cms_WV: 4394

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
4394 ANSTED CENTER 515133 PO BOX 400 ANSTED WV 25812 2016-11-09 431 E 0 1 B8Y111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and policy review, the facility failed, in collaboration with the pharmacist, to ensure the safe and effective use of medications. A multi-dose vial of purified protein derivative (PPD), a medication injected beneath the skin to aid in the detection of exposure to [DIAGNOSES REDACTED], was not dated when initially opened. This had the potential to negatively impact the safety and/or potency of the medication, and had the potential to affect any resident who might receive an injection of medication/serum from this vial. Facility census: 59. Findings include: a) On 11/01/16 at 1:52 p.m., the facility's only medication room refrigerator was observed, accompanied by licensed practical nurse #41. An opened and partially used multi-dose vial of Aplisol purified protein derivative (PPD) was stored in the medication room refrigerator. When full, this vial held ten (10) doses. The vial was about half full, indicating that approximately five (5) doses remained. The vial contained no date to indicate the time interval since it was first opened. Nurse #41 said she believed the vial could only be used for thirty (30) days after opening it. She said since the vial was undated, it could not be determined when it was first opened, or when the thirty (30) day period was over. She disposed of the vial immediately. Review of the facility's policy entitled 3.8 Accessing a Multi-Dose Vial, with revision date 07/01/12, stated under section 7 that multi-dose vials are to be discarded if open and undated. It also stated that multi-dose vials are to be discarded within twenty-eight (28) days of opening, or as specified by the manufacturer for an open vial. On 11/01/16 at 5:15 p.m., the director of nursing (DON) was interviewed. She said that licensed nurses are supposed to date multi-dose vials when initially opened, then dispose of the vial thirty (30) days after first opened. She agreed that their policy was not followed in this case. 2019-11-01