cms_WV: 4390

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
4390 ANSTED CENTER 515133 PO BOX 400 ANSTED WV 25812 2016-11-09 241 D 0 1 B8Y111 Based on observation and staff interview, the facility failed to ensure the dignity of residents during the dining experience. This was evident for two (2) random observations. Resident #27 was fed by nursing staff while the staff member stood over her. The same was true for resident #52. Both residents were cognitively and physically impaired, and unable to feed themselves. Resident identifiers: #27, #52. Facility census: 59. Findings include: a) Resident #27 On 10/31/16 at 12:22 a.m., an observation revealed Resident #52 lying in her bed. Nurse Aide (NA) #76 stood by the resident's bed, and spoon fed her pureed meal. She stood over the resident through the entire meal. The resident was unable to be interviewed due to cognitive impairment. Review of the quarterly minimum data set (MDS), with assessment reference date (ARD) 08/03/16, revealed moderate cognitive impairment. She required extensive assistance of two (2) for bed mobility, and extensive assistance for eating. b) Resident #52 On 11/01/16 at 12:25 p.m., Registered Nurse #35 stood by the resident's bed, and spoon fed her meal. She stood over the resident while she fed her, rather than obtaining a chair and sitting down by the resident in a more dignified manner. The resident was unable to be interviewed due to cognitive impairment. Review of the quarterly minimum data set, (MDS) with assessment reference date (ARD) of 10/03/16, revealed severe cognitive impairment. She was totally dependent on staff for eating her mechanically altered diet. On 11/01/16 at 5:15 p.m., an interview was conducted with the director of nursing (DON) to ascertain if she felt the practice of standing over residents while feeding them was an acceptable standard at this facility. She replied in the negative. She said it is their practice at the facility to sit down beside the residents while feeding them, rather than standing over them. She said that standing over a resident while feeding them is undignified. She said she would speak to nursing staff about this finding. On 11/01/16 at 6:09 p.m., NA #62 said she often feeds Residents #27 and #52. She said she always pulls up a chair and sits down beside them as she feeds them. She was observed earlier this evening sitting down by a different resident as she fed her. NA #56 said staff are supposed to sit down and feed the residents casually and talk to them, and are not supposed to stand over residents as they feed them. 2019-11-01