cms_WV: 3807

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
3807	PIERPONT CENTER AT FAIRMONT CAMPUS	515155	1543 COUNTRY CLUB ROAD	FAIRMONT	WV	26554	2017-04-21	157	D	1	0	0AC711	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on staff interview and clinical record review, the facility failed to notify the physician when Resident #98 refused oral medications for eleven (11) days. This was found for one (1) of six (6) sampled residents reviewed. Resident Identifier: #98. Facility census: 97. The findings include: a) Resident #98 Clinical record review revealed Resident #98 resided in the facility from [DATE] until her death on [DATE]. Her [DIAGNOSES REDACTED]. Her oral medications at the time of her [DATE] admission included: - [MEDICATION NAME] 8 milligrams (mg) daily (a steroid), - [MEDICATION NAME] 100 mg twice daily (a stool softener), - [MEDICATION NAME] 4 mg every 8 hours (to prevent nausea and vomiting), - senna 176 mg/5 milliliters (ml) 15 ml twice daily (a laxative), - [MEDICATION NAME] 40 mg daily (a diuretic), - [MEDICATION NAME] 10 mg daily (for allergies [REDACTED].>- [MEDICATION NAME] 10 mg daily (allergies [REDACTED].>- Movantik 12.5 mg daily (for opiod induced constipation), - [MEDICATION NAME] 17 grams (g) daily (a laxative), - K-Dur 20 milliquivalents (meq) twice daily (a potassium supplement), and - [MEDICATION NAME] 100 mg/ 5 ml 20 mg every hour as needed (a highly concentrated [MEDICATION NAME]). Review of the (MONTH) (YEAR) Medication Administration Record (MAR) revealed all oral medications except the [MEDICATION NAME] were circled as not given from [DATE] until her death on [DATE]. The reasons stated on the MAR for refusing her medications were she was, too sick or complaint nausea/vomiting. The clinical record contained no evidence of notification of the physician until [DATE], at which time the physician discontinued the [MEDICATION NAME], [MEDICATION NAME], and K-Dur. During an interview on [DATE] at 11:58 a.m., Licensed Practical Nurse (LPN) #69 stated Resident #98 was always nauseated, and would not take her oral medications except for her [MEDICATION NAME] for pain. LPN #69 stated the medications made her feel more nauseated. LPN #69 confirmed a circle around initials on the MAR meant the medication had not been administered. LPN #69 stated facility policy was to notify the physician if a resident refused their medications after 3 doses. LPN #69 stated facility policy was to make a note in the clinical record when a physician was notified and the physician's response. After review of the clinical record, LPN #69 stated she did not notify the physician of Resident #98's refusal of her oral medications. During a telephone interview on [DATE] at 2:18 p.m., Registered Nurse (RN) #102 stated if Resident #98 refused her medications, I would circle the medication on the MAR and document the reason. The nurse said Resident #98 would only take her oral [MEDICATION NAME]. RN #102 said facility policy was to notify the MD when a resident refused a medication after 3 doses. She also said if she had notified the physician, she would have made a note in the clinical record. RN #102 stated if there was no note by her in the clinical record, she must not have notified the physician of the resident's refusal of oral medications. During an interview on [DATE] at 5:25 p.m., Director of Nursing (DON) #18 confirmed the facility policy was to notify the physician of a resident's refusal of medications after 3 doses. Staff were expected to complete documentation in the clinical record that the physician was notified and any change in physician orders. DON #18 confirmed the clinical record contained no evidence the physician was notified of Resident #98's refusal of medications from [DATE] until [DATE].	2020-08-01