cms_WV: 3814

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
3814 PIERPONT CENTER AT FAIRMONT CAMPUS 515155 1543 COUNTRY CLUB ROAD FAIRMONT WV 26554 2017-04-21 514 D 1 0 0AC711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on resident interview, observations, staff interviews, review of facility staff assignment sheets, and clinical record interview, the facility failed to ensure the accuracy and completeness of the clinical records for two (2) of six (6) sampled residents. Resident #27's treatment documentation was incomplete and a nurse documented the wrong type of intravenous access the resident had. For Resident #98, documentation regarding treatments were incomplete. Resident #27 and #98. Facility census: 97. The findings include: a) Resident #27 1. Clinical record review revealed Resident #27 had a physician's orders [REDACTED]. Cover with optilock and medifix tape, change every 3 days and as needed. On [DATE] 2:35 p.m., a nurse's note stated, Resident refused dressing changes times two today, wanted to wait until after lunch then wanted to wait until he got a shower. Passed on in report that treatments still needed to be done. The (MONTH) (YEAR) Treatment Administration Record (TAR) revealed the right ischium dressing change had not been refused on [DATE]. The (MONTH) TAR for right ischial dressing change was blank on [DATE], [DATE], and refused on [DATE]. During an interview on [DATE] at 11:08 a.m., the resident stated his right ischium dressing had not been done after his shower yesterday. The resident stated he had never refused any of his wound treatments. The resident stated he had gotten his wound treatment on all other days in (MONTH) as ordered by the physician. 2. The resident stated he had a midline placed 4 days ago for intravenous antibiotics for a urinary tract infection. The resident showed his access site in right upper arm. On [DATE], the physician ordered, (MONTH) place midline for Intravenous (IV) antibiotics. An infusion note indicated a 20 centimeter right basilic vein midline was placed on [DATE]. On [DATE] at 8:00 p.m. and 11:52 p.m., a nurse noted the Peripherally Inserted Central Catheter (PICC) line is patent. (Note: Midlines are longer than regular IVs. It lasts longer than a regular IV, but not as long as a PICC line. This type of IV is used for medications or fluids that do not irritate veins and last for 2 to 4 weeks. PICC A peripherally inserted central catheter (PICC) is put into a large vein in the arm and ends in a large vein near the heart. Sometimes a leg vein is used for infants. PICC lines are used to give IV medications or IV fluids that can irritate veins and usually last longer than a midline.) 3. During an interview, on [DATE] at 5:30 p.m., the Director of Nursing (DON) #18 confirmed the medical record was incomplete regarding the resident's wound treatments. DON #18 could provide no explanation for the lack of documentation of the wound treatments. She confirmed the medical record was inaccurate in the documentation of the resident's type of IV access. b) Resident #98 Clinical record review revealed Resident #98 resided in the facility from [DATE] until her death on [DATE]. Her [DIAGNOSES REDACTED]. Her initial physician's orders [REDACTED]. Review of the (MONTH) (YEAR) Treatment Administration Record (TAR) revealed blanks for the treatment of [REDACTED]. -- [DATE] night shift, -- [DATE] evening and night shift, and -- [DATE] evening and night shift. No explanations for the blanks were provided for the blanks on the TAR or in the nurses' notes. Review of facility staff assignment sheets revealed Registered Nurse (RN) #102 was assigned to Resident #98 on [DATE] during the evening shift. During a telephone interview on [DATE] at 2:18 p.m., RN #102 stated when she performed a treatment she would put her initials on the TAR. If a resident refused a treatment, she would put her initials and circle them and provide an explanation on the TAR. RN #102 stated did not recall Resident #98 refusing any of her treatments and did not recall if Resident #98 had any skin problems. She said she could not provide any explanation of any blanks on the TAR for Resident #98 other than she did not do the treatment. During an interview on [DATE] at 5:25 p.m., Director of Nursing (DON) #18 confirmed the clinical record contained no documentation that the treatment of [REDACTED]. DON #18 provided no further information. 2020-08-01