cms_WV: 4635

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
4635 PINE LODGE 515001 405 STANAFORD ROAD BECKLEY WV 25801 2016-02-26 226 E 0 1 4CE211 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview, medical record review, family interview, and policy review, the facility failed to implement its abuse/neglect policies for one (1) of seven (7) residents reviewed for allegations of neglect. The facility staff failed to identify allegations of neglect and failed to report and/or investigate the allegations that Resident #83's medical power of attorney voiced relative to the resident not receiving adequate and timely incontinence care. Resident identifier: #83. Facility census: 117. Findings include: a) Resident #83 During an interview with the resident's daughter, who was also the resident's medical power of attorney (MPOA), on 02/23/16 from 2:30 p.m. to 3:00 p.m., she related she had entered the facility on 02/09/16 at lunchtime. The MPOA said she changed her mother and, There was no sign of stool in her brief, but when I wiped her vagina, there was a ball of stool with a little bit of blood. She related she looked for Registered Nurse (RN) #34, but as she was at lunch, she spoke with Licensed Practical Nurse (LPN) #72, who said she would pass it on. Resident #83's daughter added that her mother was hosptalized on [DATE] related to a urinary tract infection [MEDICAL CONDITION] related to E-coli (Escherichia coli - an organism found in the colon). She said her mother returned to the facility on [DATE], at which time she spoke with the director of nursing (DON) and RN #34 regarding her concerns about her mother not being cleaned. She added that on 02/18/16, she entered the facility at 7:00 a.m. and her mother was at breakfast. The daughter related her mother returned to the room around 8:00 a.m. and when providing incontinence care, again wiped stool from the resident's vagina, but there was no stool in the resident's brief. She said the infection control nurse entered the room and she showed her the washcloth with the stool on it. On 02/24/16 at 8:15 a.m., review of complaints, grievance logs, and incidents reported to State agencies, found no evidence that the MPOA's concern regarding feces in the resident's vagina on 02/09/16, which was reported to LPN #72; the MPOA's concerns about the resident not being kept clean that she voiced to the director of nursing and RN #34 on 02/16/16; or the finding of feces in the resident's vagina on 02/18/16 and reported to the infection control nurse, had been identified as allegations of neglect. None of these incidents were identified as possible neglect and reported to the administrator and required State agencies, or investigated. During an interview with Registered Nurse #34 at 2:08 p.m. on 02/26/16, the nurse related she had received the complaint on 02/16/16 related to Resident #83 not being cleaned properly and staff had not provided care when requested by the resident. The nurse related she had educated staff, but had not reported the allegation of neglect to the appropriate entities, including the administrator, director of nursing, or State agencies. RN #34 acknowledged she had not completed an investigation regarding the allegation. The nurse related she did not believe it to be an allegation of neglect and did not realize it should have been reported. RN #34 also confirmed a complaint/grievance/concern form had not been completed. On 02/26/16 at about 9:00 a.m., LPN #72 related she had not completed a grievance/concern form related to any of the complaints received from the resident's MPOA. b) The facility's abuse prohibition policy, reviewed on 02/24/16 revealed the purpose was to ensure the Center staff were doing all that was within their control to prevent occurrences of abuse and neglect. The policy indicated staff would conduct an immediate and thorough investigation that focused on whether abuse or neglect occurred and to what extent; clinical examinations for signs of injuries, if indicated; causative factors; and interventions to prevent further injury. The policy required the facility to ensure documentation of witnessed interviews were included. 2019-08-01