cms_WV: 536

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

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
536 MERCER NURSING AND REHABILITATION CENTER 515052 1275 SOUTHVIEW DRIVE BLUEFIELD WV 24701 2018-11-29 660 D 0 1 J9FW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure a plan was in place to address the the residents expressed desire to talk to someone about in-home and community agencies available before her discharge to home. This was true for one (1) resident reviewed for the care area of discharge to the community. Resident identifier: #95. Facility census: 97. Findings include: a) Resident #95 Record review at 9:20 AM on 11/27/18, found the resident was admitted to the facility on [DATE]. The resident was discharged to her home on 08/31/18. Review of the minimum data set (MDS), a 5 day Medicare Part A Stay, with an assessment reference date (ARD) of 06/19/18, found the resident participated in completing the MDS. The resident expected to be discharged to the community. When asked the question on the MDS, Do you want to talk to someone about the possibility of leaving this facility and returning to live and receive services in the community? The residents response was, yes. The Resident Assessment Instrument (RAI) manual provides the following direction when answering yes to the above question on the MDS: The goal of follow-up action is to initiate and maintain collaboration between the nursing home and the local contact agency to support the resident's expressed interest in talking to someone about the possibility of leaving the facility and returning to live and receive services in the community. This includes the nursing home supporting the resident in achieving his or her highest level of functioning and the local contact agency providing informed choices for community living and assisting the resident in transitioning to community living if it is the resident's desire. The underlying intention of the return to the community item is to insure that all individuals have the opportunity to learn about home and community based services and have an opportunity to receive long term services and supports in the least restrictive setting. CMS (Centers for Medicare and Medicaid Services) has found that in many cases individuals requiring long term services, and/or their families, are unaware of community based services and supports that could adequately support individuals in community living situations. Local contact agencies (LCAs) are experts in available home and community-based service (HCBS) and can provide both the resident and the facility with valuable information. On 11/27/18 at 10:06 AM, the social worker (SW) #28 was asked for verification of information provided to the resident about all community based services and support systems. There were no notes in the electronic medical record from social services discussing discharge placement. SW #28 said referrals for medical equipment were made and the resident was referred to a Home Health agency before discharge. He was unable to provide any documentation a discussion was held with the resident to determine what other agencies were available in her community. Such as agencies who provide meals, chore services, transportation, and other in-home care and community based services that could be available. On 11/27/18 at 10:17 AM, the supervisor of therapy services, Employee #118, said the therapists recommended the equipment needed at home. We always refer residents to a Home Health agency upon discharge, for a safe transition to the community. [NAME] #118 said her department does not look at other agencies available in the community, That is Social Services. At 10:40 AM on 11/27/18, a visiting social worker, from another company facility, SW #134 said, We will get some training in place to address this. 2020-09-01