cms_WV: 4049

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
4049	TAYLOR HEALTH CARE CENTER	515057	2 HOSPITAL PLAZA	GRAFTON	WV	26354	2017-03-01	431	E	0	1	WA6611	Based on review of controlled medication sheets, pharmacy reports, staff interview, and policy review, the facility failed to ensure controlled substance records were complete and contained information to show complete reconciliation by on-coming and off-going nurses. This was found for four (4) of four (4) narcotic books (two on nursing home unit 1 and two on nursing home unit 2) reviewed during medication storage. This practice has the potential to affect all residents. Facility census: 61. Findings include: a) Review of the four (4) shift change controlled substance inventory logs dated (MONTH) 27, (YEAR) through (MONTH) 15, (YEAR) on 02/16/17 at 8:45 a.m., found there were seventy-seven (77) blank signature spaces for reconciliation of the controlled medication counts at the change of shifts identified. The Director of Nursing (DON) reviewed the controlled substance logs during an interview on 02/16/17 at 9:28 a.m. She stated, There should not be any blanks for signatures on the narcotic sheets, and yes, there certainly are a lot. A review of the facility's Controlled Substance Policy and Procedure on 02/16/17 at 9:15 a.m. revealed on page 2, titled Procedure C. The change of shift audit will include 1) physical count and reconciliation by the oncoming nurse of the drugs and the Individual Resident's Narcotic Record and 2) inspection of the packaging to ensure integrity. The nurse going off duty shall witness the count and reconciliation. All counts will be documented on a change of shift signature record On 02/16/17 at 9:28 a.m., review of the monthly pharmacy reports for (MONTH) (YEAR) and (MONTH) (YEAR) found the controlled substance logs were not reconciled according to facility procedures and there were irregularities with accurate and complete reconciliation. During a follow-up interview on 02/16/17 at 11:37 a.m., the DON stated, Yes, pharmacy had told me about these irregularities and it also was reviewed in the QA (Quality Assurance) meetings. I had done education with the staff, but evidently, more education is needed. We also need to monitor the narcotic sheets since it is both units and all four of the carts.	2020-02-01