cms_WV: 5688

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.

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
5688 LAKIN HOSPITAL 5.1e+125 1 BATEMAN CIRCLE WEST COLUMBIA WV 25287 2015-01-14 280 D 0 1 RMOB11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to review and revise a nutrition care plan for one (1) of fifteen (15) residents whose care plans were reviewed. The Stage 2 sample was 28. Resident identifier: #66. Facility census: 89. Findings include: a) Resident #66 Resident #66 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the most recent Minimum Data Set (MDS) assessment, dated 10/02/14, found Resident #55 required assistance from staff for set up of his meals and he was to be supervised during meals. This MDS also documented the resident's Brief Interview for Mental Status score was 0, indicating cognitive impairment. He was also noted to reject care from the staff daily. Review of the nutrition care plan, dated 10/16/14, revealed Resident #66 required a textured diet, staff were to honor his food preferences, were to monitor food and meal intake, and were to offer alternatives for foods he refused to eat. Review of the nurse aide documentation for meal intake revealed Resident #66 had often been refusing to eat. Review of the food intake log for Resident #66 revealed on 12/04/14, 12/05/14, 12/06/14, 12/07/14, 12/31/14, and 01/12/15 he refused his breakfast and his lunch. In addition, the food intake log also revealed on 12/03/14, 12/04/14 and 12/09/14 he also refused to eat his supper. On these dates of refusal, there was no evidence staff offered him a supplement of any kind. Further review of the dietary food intake log revealed during the months of (MONTH) 2014 and (MONTH) 2014, there were greater than 50 meals where staff documented the resident consumed less than 50% of his meal. Interview with Health Service Worker (HSW) #147, on 01/13/15 at 10:20 a.m., revealed Resident #66 had been refusing to eat meals lately and when he did eat, it was often less than 50%. She stated he would not allow the staff to assist him to eat, but they did cue him to eat when he refused. She stated she was not aware of any ordered supplements that the resident was currently receiving. Review of the weight log for Resident #66 revealed the following: -- On 01/06/2015 weight was recorded as 133 pounds -- On 10/03/2014 weight was recorded as 152 pounds -- On 08/05/2014 weight was recorded as 143 pounds These documented weights indicated Resident #66 had experienced a 19 pound weight loss (or 14.3%) from 10/03/14 to 01/06/15. There was no evidence the nutrition care plan had been reviewed or revised to include new interventions to address Resident #66's weight loss of 19 pounds over the past 4 months. This was verified during an interview with the Dietary Manager Staff #47 on 01/13/14 at 10:55 a.m. He verified he had documented the weight difference for Resident #66 from the 10/03/14 weight of 152 pounds to the 01/06/15 weight of 133 pounds, but stated somehow it was not picked up and acted upon with new interventions to prevent further weight loss for Resident #66. 2018-09-01