cms_WV: 5005
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5005 | ANSTED CENTER | 515133 | PO BOX 400 | ANSTED | WV | 25812 | 2016-04-20 | 165 | D | 1 | 0 | 06GH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on resident interview, family interview, staff interview, medical record review, and facility record review, the facility failed to ensure the rights of one (1) of six (6) sample residents to voice grievances without reprisal. Resident #33 related a Licensed Practical Nurse (LPN) and a Nurse Aide (NA) retaliated against the resident after a complaint was initiated over the administration of a medication. The nurse confronted the resident and the nurse aide did not assist with a transfer from chair to bed, and required the resident remain in his chair for over two (2) hours after dinner. Resident identifier: #33. Facility census: 57. Findings include: a) Resident #33 During an interview with Resident #33 and his wife on 04/18/16 from 4:04 p.m. to 4:45 p.m., Resident #33's wife said a complaint had been initiated about the administration of [MEDICATION NAME], but it was a misunderstanding. According to the resident's wife, the resident thought he received Tylenol instead of [MEDICATION NAME]. Resident #33 agreed with his wife's statement. Resident #33's wife related Licensed Practical Nurse (LPN) #20 came to the resident's room, and said they needed to talk. The nurse told Resident #33 She did not appreciate him reporting her to the administrator. The resident's wife indicated the nurse had said they had gotten her in trouble. Resident #33 and his wife also related LPN #20 had said to him that she had her medication cart at his door every day at 4:00 p.m. They also stated she asked him, Do you know what this is? and he had answered, Tylenol?, and the nurse had responded, No, it's (it is) your [MEDICATION NAME]. Resident #33's wife related the Center Nurse Executive (CNE) had entered the room and spoken with LPN #20, and they exited the room. Resident #33 related she had apologized to the nurse for the misunderstanding, and had called the facility and offered her apologies. Resident #33 related the day after the incident, he was in his chair for dinner and requested to return to bed. He said NA #82 (LPN #20's spouse) walked up and down the hallway assisting the other NA, looked in his room and glared, but did not attempt to assist with a transfer to bed. NA #82 was assigned to 100 hallway, but was helping the NAs on the 200 hall where the resident resided. According to the resident, he was left in his chair for two (2) hours and 20 minutes after dinner. The medical record, reviewed on 04/18/16 at 3:00 p.m., found a 90 day minimum data set (MDS) assessment, with an assessment reference date (ARD) of 04/09/16, identified the resident scored 13 of a possible 15 for the Brief Interview for Mental Status (BIMS) - indicating the resident was cognitively intact. The assessment also identified Resident #33 required the extensive assistance of two (2) persons for transfers. [DIAGNOSES REDACTED]. The pain assessment indicated he received scheduled pain medication, and received as needed (PRN) medication and/or was offered medication and received non-medication interventions for pain. The care plan, reviewed on 04/18/16 at 3:08 p.m., revealed he was dependent upon staff for transfers and locomotion due to left sided [MEDICAL CONDITION]. Progress notes, reviewed from the date of admission on 01/05/16, indicated a lift-transfer assessment was completed on 01/05/16. The assessment indicated the resident required a total lift for transfers. An interview with the social worker (SW) on 04/19/16 at 3:35 p.m., revealed she had no additional concerns and/or grievances other than what was provided on 04/18/16. The SW related the facility took allegations Very seriously. Resident #33 and his wife, interviewed on 04/19/16 at 3:45 p.m., related it was okay to speak with the Center Nurse Executive (CNE) and social worker, related to the incident involving LPN #20 and NA #82. During an interview on 04/19/16 at 4:30 p.m., CNE revealed she was aware of the concern related to the allegations Resident #33 and his wife had reported during the interview. She also said a concern had been filed with the corporate compliance line. Concern/grievance/complaint forms, reviewed with the CNE, found no evidence the complaint had been initiated. She related the information may have been placed in another file and exited the room. She returned with a complaint filed with the compliance line. She related it was a mixture of things which were misinterpreted. The CNE said she was standing three (3) doors down on the 200 hallway when the interaction with LPN #20 and Resident #33 occurred. When she heard the conversation, she went to the room and intervened. The CNE stated she instructed the LPN to allow the facility to handle the situation. She also confirmed NA #82 assisted on the hallway, and had spoken with him and LPN #20. The CNE indicated the staff informed her the resident had remained up in his chair for over two (2) hours 'because they were preparing him for discharge to home. The CNE confirmed she had not interviewed other staff working with NA #82, the date of the incident and could not provide evidence the facility had investigated thoroughly to refute the allegation of retaliation. | 2019-04-01 |