cms_WV: 9465
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9465 | E.A. HAWSE NURSING AND REHABILITATION CENTER, LLC | 515173 | P.O BOX 70 | BAKER | WV | 26801 | 2009-12-02 | 279 | D | 0 | 1 | 7R6711 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, and observation, the facility failed to develop appropriate plans of care, including measurable goals and nursing interventions aimed at attaining these goals, for three (3) of twelve (12) sampled residents with problems that had been identified in their comprehensive assessments. Resident identifiers: #1, #42, and #6. Facility census: 55. Findings include: a) Resident #1 A review of the medical record revealed Resident #1 was an [AGE] year old female with [DIAGNOSES REDACTED]. She received this medication almost nightly since her admission on 09/14/09, and the resident assessment protocol (RAP) summary, dated 10/02/09, indicated her care plan would address the use of psychoactive medications. At 3:00 p.m. on 11/30/09, a review of the resident's active care plan (which had been revised with a significant change on 10/02/09) revealed neither the establishment of a measurable goal for her identified problem of [MEDICAL CONDITION], nor any nursing interventions aimed at the resolution of her [MEDICAL CONDITION], although the nurses' notes documented almost nightly administration [MEDICATION NAME] with her pain medication; the nurses' also notes failed to reveal any documentation of intervention attempts other than the administration of medications. The care plan also did not address the potential problems associated with the resident receiving [MEDICAL CONDITION] medications. This was pointed out to the director of nurses (DON) at 12:00 noon on 12/01/09. The DON returned at 3:00 p.m. on 12/01/09 with a copy of a page from the resident's initial care plan which did include a plan, established on 09/16/09, for the problem of: Resident receiving [MEDICAL CONDITION] mg po qHS prn for [MEDICAL CONDITION] and is at risk for side effects. She stated this page had accidentally been omitted when the care plan was revised, but she acknowledged that neither care plan addressed the problem of [MEDICAL CONDITION]. b) Resident #42 Resident #42, when observed in the afternoon on 11/30/09, was seated in a cardiac chair in her room with her feet elevated. The resident was yelling out and moaning. When an attempt at interviewing the resident was made, the resident responded that she was hurting but could not indicate where. An interview at this time with a licensed practical nurse (LPN - Employee #47) found the resident did not like being in bed and would not stay there if put into bed. She related that the resident mostly was up in her wheelchair, and when she needed to rest, she was most comfortable in the cardiac chair. She also related that Resident #42 exhibited intermittent crying spells that included loud repetitious verbalizations of distress, often refused to go to bed, and was placed into a cardiac chair. A review of the resident's 11/10/09 care plan found no mention of the resident's refusal to go to bed and need / desire to be placed into the cardiac chair. The only care plan addressing the resident's use of the cardiac chair was during times of agitation. c) Resident #6 Review of the resident's admission minimum data set (MDS) assessment, dated 02/06/09, found this resident was assessed as being continent of bladder. A quarterly MDS, dated [DATE], indicated the resident was usually continent with occasional incontinence occurring less than weekly. A significant change in status MDS, dated [DATE], indicated the resident was incontinent daily but with some control. The 10/13/09 Bladder Incontinence Assessment and Progress notes indicated the resident had multiple intracranial meningeoma which were worsening and had a [DIAGNOSES REDACTED]. A review of the resident's 10/27/09 care plan, with the DON on the late afternoon of 12/01/09, found a care plan was not developed for the resident's worsening bladder incontinence. | 2015-11-01 |