cms_WV: 8011

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
8011 E.A. HAWSE NURSING AND REHABILITATION CENTER, LLC 515173 18086 STATE ROUTE 55 BAKER WV 26801 2012-10-23 309 G 0 1 R9MR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident interview, staff interview, and medical record review, the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care. The facility failed to provide effective pain relief, resulting in actual harm due to ineffective pain management, for one (1) of three (3) Stage 2 residents reviewed for the care area of pain. 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., a follow up interview was conducted at which time Resident #4 stated his pain was in his legs. He rated his pain as a ten (10) on a zero (0) to ten (10) pain scale, with zero (0) being no pain and ten (10) being the highest pain level. He stated his pain affected his ability to perform activities of his choice and affected his sleep. An interview with Employee #28, a Unit Charge Nurse/Licensed Practical Nurse (LPN) was conducted on 10/17/12 at 12:45 p.m. She stated Resident #4 received a scheduled Tylenol every evening and had an as needed (PRN) Tylenol order as well, although the resident had not received the PRN Tylenol since last month (09/20/12). She was unable to produce evidence of any follow up evaluations for Resident #4 regarding the effectiveness of his scheduled pain medication. When asked if the resident was assessed for pain, she stated the registered nurses performed pain assessments on residents at weekly intervals, but it was unrelated to the administration of pain medication. This situation was discussed with the Director of Nursing (DON) on 10/17/12 at 3:00 p.m. She was unable to produce any additional information regarding assessment and reassessment of Resident #4's pain and his response to the medication for pain. On 10/17/12, a record review was performed. Resident #4 had [DIAGNOSES REDACTED]. Since 10/26/11, he had received Tylenol 650 milligrams (mg) orally every evening at 9:00 p.m. for joint stiffness/pain. There was a numeric value next to each Tylenol administration stating Pain. On 10/13/12 this value was a four (4). Employee #4, a Unit Charge Nurse/Licensed Practical Nurse (LPN), 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, it had no relationship to the administration of the 9:00 p.m. Tylenol or its effectiveness. Resident #4 also had a physician's orders [REDACTED]. This had first been ordered on [DATE]. There was no evidence of assessments of Resident #4's pain prior to or after the administration of the muscle rub. Since 10/26/11, there was no evidence any other pain medications had been tried, other than Tylenol or the Muscle Rub. The current care plan, last reviewed on 09/20/12, had a goal of, . will state relief in pain within 1 hour of receiving pain medication. An intervention associated with this goal was, Document patient's response to pain and medications or therapeutics aimed at abolishing or relieving pain. In addition, an intervention stated, Notify physician if interventions are unsuccessful or if current complaint is a significant change from patient' s past experience of pain. There was no evidence the care plan was followed, no evidence of a follow up to determine if pain management was effective, and no evidence the physician was notified of progress or lack of progress to ensure Resident #4 achieved his highest possible level of well-being through effective pain management. 2016-11-01