cms_WV: 6290
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6290 | PINEY VALLEY | 515122 | 135 SOUTHERN DRIVE | KEYSER | WV | 26726 | 2014-04-15 | 155 | D | 0 | 1 | ZU6S11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, interviews with the contracted facility staff, and interview with the resident's medical power of attorney, the facility failed to ensure a resident's rights were honored for one (1) of twenty-nine (29) residents reviewed in Stage 2 of the Quality Indicator Survey. The resident received anticoagulant therapy at the [MEDICAL TREATMENT] center. His medical record indicated he did not want anticoagulant therapy due to religious beliefs. Resident identifier: #169. Facility census: 105. Findings include: a) Resident #169 A medical record review, completed on 04/14/14 at 9:00 a.m., revealed Resident #169 received [MEDICAL TREATMENT] services. The current care plan indicated the facility would coordinate care with the [MEDICAL TREATMENT] center. A hospital discharge summary, dated 03/08/14, noted the resident did not receive anticoagulation therapy related to his religious beliefs. In addition, a physician's progress note included, (name of religion) . no anticoagulant therapy. During an interview with the medical power of attorney, on 04/14/14 at 4:30 p.m., she conveyed Resident #169's religious preferences were very important to him. She confirmed he did not want anticoagulant therapy. Upon inquiry, she related she was unaware of the [MEDICAL TREATMENT] process. She said the [MEDICAL TREATMENT] center had spoken with her, but she did not know how the process worked. An interview with [MEDICAL TREATMENT] staff, on 04/14/14 at 5:30 p.m., revealed they were not aware of the resident's refusal of anticoagulant therapy. Staff member #182, a registered nurse (RN) and Staff member #183 (RN) said information regarding the resident's preference for refusal of anticoagulant therapy was not conveyed to them. Employee #183 said communication with the facility was usually limited to communication forms. In addition, the [MEDICAL TREATMENT] center staff related they were not invited, and had never participated in the facility's care plan process. Employee #182 explained options, other than [MEDICATION NAME], were available for the resident, such as saline flushes. Review of the agreement between the facility and the outpatient [MEDICAL TREATMENT] services revealed the facility would make the necessary individual resident clinical records available as necessary for the [MEDICAL TREATMENT] center to furnish its services. The director of care delivery (DCD), Employee #101, was interviewed on 04/15/14 at 8:30 a.m. regarding what pertinent information was shared with the [MEDICAL TREATMENT] center. She said the information provided to the [MEDICAL TREATMENT] center consisted of a copy of the Medication Administration Record, [REDACTED]. There was no evidence the hospital discharge summary, dated 03/08/14, which noted the resident did not receive anticoagulation therapy related to his religious beliefs, or the physician's progress note which included (name of religion) . no anticoagulant therapy were shared with the [MEDICAL TREATMENT] center. Upon exit, the facility had provided no evidence to indicate an attempt was made to ensure Resident #169's right to refuse treatment in regards to religious preferences was honored. | 2018-04-01 |