cms_WV: 3987
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3987 | NELLA'S INC | 51A010 | 499 FERGUSON ROAD | ELKINS | WV | 26241 | 2016-05-12 | 272 | D | 0 | 1 | GBXO11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to accurately assess three (3) of twenty-five (25) residents reviewed during Stage 2 of the Quality Indicator Survey (QIS). The comprehensive Minimum Data Set (MDS) for Resident #44 did not accurately reflect the [DIAGNOSES REDACTED]. The MDS for Resident #97 did not reflect the [DIAGNOSES REDACTED].#103 did not reflect a [DIAGNOSES REDACTED].#44, #97 and # 103. Facility census: 86. Findings include: a) Resident #44 A review of the medical record for Resident #44 on 05/10/16 at 11:12 a.m., revealed Resident #44 had active [DIAGNOSES REDACTED]. The current physician's orders [REDACTED]. A review of the comprehensive MDS with an Assessment Reference Date (ARD) of 08/05/15 did not reflect the active [DIAGNOSES REDACTED]. An interview on 05/10/16 at 1:28 p.m., with the MDS Coordinator, verified the MDS with the ARD of 08/05/15 Section I: Active [DIAGNOSES REDACTED].#44 had [DIAGNOSES REDACTED]. b) Resident #97 A review of the medical record for Resident #97 on 05/10/16 at 2:52 p.m., revealed this resident had a [DIAGNOSES REDACTED]. A review of the comprehensive MDS with an ARD of 03/12/16 did not reflect an active [DIAGNOSES REDACTED].#97. An interview on 05/10/16 at 3:40 p.m., with the MDS Coordinator, verified the MDS with an ARD of 03/12/16 did not have an active [DIAGNOSES REDACTED].#97. c) Resident #103 The medical record, reviewed on 05/09/16 at 3:14 p.m., revealed physician's recapitulation orders for [MEDICATION NAME] ten (10) milligrams (mg) orally for chronic pain and [MEDICATION NAME] 5 mg daily for chronic pain. Additionally, Resident #103 received [MEDICATION NAME] 5 mg at bedtime and [MEDICATION NAME] 15 mg daily. The hospital history and physical, dated 03/15/16, reviewed at 3:44 p.m. on 05/09/16 indicated Resident #103 had taken [MEDICATION NAME] for about [AGE] years for chronic abdominal pain/[MEDICAL CONDITION]. The hospital transfer summary, reviewed on 05/09/16 at 3:44 p.m., indicated [MEDICATION NAME] was added for management related to major psychiatric difficulties and evidence of delusions The admission minimum data set (MDS) with an assessment reference date (ARD) of 03/26/16, reviewed at 3:50 p.m., revealed Section I did not include a [DIAGNOSES REDACTED]. During an interview with the MDS Coordinator, Licensed Practical Nurse (LPN) #22, on 05/10/16 at 10:00 a.m., she related, I never use pain on the MDS because it comes and goes. With further inquiry, the MDS coordinator related she did not know why the resident received [MEDICATION NAME] and [MEDICATION NAME], and was not aware he had received [MEDICATION NAME] for [AGE] years. Upon inquiry as to appropriate [DIAGNOSES REDACTED].#22 related she did not address the [DIAGNOSES REDACTED]. The MDS coordinator related she used whatever the doctor gives us. I'm not even sure he did his admission. | 2020-04-01 |