cms_WV: 4999
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4999 | STONE PEAR PAVILION | 515130 | 125 FOX LANE | CHESTER | WV | 26034 | 2015-10-01 | 241 | B | 0 | 1 | GCQW11 | Based on observation, record review, resident interview, and staff interview, the facility failed to provide care to residents in a manner that enhanced each resident's dignity. The facility failed to administer morning medications in a dignified and respectful manner that recognized each resident's individuality. Random observations were made of residents lined-up in wheelchairs at the medication cart waiting for morning medications. This had the potential to affect more than a limited number of residents. Facility census: 55. Findings include: a) Medication Pass Random observations, on 09/28/15 at 7:48 a.m., revealed seven (7) residents on the East hallway seated in wheelchairs waiting in line for medications from the nurse. A nurse was standing at the medication cart located in the East hallway outside the nursing station. Interview with a resident waiting in line revealed, We wait in line for medications then go to the dining room for breakfast. Observations on 09/29/15 at 8:32 a.m., revealed three (3) residents seated in wheelchairs in a line in front of the medication cart on the West hallway. Residents were waiting in line to have Licensed Practical Nurse (LPN) #14 administer their medications. Interview with Registered Nurse (RN) #4, on 09/30/15 at 10:50 a.m., verified the residents were lined up in the hallway at the medication cart. She stated during the six (6) years of her employment, medications had always been administered in the hallway. She stated residents have the right to receive medications in the hallway. When told residents expressed they had to wait in line for their medications before breakfast, RN #4 stated residents could bypass the medication cart and go directly to breakfast, if they choose. She stated if residents wanted their medications administered in their rooms, they were accommodated. Interview with NA #23, on 09/30/15 at 11:07 a.m., revealed she wheeled residents down to the medication cart. If there was a long line, she would ask the nurse the wait time. She said she lined the residents up if the wait was short. She stated some residents bypass the medication cart and went directly to breakfast. Interview with LPN #10, on 09/30/2015 at 11:45 a.m., verified she passes medications in the hallway. She stated eye drops and injections were administered in the resident's room. She confirmed the NAs brought residents to the medication cart and lined them up for their medications. She stated residents wait in line for their medications before going to breakfast. Furthermore, she stated medication administration had always been done like that, with the residents waiting in line in the hallway. | 2019-04-01 |