cms_WV: 4392

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
4392	ANSTED CENTER	515133	PO BOX 400	ANSTED	WV	25812	2016-11-09	280	D	0	1	B8Y111	Based on observation, record review, and staff interview the facility failed to revise the care plan to reflect the resident's current status. This failed practice had the potential to affect one (1) of twenty one (21) sampled residents. Resident identifier: # 57. Facility census: 59. Findings include: a) Resident #57 Interview with Nurse Aide (NA #50), on 11/02/16 at 11:05 a.m., revealed Resident #57 required total care and was dependent for activities of daily living (ADL). NA #50 said, We reposition her (Resident #57) every two (2) hours and check her briefs and change her. We use to get her up to the toilet, but not for a good while, she's not able. On 11/02/16 at 1:04 p.m., review of quarterly Minimum Data Set (MDS) with an assessment reference date (ARD) of 10/16/16 revealed a Brief Interview for Mental Status (BIMS) score of 3 indicating severe mental status impairment. Resident #57's MDS showed Resident #57 was dependent for care, including toileting, bathing, personal hygiene, and is always incontinent of bowel and bladder and is not on a toileting program. Review of the care plan, on 11/07/16 at 3:47 p.m., revealed a focus area which stated, Resident requires a limited assist to extensive at times with ADLs. She does have cognitive loss secondary to dementia. Resident does transfer and toilet herself independently at times . Other focus areas noted were, Resident is occasional incontinent of urine with potential for improved control or management of urinary elimination, and, Resident is occasional incontinent of bowel with potential for improved control or management of bowel elimination. Interventions included: --Assist resident to toilet at scheduled times --Discuss and plan voiding schedule with resident --Maximize physical activity to enhance general muscle tone, functioning of lower GI (gastrointestinal) tract, and ability to mobilize to bathroom in response to urge to defecate On 11/07/16 at 4:29 p.m., an interview with Registered Nurse (RN ) #38, revealed resident was dependent for care. RN #38 agreed Resident #57's care plan has not been revised to match her current status.	2019-11-01