cms_WV: 56

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
56	GUARDIAN ELDER CARE AT WHEELING	515002	20 HOMESTEAD AVENUE	WHEELING	WV	26003	2018-05-03	842	D	0	1	X20F11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to accurately transcribe, in the medical record, the correct amount of nutritional supplement ordered for one of five residents reviewed for nutritional weight loss. Resident identifier: #98. Facility census: 142. Findings included: a) Resident #98 The medical record was reviewed on 5/2/18 at 11:45 AM. The Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed the resident had verbal behaviors, received diuretics and had depression and anxiety. The Plan of Care dated 3/26/18 for Nutritional Status as evidenced by significant weight loss revealed the goal for the resident to consume appropriate amounts of food and fluids to maintain nutritional status. The plan of care revealed interventions to maintain weight through the next review that included the following: assist as needed to consume foods and/or supplements and fluids offered at and between meals, provide supplements per orders: Med Pass 2.0 (Dietary Supplement) 3 ounces, 4 times per day. On 5/2/18 at 1:54 PM the Medication Administration Records (MAR) for (MONTH) and (MONTH) (YEAR) were reviewed. The MARs for (MONTH) (YEAR) and up to 4/21/18 revealed the resident received Med Pass 2.0, 3 ounces, 4 times per day. On 4/21/18 at 11:30 AM, according to the MAR, the resident started receiving Med Pass 2.0, 2 ounces, 4 times per day. On 5/2/18 at 2:13 PM, a Dietary Communication form dated 4/20/18 by Registered Dietician (RD) #120 was reviewed. The dietary request directed: 1. Prosource Plus (Dietary Supplement) 1 ounce twice a day. 2. Please document the percentage of Med Pass 2.0 and magic cups that are already ordered in the MAR. The physician's orders [REDACTED]. The original order dated 12/10/15 directed Med Pass 2.0 before meals and at bedtime 3 ounces (4 times a day). A physician's orders [REDACTED]. On 5/3/18 at 11:52 AM the nutritional notes were reviewed. A nutritional note dated 5/3/18 indicated Please clarify the order for Med Pass 2.0 to be 3 ounces, 4 times per day. Document the percentage consumed in the MAR. Discontinue the order for Med pass 2.0, 2 ounces, 4 times per day as previously ordered. On 5/3/18 at 12:00 PM RD #120 was interviewed. RD #120 reviewed the documentation in the medical record regarding the recommendation he made on 4/20/18. He stated in (MONTH) (YEAR) when dietary recommendations were made the nurse must have put the wrong amount of the Med Pass 2.0 into the computer. RD #120 stated the order was for Med Pass 2.0 3 ounces four times a day, but the documentation revealed the nurses were giving only 2 ounces four times a day. In an interview on 5/3/18 at 12:04 PM, Registered Nurse (RN) #41 verified the nurse entered the incorrect amount of supplement into the computer, causing the resident to miss 4 ounces of the supplement daily. RN #41 stated at the beginning of each month the nurses do a recapitulation to ensure that physician's orders [REDACTED]. RN #41 verified the nurse missed this error, as there was no new physician order [REDACTED].	2020-09-01