cms_WV: 52
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
52 | GUARDIAN ELDER CARE AT WHEELING | 515002 | 20 HOMESTEAD AVENUE | WHEELING | WV | 26003 | 2018-05-03 | 698 | D | 0 | 1 | X20F11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to coordinate care with the [MEDICAL TREATMENT] Center for Resident #126, one of one residents reviewed for [MEDICAL TREATMENT]. The facility failed to ensure communication from the [MEDICAL TREATMENT] Center following the resident's treatment was reviewed and recorded. This failed practice had the potential to affect a limited number of residents. Resident identifier: #126. Facility census: 142. Findings included: a) Resident #126 Review of the resident's record revealed Resident #126 was admitted to the hospital 4/16-21/18. She readmitted to the facility 4/21/18. Review of physician's orders [REDACTED]. The record revealed the resident refused [MEDICAL TREATMENT] on 4/24/18, but went on 4/28/18 and 5/1/18. physician's orders [REDACTED]. Staff were directed, in the order, to put results in computer. Review of the electronic record revealed one weight for 4/28/18 and no weights for 5/1/18. In addition, a dietary progress note, dated 5/2/18 indicated .Current [MEDICAL TREATMENT] labs are unavailable to me here at this time. The [MEDICAL TREATMENT] labs were recommended to be obtained by our facility at today's morning/clinical meeting. In an interview on 5/2/18 at 1:34 PM, Licensed Nurse #82 was asked how the [MEDICAL TREATMENT] center and the facility communicate. She explained she did not work the floor very often, but had been pulled to do so that day. She stated they used to have a little form, with pre and post weights. Vital signs. She looked through the resident's record but was unable to locate any communication. In an interview on 5/2/18 at 1:37 PM, the Assistant Director of Nursing #88, stated We have a little form, with weights, treatment changes. Might be in her packet. Probably downstairs with (Receptionist). Let me go check. At 5/2/18 at 1:51 PM Staff #33 provided a blank copy of the [MEDICAL TREATMENT] Patient Data Sheet. It goes in the envelope and the van driver takes it to [MEDICAL TREATMENT], then they fill it out, bring it back. I don't know what happens then, I guess the nurse puts it in the computer? This resident went to the hospital. I wonder if we didn't make her a packet (to send to [MEDICAL TREATMENT]) when she got back? I will go do that. At 5/2/18 at 2:00 PM, ADON #88 stated she asked the transportation driver what he did with the papers he brought back from the [MEDICAL TREATMENT] Center. She said he left the envelope in the resident's room after each appointment. ADON #88 located the 4/28 and 5/1/18 [MEDICAL TREATMENT] Patient Data Sheets in the resident's room. She stated the nurse should have obtained and reviewed them and put them in the chart. She explained if medication orders changed or something significant occurred at [MEDICAL TREATMENT], the center would usually call and notify the facility. However, the [MEDICAL TREATMENT] Center recorded vital signs, weights, lab results and other communication on the forms and the facility should still be obtaining these. | 2020-09-01 |