cms_WV: 7156

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
7156	PINE LODGE	515001	405 STANAFORD ROAD	BECKLEY	WV	25801	2013-09-16	278	D	0	1	XYYM11	Based on medical record review and staff interview, the individual completing and certifying the accuracy of the minimum data set (MDS) assessment for one (1) of thirty-one (31) sample residents failed to ensure the assessment was coded accurately. Resident #174's assessment did not accurately reflect the resident's urinary continence status. Resident identifiers: #174. Census: 111. Findings include: a) Resident #174 Review of the resident's significant change MDS assessment, with an ARD of 07/01/13, on 09/11/13 at 11:00 a.m., found assessment item H0300 was coded to identify the resident as always incontinent Further review of the medical record, on 09/11/13 at 11:20 a.m., found copies of the Resident Functional Performance Record, completed daily by the nursing assistants, which reflected the resident was continent of bladder functioning during the look back period, 06/25/13 through 07/01/13, the time frame in which the MDS was completed. Employee #63, a registered nurse MDS manager, was interviewed on 09/11/13 at 12:55 p.m. Employee #63 compared the information from the Resident Functional Performance Record to the 07/01/13 MDS and stated, It would appear the resident was continent. She stated she did not complete the MDS and she would send Employee #55, who had completed the MDS, to speak with the surveyor. At 1:28 p.m. on 09/11/13, Employee #55, a registered nurse MDS manager, stated she was responsible for completion of the resident's 07/01/13 MDS. Employee #55 verified the look back period for the 07/01/13 MDS was 06/25/13 through 07/01/13. She looked at the Resident Functional Performance Record completed by the nursing assistants and stated, I made a mistake, she was continent of bladder. I will complete a corrected MDS and submit it. She provided a copy of her MDS collective data used to complete the 07/01/13 MDS. She stated, I knew she was continent when I completed the MDS, I just made a mistake. On 09/11/13 at 2:00 p.m. the administrator stated the facility did not have a policy pertaining to the completion of the MDS. She stated the facility just followed the Resident Assessment Instrument (RAI) Manual. The administrator and director of nursing (DON) were made aware of the coding error on 09/13/13 at 2:00 p.m. The DON acknowledged the MDS was coded incorrectly.	2017-07-01