cms_WV: 5712

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
5712 CLARY GROVE 515039 209 CLOVER STREET MARTINSBURG WV 25404 2014-11-19 155 D 0 1 H5V711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident interview, and staff interview, the facility failed to involve the resident in formulating an advance directive. A medical power of attorney (MPOA) and physician filled out paperwork designating a resident as Do Not Resuscitate (DNR) without discussing the matter with the resident. This is true for one (1) randomly reviewed resident. Resident identifier: #211. Facility census: 110. Findings include: a) Resident #211 An interview conducted with the social worker occurred on [DATE] at 4:00 p.m. Two (2) surveyors witnessed this interview. The social worker stated Resident #211 was readmitted to the facility in (MONTH) 2014 and he no longer had capacity. The social worker said the medical power of attorney (MPOA) was who she contacted for issues such as care planning. A medical record review was performed, on [DATE] at 10:00 a.m., where a note was found written by the social worker. The note dated [DATE] stated Resident is a do not resucitate DNR and has a DNR order, MPOA, durable power of attorney (DPOA), and living will (LW) posted on his chart. Resident lacks capacity and is oriented to person, place and time. Resident's brief interview of mental status (BIMS) is 13 . According to the Minimum Data Set (MDS) completed with an assessment reference date (ARD) of [DATE], the resident had a BIMS of 13. This score means cognitively intact. The resident also had a capacity statement on the chart stating he had capacity, signed and dated by a physician on [DATE]. The medical record contained a physician prescription stating DNR signed and dated by a physician on [DATE]. There was also a Release of Liability for Withholding of Life Prolonging Interventions filled out by the resident's MPOA requesting to withhold CPR on [DATE]. This form was not signed and dated by the physician until [DATE], the same date the resident was determined to have capacity. On [DATE] at 10:30 a.m. an interview was held with the resident regarding his wishes for life prolonging measures. He stated no one has discussed this with him and also I think CPR (cardiopulmonary resuscitation) would be good! This matter was then discussed with the social worker on, [DATE] at 10:45 a.m., and she could not find evidence that the matter of life prolonging measures was ever discussed with the resident prior to the DNR order being written. 2018-08-01