cms_WV: 6989
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6989 | EAGLE POINTE | 515159 | 1600 27TH STREET | PARKERSBURG | WV | 26101 | 2013-12-18 | 155 | D | 0 | 1 | EUXT11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, and resident interview, the facility failed to ensure a resident was afforded the right to formulate an advanced directive. This was found for one (1) of four (4) sample residents reviewed for the care area of choices during Stage 2 of the survey. The resident's code status was determined by a medical decision maker during a time the resident did not have capacity to make medical decisions. The code status was not reevaluated with the resident when she regained capacity to make health care decisions. Resident Identifier: #91. Facility Census: 130. Findings Include: a) Resident #91 Resident #91's medical record was reviewed at 1:00 p.m. on 12/17/13. This review revealed two (2) Physician's Determination of Capacity forms. The first form was dated 12/04/13 and determined the resident had capacity to make medical decisions. The second form was dated 12/07/13, and also determined the resident had capacity to make medical decisions. The record also contained a social service progress note, dated 12/11/13, written by Employee #62, Social Worker. This note revealed Resident #91 was reevaluated for capacity because she had scored a 15 on her latest Brief Interview for Mental Status (BIMS). She indicated Resident #91 was reevaluated by two (2) physicians and had regained her ability to make medical decisions. Further review of Resident #91's medical record revealed a Do Not Resuscitate form. This form contained the following paragraph, I, the undersigned resident or duly authorized legal representative, have made a decision regarding resuscitation in the event that I (the above named resident) am discovered without respiration or pulse. The affected resident or legal representative wishes that medical personnel in attendance would NOT initiate cardiopulmonary resuscitation. I understand I may revoke these directions at any time. This form contained Resident #91's name. It was signed by her Legal Representative on 09/26/12. At the time the form was signed by the legal representative, Resident #91 did not have capacity to make healthcare decisions. A physician's orders [REDACTED]. There was no indication the facility reviewed the Do Not Resuscitate order with Resident #91 when she regained capacity to make medical decisions on 12/07/13. Resident #91 was interviewed at 2:15 p.m. on 12/17/13. She stated no one had ever talked to her about Cardiopulmonary Resuscitation. Employee #62, Social Worker, was interviewed at 2:35 p.m. on 12/17/13. She stated she had not reviewed Resident #91's advance directives with her since she regained capacity to make health care decisions. She confirmed the resident's Do Not Resuscitate status was something she should have reevaluated with the resident when the resident regained capacity to make medical decisions. . | 2017-09-01 |