cms_WV: 8010

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
8010 E.A. HAWSE NURSING AND REHABILITATION CENTER, LLC 515173 18086 STATE ROUTE 55 BAKER WV 26801 2012-10-23 282 D 0 1 R9MR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident interview, medical record review, and staff interview, the facility did not provide in accordance with a resident's written care plan. The facility failed to implement the care plan related to pain for one (1) of twenty-eight (28) residents on the sample. Resident identifier: #4. Facility census: 56. Findings include: a) Resident #4 During an interview with Resident #4, on 10/16/12 at 9:23 a.m., he stated he had pain in his legs all of the time and medication did not help. On 10/17/12 at 2:30 p.m., in a follow up interview with Resident #4, he confirmed the pain in his legs. He rated it as a ten (10) on a zero (0) to ten (10) pain scale. He stated his pain affected his ability to perform activities of his choice and his sleep. (Note: for the numerical pain scale from 1 to 10, a rating of 1 is mild pain, and the pain severity increases up to a rating of 10, which is severe pain.) A medical record review was performed on 10/17/12. Resident #4 had a [DIAGNOSES REDACTED]. His most recent care plan listed Acute Pain as a focus problem. The goal was . will state relief in pain within 1 hour of receiving pain medication. An intervention was, Document patient's response to pain and medications or therapeutics aimed at abolishing or relieving pain. The medication administration report listed Tylenol 650 milligrams (mg) as a medication given every evening at 9:00 p.m. On 10/17/12 at 12:25 p.m., Employee #28, the Unit Charge Nurse/Licensed Practical Nurse (LPN), was interviewed. S he confirmed that Resident #4 did receive a scheduled Tylenol every evening. She was unable to produce evidence that follow up evaluation was performed after administration of Resident #4's Tylenol. This was discussed with the Director of Nursing (DON) on 10/17/12 at 3:00 p.m. The DON was unable to produce evidence of an evaluation/reassessment of Resident #4 in regards to pain in accordance with the care plan. On the Medication Administration Report (MAR), there was a numeric value next to each Tylenol administration stating Pain. Employee #4, clarified this value, on 10/23/12 at 12:45 p.m., by explaining it was a pain assessment performed by the afternoon shift nurse at some point during the shift. This entry had no relationship to the administration of the 9:00 p.m. Tylenol or evaluation of its effectiveness. The facility failed to follow up on the administration of the 9:00 p.m. Tylenol for Resident #4 as identified in the established care plan. 2016-11-01