cms_WV: 5708

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
5708 PINE LODGE 515001 405 STANAFORD ROAD BECKLEY WV 25801 2015-01-29 411 D 0 1 WCKU11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident interview, record review, observation, and staff interview, the facility failed to obtain dental services for one (1) of three (3) residents reviewed for the dental care area during Stage 2 of the Quality Indicator Survey. The facility staff had knowledge the resident's lower dentures were broken and subsequently became lost on or before 12/30/14, but failed to make the necessary arrangements for the resident's identified dental needs. Resident identifier: #132. Facility census: 108. Findings Include: a) Resident #132 An interview with Resident #132 at 2:08 p.m. on 01/19/15, found she was having difficulty chewing some foods because her lower dentures were missing. She stated she had her teeth from (MONTH) 2014 until her most recent readmission to the facility a few weeks ago (12/30/14). She stated while she was out to the hospital the facility staff moved her things from one room to another, and her lower dentures were lost. When asked if she had told anyone at the facility her teeth were missing, she stated, Yes I told everyone the nurse aides, the nurses, and the big boss. She indicated the facility staff told her they looked for them, but were unable to locate her dentures. When asked if anyone had offered to make her a dental appointment to see about getting a new set of dentures she replied, No one has offered to do anything to help get them replaced. At 11:07 a.m. on 01/22/15, the Director of Nursing (DON) performed an oral assessment on Resident #132. The note written by the DON relating to this oral assessment contained the following text (typed as written): .Resident and family member confirmed that bottom set of dentures was later brought into the facility however was broken and glued to fit and then was dropped by the resident and re-broken and was misplaced before they could be glued for resident to wear again The DON indicated in this progress note the facility would consult Resident #132's preferred dentist for a follow up related to her missing dentures. An additional interview with Resident #132 at 12:00 p.m. on 01/22/15 revealed Resident #132's lower denture was broken before she went out to the hospital on [DATE]. She stated she had bitten into something, and the lower denture broke. She stated when she returned from the hospital on [DATE], she was going to give the lower denture to her ex-husband, so he could glue it back together as he had done in the past, and the denture was missing. Resident #132 was unable to give an exact date as to when her denture was broken. She stated, All I know is it was broken before I went to the hospital this last time. Review of Resident #132's medical record at 1:30 p.m. on 01/22/15 found Resident #132 had multiple discharges to the hospital since admission her admission to the facility. The most recent discharge to the hospital was on 12/22/14. Resident #132 was readmitted on [DATE]. Resident #132's nursing admission assessments for 10/17/14 and 12/11/14 were reviewed. The assessments revealed Resident #132 had both her upper and lower dentures present upon completion of these assessments. Review of Resident #132's nursing admission assessment dated [DATE], found the resident only had her upper dentures present when this admission assessment was completed. A review of Resident #132's care plan found the following intervention related to her self-care deficit (typed as written): Resident has upper dentures, soak QHS (every night) and PRN (as needed). (reports having lower dentures but unable to locate at this time.) The facility initiated this intervention on 12/30/14, upon Resident #132's most recent readmission to the facility. There was no evidence in the medical record to suggest Resident #132 had been referred to a dentist since her lower dentures broke, and were subsequently lost. In an interview with the DON at 3:29 p.m. on 01/22/15, when asked if Resident #132 had been referred to the dentist since her lower dentures were broken and then lost, she stated, No we did not know about it until today when you brought it to our attention. The DON was asked to review the Nursing assessment dated [DATE], and the care plan intervention dated 12/30/14. She confirmed the nurse completing the admission assessment noted the lower dentures were not present upon readmission. She also confirmed the nurse completing the care plan had knowledge the resident's dentures were missing. She confirmed staff did have knowledge of Resident #132's missing dentures, and the facility should have made an appointment prior to the discovery during the survey process. 2018-08-01