cms_WV: 876
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
876 | DUNBAR CENTER | 515066 | 501 CALDWELL LANE | DUNBAR | WV | 25064 | 2019-07-02 | 842 | E | 0 | 1 | LUON11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** , Based on record review, resident interview and staff interview the facility failed to ensure that each residents record was complete and accurate. Resident #56's record was inaccurate in regards to location his blood pressure was obtained. For resident #78 the facility failed to document in the record about the residents fall. And for Resident #211 the facility did not complete Activities of Daily Living Documentation for multiple days after their admission to the facility. This was true for three (3) for 41 sampled residents. Resident Identifiers: #56, #78, and #211. Facility Census: 117. Findings Include: a) Resident #56 A review of Residents #56 medical record beginning at 3:11 p.m. on 07/01/19 found Resident #56 has an AV Fistula to his left arm and a physicians order for no blood pressures to be obtained in the left arm. An review of Resident #56's recorded blood pressures in the electronic medical record from 04/01/19 through present found on the following the facility documented Resident #56's blood pressure was obtained in his left arm: 04/01/19 at 8:31 p.m. 04/02/19 at 1:04 p.m. 04/03/19 at 8:27 p.m. 04/04/19 at 9:30 a.m. and 1:04 p.m. 04/05/19 at 4:12 p.m. 04/06/19 at 1:18 p.m. 04/07/19 at 1:13 p.m. 04/09/19 at 6:10 a.m. 04/18/19 at 8:41 p.m. 04/19/19 at 9:12 a.m. 04/20/19 at 2:20 p.m. 04/23/19 at 1:45 p.m. 04/25/19 at 5:03 p.m. 04/26/19 at 5:36 p.m. 04/27/19 at 3:18 p.m. 04/28/19 at 3:26 p.m. 04/30/19 at 3:05 p.m. and 8:32 p.m. 05/01/19 at 8:07 p.m. 05/02/19 at 8:14 p.m. 05/04/19 at 1:16 p.m. 05/07/19 at 8:41 p.m. 05/09/19 at 8:20 p.m. 05/13/19 at 9:46 a.m. 05/14/19 at 10:11 a.m. and 8:35 p.m. 05/17/19 at 8:09 p.m. 05/19/19 at 10:30 a.m. 05/21/19 at 8:11 p.m. 05/28/19 at 5:19 p.m. 05/31/19 at 7:31 a.m. 06/02/19 at 8:53 p.m. 06/03/19 at 8:46 p.m. 06/04/19 at 8:34 p.m. 06/07/19 at 9:13 a.m. 06/08/19 at 5:50 a.m. and 9:08 a.m. 06/22/19 at 5:30 a.m. and 10:25 p.m. 06/28/19 6:01 a.m. 06/30/19 at 12:35 a.m. An interview with Resident #56 at 9:30 a.m. on 06/25/19 revealed he does not allow them to take his blood pressure in his left arm. He stated, If they try that I stop them. They only take my blood pressure in my right arm. An interview with the Director of Nursing at 2:40 p.m. on 07/01/19 confirmed the blood pressure documentation as to where the blood pressure was obtained was inaccurate on the above named dates and times. b) Resident #211 Review of Resident #211's medical records found the resident was admitted to the facility on [DATE]. Review of the (MONTH) 2019 ADL (Activities of Daily Living) record found no documentation until 06/23/19. (5 days later) On 07/02/19 at 9:00 AM, Director of Nursing (DON) agreed that the resident had no documentation existed until 06/23/19 to indicate the ADLs were provided until five days after admission. No further information provided. | 2020-09-01 |