cms_WV: 4746

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
4746 PINE LODGE 515001 405 STANAFORD ROAD BECKLEY WV 25801 2016-07-07 508 D 1 0 R67611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and staff interview the facility failed to obtain a chest x-ray ordered for Resident #9 by her attending physician. This was true for one (1) of eleven (11) sampled residents. Resident Identifier #9. Facility Census: 113. Findings Include: a) Resident #9 A review of Resident #9's medical record at 12:30 p.m. on 07/05/16 found a physician order [REDACTED]. Incentive spirometry 4 times daily. Repeat CXR (Chest X - Ray) after 4 (four) days. Further review of the record found the following nursing progress notes dated 12/19/16 (typed as written): . Now order to repeat chest x - ray post 4 days of PT left chest . Progress note date 12/21/15 noted, Resident resting in bed at this time. Resident was evaluated by respiratory therapy for incentive spirometry QID (four times a day) and chest PT daily. After initial treatment, resident had some coughing noted but no excretions emitted. Progress note dated 12/22/16 noted, Resident see (sic) by respiratory therapy today for chest pt and incentive spirometry. Resident has had some non productive coughing post incentive spirometry. Breath sounds are diminished in all fields. Respiratory therapy to continue for another two (2) days with follow up chest x-ray to be done on 12/26/15. Further review of the record found no evidence the x-ray ordered for 12/26/15 was ever obtained by the facility. The physician entered a progress note into Resident #9's record on 01/10/16 indicating there resident had completed Chest PT and needed a repeat chest x -ray. The repeat chest x-ray was again ordered on [DATE] and was obtained on 01/11/16. An interview with the Director of Nursing (DON) at 10:46 a.m. on 07/06/16 confirmed the x-ray which should have been obtained on 12/26/15 was not obtained as ordered by the physician. She stated, The next x-ray was not obtained until 01/11/16. She indicated, they must have missed getting it. 2019-07-01