cms_WV: 5692
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5692 | PINE LODGE | 515001 | 405 STANAFORD ROAD | BECKLEY | WV | 25801 | 2015-01-29 | 224 | D | 0 | 1 | WCKU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, medical record review, staff interview, and policy review, the facility failed to ensure two (2) of three (3) residents reviewed for nutrition were free from neglect. Goods and services for the prevention of weight loss were not provided as ordered. Resident identifiers: #16 and #74. Facility census: #108. Findings include: a) Resident #16 Review of the weights and vital sign summary found the resident's most recent weight was 117.8 pounds on 01/20/15. The previous recorded weight was 131 pounds on 12/23/14. A nutritional assessment was completed on 11/04/14. The registered dietitian noted the resident had a 7.5% weight loss (a significant weight loss) in the past three (3) months. The dietitian ordered a house supplement and other interventions to address the resident's weight loss. During the survey, on 01/21/15, the resident was still receiving a house supplement, four (4) ounces, two (2) times a day at 10:00 a.m. and 2:00 p.m. At 2:50 p.m. on 01/21/15; the resident was sitting in her chair with a bedside table which contained two (2) cartons of the house supplement. Observation found the resident had not consumed any of the supplements. The paper cartons containing the supplements, were opened; however, the resident had no straw and no glass. Review of the Medication Administration Record [REDACTED]. At 2:57 on 01/21/15, the administrator and the director of nursing (DON) were asked to observe the supplement which was still on the resident's bedside table and to review the MAR. The DON confirmed the consumption of the supplement and the documentation on the MAR indicated [REDACTED] b) Resident #74 Review of the weights and vital sign summary found the resident weighed 165 pounds when admitted on [DATE]. Her last recorded weight was 140.9 pounds on 01/20/15. On 01/06/15, the physician ordered a house supplement, four (4) ounces two (2) times a day, at 10:00 a.m. and 2:00 p.m., for weight loss. At 12:53 p.m. on 01/22/15, review of the MAR found the nurse, Employee #15, had already documented the resident refused her 2:00 p.m. house supplement. The DON and the administrator were asked to review the MAR indicated [REDACTED]. The DON confirmed the 2:00 p.m. snack had not yet been served, although the nurse had already documented it was refused by the resident. c) Review of the facility's policy for Abuse Prohibition found, (Name of the company) will prohibit abuse, neglect, involuntary seclusion, and misappropriation of property for all patients .Neglect is defined as the failure to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness. Resident #16 and Resident #74 each had an order for [REDACTED].#15, the nurse responsible for the residents, failed to ensure the supplements were provided, consumed, and/or monitored. The nurse documented Resident #74 refused the supplement more than an hour prior to the receipt of the supplement by the resident. In addition, Resident #16 consumed none of the supplement provided. The same nurse documented the resident consumed 100% of the supplement. | 2018-08-01 |