cms_WV: 6331

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.

Data source: Big Local News · About: big-local-datasette

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
6331 DAWN VIEW CENTER 515163 PO BOX 686 FORT ASHBY WV 26719 2014-07-09 155 D 0 1 2M0C11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure a resident who had been determined by her attending physician to have the capacity to make her own healthcare decisions was provided with appropriate information and/or involved in the formulation of her advance directive. She was one (1) of a total of thirty-one (31) residents (both with and without capacity) in the sample reviewed. Resident identifier: #29. Facility census: 66. Findings include: a) Resident #29 A review of Resident #29's medical record revealed she was admitted on [DATE]. At that time, her attending physician deemed she had the capacity to form her own healthcare decisions. There was no evidence in the record stating she wished another individual to make her decisions. She had a Full Code (wanted to be resuscitated and have all life saving measures implemented) decision documented on admission. The resident's Physician order [REDACTED]. The form indicated the decision was explained to only MPOA (medical power of attorney), and was signed by the daughter (MPOA). There was no indication in the record the resident was involved in the decision or that it had been explained to her. During an interview with the director of nurses (DON) and the Social Worker (SW), at 2:00 p.m. on 06/30/14, the DON verified the resident was alert and oriented, and was able to make her needs known. The Social Worker said he remembered the daughter attending a care plan meeting and requesting a change to the DNR status, but he did not remember the resident being present. The SW returned at 2:20 p.m. on 06/30/14, after reviewing the entire record and acknowledged there was no documentation of a request by the resident instructing anyone to sign for her or that she was aware of the change in her code status. The care plan was revised to DNR status on 04/29/14, and included a nursing intervention stating, Inform (Resident #29) and/or healthcare decision maker of any change in status or care needs and Provide (Resident #29)/healthcare decision maker with sufficient information to make an informed decision. 2018-04-01