cms_WV: 5257

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
5257	FAYETTE NURSING AND REHABILITATION CENTER	515153	100 HRESAN BOULEVARD	FAYETTEVILLE	WV	25840	2015-09-30	278	B	0	1	C8H511	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure each individual completing Minimum Data Set (MDS) assessments completed the assessments to accurately reflect the resident's condition. Resident #83's assessment did not identify weight loss. Resident #9's MDS did not indicate the resident received Hospice services. Resident #34's assessment did not include the resident's active [DIAGNOSES REDACTED].#62's assessment did not identify the use of antianxiety medication. Assessment coding errors were found for four (4) of sixteen (16) sample residents. Resident identifiers: #83, #9, #34, and #62. Facility Census: 58. Findings include: a) Resident #83 This resident's 14-day MDS assessment, with an assessment reference date (ARD) of 06/26/15, listed the resident's weight as 165 pounds (#). The next MDS, with an ARD of 07/21/15, indicated the resident's weight was 139#, but was not identified as a weight decline of 5% or more in the last month in item K0300. On 09/30/15 at 10:30 a.m., the MDS coordinator verified the 07/21/15 assessment should have been coded showing the weight loss. b) Resident #9 Review of the resident's quarterly MDS with an ARD of 07/30/15, found the assessment failed to show the resident was receiving hospice services during the look back period for the assessment. A significant change MDS with an ARD of 05/16/15, had identified the resident received Hospice services. Hospice services had begun at that time and were identified on the MDS. It was not carried over onto the 07/30/15 assessment. Discussion with the MDS coordinator on 09/29/15 at 10:25 a.m. revealed the assessment was coded in error and should have indicated the resident continued to receive hospice services. c) Resident #34 A review of the medical record for Resident #34, on 09/29/15 1:35 p.m., revealed the quarterly MDS assessment with an assessment reference date (ARD) of 08/20/15, did not accurately reflect a [DIAGNOSES REDACTED]. The current physician's orders [REDACTED].#34 had a current order for [MEDICATION NAME] 200 milligrams (mg) at bedtime for [MEDICAL CONDITION] disorder. Review of the Medication Administration Record [REDACTED]. An interview on 09/29/15 at 2:35 p.m., with the MDS Coordinator, verified Section I Active [DIAGNOSES REDACTED].#34. d) Resident #62 Review of medical records found a quarterly minimum data set (MDS), with an assessment reference date (ARD) of 09/18/15, identified the resident received an antipsychotic, a diuretic, an anticoagulant, and antibiotic on each of the 7 days in the look back period in Section N, Item N0410 - Medication Received. On 09/29/15 at 10:55 a.m., review of the resident's (MONTH) (YEAR) Medication Administration Record [REDACTED]. Review of physician orders [REDACTED]. On 09/30/15 at 9:46 a.m., the DON verified the antianxiety medication should have been indicated on the MDS with an ARD of 09/18/15 for the [MEDICATION NAME] Resident #62 was taking for anxiety.	2019-02-01