cms_WV: 5700
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5700 | PINE LODGE | 515001 | 405 STANAFORD ROAD | BECKLEY | WV | 25801 | 2015-01-29 | 280 | D | 0 | 1 | WCKU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to re-evaluate and revise the comprehensive care plans for two (2) of nineteen (19) residents whose care plans were reviewed, when the residents' status changed. Resident #74's care plan was not revised when her activity preferences changed. Resident #122's care plan was not revised when her pain medication was discontinued. Resident identifiers: #74 and #122. Facility census: 108. Findings include: a) Resident #74 Review of the resident's medical record found the resident came to the facility on [DATE]. A recreational assessment, completed on 11/11/14, listed the resident's religion as Methodist. According to the assessment, it was very important for the resident to participate in religious services. An activities care plan, developed on 11/17/14, identified a problem of, Resident would benefit from opportunities to make decisions/choices related for self-directed or group involvement in meaningful activities. Prefers to remain in room at this time. The goal associated with this problem was, Resident will plan and choose to engage in preferred group activities enjoys bingo and church or in room self-directed activities through next review. On 12/22/14, the facility created a new recreational assessment for this resident. The assessment listed the resident's religion as Christian. The assessment also indicated the resident did not consider it important to attend religions services. The facility did not revise the current care plan when the resident no longer expressed an interest in attending church services. In an interview at 2:00 p.m. on 01/21/15, the activity director, Employee #38, confirmed she had interviewed the resident on 12/22/14 and the resident had stated it was not important at all for her to participate in religious activities. b) Resident #122 A review of Resident #122's care plan at 10:14 a.m. on 01/28/15, revealed a focus of (typed as written), PAIN: Resident exhibits or is at risk for alterations in comfort related to receiving hospice services r/t (related to) end of life care for end stage [MEDICAL CONDITIONS]. The care plan interventions related to this focus included, (typed as written), Administer PRN (as needed) pain medication per MD (Medical Doctor) orders and note effectiveness. Notify MD if pain is not reduced: [MEDICATION NAME]. Review of Resident #122's current physician's orders [REDACTED]. Resident #122's PRN [MEDICATION NAME] and his PRN [MEDICATION NAME] were discontinued on 10/31/14. An interview with the Assistant Director of Nursing (ADON) at 11:07 a.m. on 01/28/15, confirmed Resident #122's care plan interventions related to pain management should have been revised when the PRN [MEDICATION NAME] and [MEDICATION NAME] were discontinued on 10/31/14. She confirmed Resident #122's care plan still indicated Resident #122 had an order for [REDACTED].> | 2018-08-01 |