cms_WV: 9141

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.

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
9141 CAREHAVEN OF PLEASANTS 515191 PO BOX 625 BELMONT WV 26134 2012-04-26 155 D 0 1 JRXZ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview, resident interview, and record review, the facility failed to ensure one (1) of thirty-three (33) residents was provided the opportunity to exercise his right to refuse treatment. The resident was given a thirty (30) day notice for refusing care and treatment without evidence the facility assessed the reason's for the refusals and without evidence alternative treatments and/or times for treatments were offered. Resident identifier: #78. Facility census: 61. Findings include: a) Resident #78. Review of the medical record found several occasions when Resident #78 refused care and treatment. No evidence could be found the facility investigated why the resident refused care and treatment. Resident #78 was admitted to the facility on [DATE]. The admission [DIAGNOSES REDACTED]. During an interview with the resident, on 04/23/12 at 3:00 p.m., it was learned the resident did not like the type of solution used to treat his wounds. The resident stated, It's a bleach solution and [MEDICAL CONDITION] nose. The treatment was ordered twice a day. The resident stated he was not going to let the facility use Dakins solution twice a day. According to Employee #97 (treatment nurse), during an interview on 04/25/12 at 9:14 a.m., Resident #78 had voiced his opinion of the Dakins solution to her. She stated, He is non-compliant with a twice a day treatment. She further added she contacted the wound care center, but they would not change the treatment. Employee #97 was asked whether she had contacted the attending physician to get the treatment changed. She stated, He will not go against the wound care center. She stated at one time they had used a patch which only had to be changed every three (3) days, and the resident was more compliant with this treatment. No evidence could be found the physician was aware of Resident #78 having difficulty with the current treatment. Additionally, no evidence could be found the facility alerted the physician to why Resident #78 was refusing treatments. During the interview with Resident #78 on 04/23/12 at 3:00 p.m., the resident stated he liked to stay up all night and watch television and slept during the day. This was also a reason he refused treatments, as they were scheduled at times which were inconvenient for him. No evidence could be found the facility made arrangements to work treatments around Resident #78's schedule. On 04/11/12, the facility issued Resident #78 a thirty (30) day notice stating they had no choice, but to give him a thirty (30) day notice related to his refusals of care and treatment. The letter further stated the facility would look for alternative placement that better suited the resident. During an interview with Employee #100 (administrator), on 04/24/12 at 5:57 p.m., he stated the facility had several meetings with Resident #78, but did not have documentation related to these meetings. He further added Resident #78 may have stated he did not want to go to another nursing home. During an interview, on 04/24/12 at 5:57 p.m., Employee #100 was asked for information related to education provided to Resident #78 on the risks and benefits of treatment. He stated, I'm sorry, it's not documented. On 04/24/12 at 3:37 p.m., Employee #78 (social worker/admission coordinator) was asked if he had met with Resident #78 related to his care and treatment. He stated, No, I have not had a lot of contact with him. He further added he was present when the facility gave Resident #78 a thirty (30) day notice for refusal of care. Review of the social worker notes identified only three (3) notes written from 02/14/12 thru 04/23/12. On 02/29/12, Employee #78 wrote a note stating the following, Had been refusing care related to pain, but this has been corrected and he is participating more now. According to the social service note dated 02/29/12 Resident #78 was having no issues at that time. 2016-02-01