cms_WV: 9596

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
9596 HILLCREST HEALTH CARE CENTER 515117 P.O. BOX 605 DANVILLE WV 25053 2012-10-05 152 D 1 0 D8F011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, and review of the West Virginia Code, the facility failed to ensure a third evaluation of the resident's ability to make health care decisions was completed after the facility obtained two conflicting statements regarding the resident's ability to make health care decisions. The unresolved conflict resulted in various individuals making health care decisions for the resident. This was true for one (1) of six (6) medical records reviewed for resident rights exercised by a representative. Resident identifier: #81. Facility census: 89. Findings include: a) Resident #81 Review of the medical record found the resident's physician had determined the resident demonstrated capacity to make medical decisions on 07/17/12. Further review of the medical record found the local Department of Health and Human Services (DHHR) had completed the admission paper work on 07/19/12, two (2) days after the resident's physician determined the resident had the capacity to make his own medical decisions. The DHHR had also completed a, West Virginia Physician order [REDACTED]. The admissions director, Employee #56, was interviewed at 10:00 a.m. on 10/2/12. He stated the resident had lacked capacity upon admission. On 10/02/12 at 10:25 a.m., the facility social worker, Employee #62, presented a physician's determination of capacity from a local hospital, dated 06/27/12, which determined the resident lacked capacity to make medical decisions and appointed the DHHR as the resident's health care surrogate. According to the West Virginia Code (16-30-22), .shall have two physicians, one of whom may be the attending physician, or one physician and a qualified psychologist, or one physician and an advanced nurse practitioner, certify that the principal has regained capacity. Further review of the physician's orders [REDACTED]. The director of nursing (DON), Employee #88, and the corporate nurse, Employee #89, were made aware of the above situation on 10/04/12 at 10:30 a.m. The DON stated she thought another physician had examined the resident and had found he had capacity to make medical decisions, but this physician had not documented the findings on a determination of capacity form. No further information / explanation was provided regarding the inconsistent contacting of either the DHHR, the resident, or a family member when changes in condition occurred. 2015-10-01