again immediately inhaled two (2) puffs of the medication in rapid succession, then rinsed her mouth with water. Review of manufacturer's instructions for [MEDICATION NAME] administration found directives to wait at least one (1) minute between successive inhalations for maximum effectiveness. Review of manufacturer's instructions for ProAir administration found directives to wait at least one (1) minute between successive inhalations for maximum effectiveness. Review of the Nursing 2019 handbook which was kept at the nurses' station for reference, found directives that if using other inhalers at the same time, wait at least two (2) minutes between the use of each medication. An interview was conducted with the director of nursing (DON) on 04/16/19 at 8:55 AM. She said this resident will not allow nurses to administer inhalers. Rather, the resident uses her inhalers in the presence of the nurses. Upon inquiry, the DON said she did not know if anyone had educated the resident on the correct spacing of the inhaled medications. She said the facility has no policy or procedure about the spacing of inhaled medications. On 04/17/19 at 12 PM the DON stated that nursing completed education with the resident today as to the correct use of inhaled medications. The DON stated that the resident told her she used the inhalers at the facility the same way she used them at home prior to coming to the facility, and did not realize there was a more effective way to use them. 2020-09-01