cms_WV: 5705

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
5705 PINE LODGE 515001 405 STANAFORD ROAD BECKLEY WV 25801 2015-01-29 323 E 0 1 WCKU11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident interview, observation, record review, and staff interview, the facility failed to provide a resident environment, in which the facility had control over, that was as free from accident hazards as possible. Resident #132 had multiple falls while a resident at the facility. Resident #132 often self-ambulated in her room with assistance from her walker. The facility put in place a fall mat at her bedside, which caused Resident #132 to experience a fall. This was true for one (1) of three (3) residents reviewed for the care area of accidents during Stage 2 of the Quality Indicator Survey. Resident identifier: #132. Facility census: 108. a) Resident #132 An observation of Resident #132 at 2:00 p.m. on 01/19/15, revealed a Band-Aid just above her left eye. When asked what had happened to her forehead, Resident #132 stated, I got up to go to the bathroom and they had one of them rugs down and it caused me to fall and hit my head. She further stated, They took it out of here after I fell because it caused me to fall. Review of facility records at 4:00 p.m. on 01/20/15, revealed an incident/accident report for Resident #132 dated 01/15/15. The circumstances of the event were described as follows, Resident was witnessed falling in front of sink. Resident was ambulating with walker without assistance to restroom and fell . Resident hit head on floor causing a superficial laceration above the left eye . The incident/accident report also indicated the immediate actions taken to the safeguard the resident were (typed as written), Skin and Pain evaluation first aid applied to laceration above left eye. DC (discontinue) fall mats, encourage resident to ask for assistance and use call light. A review of Resident #132's medical record at 4:20 p.m. on 01/20/15, revealed a physician's orders [REDACTED].#132's bed. A review of Resident #132's activities of daily living record for the dates of 12/30/14 through 01/15/15 revealed resident was independent with walking in her room daily beginning on 01/08/15. Further review of Resident #132's medical record found a physician's orders [REDACTED].#132's bedside. The medical record also contained a nursing progress note dated 01/16/15, which contained the following text (typed as written): bed and chair alarm being utilized and fall mat to floor by bed has been discontinued as it poses a greater risk for fall. An interview with the Director of Nursing (DON) at 4:00 p.m. on 01/21/15, confirmed fall mats to the resident's bedside were not an appropriate fall intervention when the resident was able to ambulate with or without a walker. She stated they evaluated Resident #132's ability to ambulate after her fall on 01/15/15 and discontinued the fall mats. The DON was asked why the fall mats were not discontinued prior to Resident #132 falling. She stated, We may not have known she was ambulating in her room with her walker prior to this date. The DON reviewed Resident #132's ADL flow sheet for the month of (MONTH) (YEAR). She agreed the resident was independent with walking in her room daily beginning on 01/08/15, which was eight (8) days prior to the resident's fall on 01/15/15. The DON agreed the fall mat was not an appropriate intervention for Resident #132 since she could ambulate in her room. She agreed fall mats for residents who were able to ambulate posed a greater risk for falls and should not be used. 2018-08-01