cms_WV: 74
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 74 | GUARDIAN ELDER CARE AT WHEELING | 515002 | 20 HOMESTEAD AVENUE | WHEELING | WV | 26003 | 2019-08-06 | 741 | D | 1 | 1 | WJ7O11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and staff interview the facility to failed to provide competent staffing for the care and services delivered to maintain resident safety and attain the highest practicable physical mental and psychosocial well-being of each resident. The facility failed to thoroughly investigate an allegation of neglect related to threatening a resident with discharge and an incident in which a nurse gave [MEDICATION NAME] to a van driver to give to a resident while out of the facility. This is true for one (1) of two (2) compliant/concerns reviewed. Resident #239. Facility census. 140. Findings included: a) Resident #239 Review of medical records revealed a physician order [REDACTED]. The first dose of this order was given on 02/13/19 at 7:54 PM. The previous order with a start date of 01/23/19 was [MEDICATION NAME] 15 mg every six (6) hours as needed for pain. Review of a complaint/concern with a date of 02/14/19 revealed a statement by registered nurse (RN) #94, explaining both she and the night nurse signed out, the pain medication, and placed the medication in a bag, and instructed the van driver to give the medication at 12:00 PM on this same date. The dosage is not revealed in the note. A grievance investigation form completed by risk manager RN #136 reveals, Resident left for at 7:15 AM for an appointment and medication was given to the van driver by nursing staff. According to Resident #239 she was given the medication, by the van driver, at approximately 8:30 AM. Review of documentation concerning this matter found. 1. Van driver #63 was given the mediation by RN #94 who instructed the van driver to give to the resident at 12:00 PM. 2. A note written by the director of nursing reveals she spoke to van driver #63, who stated RN #94 gave him medication in a bag with instructions to give the medication to Resident #239 at 12:00 PM. This documentation is not signed by van driver #63. It is signed by the DON with a date of 02/15/19. 3. A note written by SS #111 in which Resident #239 stated she did not feel like it was not right for the van driver to give her [MEDICATION NAME]. 4. A note written by RN #136, with a date of 02/14/19 reveals, Van driver was given [MEDICATION NAME] tab to hand to this resident. He did not administer the med. Upon review of MARS, only dose documented was at 1 am on 2/14. Nursing supervisor said she was given [MEDICATION NAME] again around 4:35 am, but this dose was not documented on her MARS. Resident left for appointment @ 7:15 am. Med sent to appointment was given per resident from the van driver approximately at 8:30 am. Not documented on MARS upon return to facility same day. Appointment at 9 am. Resident returned around 11:15 am. Information given to Dir of Nurs to investigate by gathering witness statements and determining if resident right were violated. Email sent to Dir of Nurs on 2/25/as a follow up in regarding to resolving this grievance., On 0805/19 at 3:58 PM the DON agreed sending medication with the van driver was inappropriate. | 2020-09-01 |