cms_WV: 7710
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7710 | TRINITY HEALTH CARE OF MINGO | 515069 | 100 HILLCREST DRIVE | WILLIAMSON | WV | 25661 | 2014-02-19 | 520 | D | 1 | 0 | 70SM11 | Based on medical record review and staff interview, the facility's Quality Assessment and Assurance (QAA) committee failed to identify quality deficiencies of which they had, or should have had knowledge. A resident had an exacerbation of resident-to-resident altercations which were not addressed by the QAA committee. The committee failed to develop and implement a plan of action to correct the problem. Resident identifier: Resident #14. Facility census: 83. Findings include: a) Resident #14 The incidents/accident reports were reviewed on 02/17/14 at 2:00 p.m., related to a complaint of resident-to-resident altercations. According to the reports, Resident #14 engaged in multiple acts of aggression in January as follows: -- On 01/22/14 at 4:13 p.m., Resident #14 entered another resident's room and slapped a resident on the chest, while the resident was lying in bed. -- At 7:25 p.m., on 01/24/14 after hearing a call for help, a nurse observed Resident #14 grabbing another resident by the shirt and hands. Resident #14 squeezed the resident's hand causing a reddened area. -- Resident #14 entered the dining room on 01/25/14 at 4:00 p.m., and started hitting another resident on the left shoulder. -- On 01/27/14 at 5:53 p.m., Resident #14 entered another resident's room and began smacking her in the face. The incident report noted she smacked the resident 2-3 times. -- At 6:29 a.m., on 01/28/14, staff observed Resident #14 holding onto another resident's wheel chair. Staff observed Resident #14 scratching the resident on the face. -- Again, on 01/28/14, at 11:18 a.m., after hearing a resident yell, staff observed Resident #14 twisting the right hand of a resident. During an interview with the assistant administrator, on 02/18/14 at 5:00 p.m., he said the facility had not identified a pattern related to the resident-to-resident altercations. He said the QAA committee met in February 2014, but did not address the exacerbation of behaviors exhibited by Resident #14. He acknowledged the facility had not identified that the first four (4) incidents occurred on the evening shift, between 4:00 p.m. and 7:30 p.m. He also acknowledged the facility did not identify inadequate or inappropriate interventions used by staff during the exacerbation of aggression from 01/22/14 through 01/27/14, and had not explored potential causative factors. | 2017-02-01 |