cms_WV: 5526

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
5526 MCDOWELL NURSING AND REHABILITATION CENTER 515162 150 VENUS ROAD GARY WV 24836 2015-11-19 155 D 1 0 TPT811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and staff interview, the facility failed to afford Resident #99 the right to formulate an advanced directive. This was found for one (1) of five (5) sampled residents. Resident #99 was deemed to have capacity to make medical decisions; however, the facility allowed someone other than the resident to make decisions in regards to his advanced directives and/or refusals of treatment. Resident identifier: #99. Facility census: 98. Findings include: a) Resident #99 A review of Resident #99's medical record, at 1:10 p.m. on [DATE], found a Physician's Determination of Capacity completed by Resident #99's attending physician on [DATE]. This form indicated Resident #99 maintained capacity to make his own healthcare decisions. Further review of the record found a West Virginia Physician order [REDACTED].#99's attending physician on [DATE]. This form indicated Resident #99 was to receive cardiopulmonary resuscitation (CPR) in the event he would need it. This form was signed by another person, not the resident. There was no indication the resident was consulted about this decision or had asked for another person to sign on his behalf. The person who signed the POST form also signed a Psychoactive Medication Informed Consent form and an Informed Refusal of Treatment consent form on behalf of Resident #99. These forms were signed on [DATE], again with no evidence of input by the resident. An interview with Social Service Director (SSD) #21 and Social Worker (SW) #55, at 3:13 p.m. on [DATE], confirmed Resident #99 was deemed to have capacity to make healthcare decisions on [DATE] by his attending physician. SSD #21 and SW #55 indicated that until the attending physician saw the resident and made a determination of incapacity, the capacity of a resident who was alert and orientated should be assumed. They stated even though Resident #99 was somewhat confused on admission, his capacity should have been assumed. SSD #21 confirmed another person should not have signed the referenced forms because the resident's capacity was presumed and he had the right to make the decisions in regards to CPR, psychoactive medication use, and any refusals of treatment he chose. 2018-11-01