cms_WV: 9654

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
9654	ANSTED CENTER	515133	106 TYREE STREET OPERATIONS, LLC /P.O DRAWER 400	ANSTED	WV	25812	2011-02-02	281	D	0	1	860Y11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and review of Criteria for Determining Scope of Practice for Licensed Nurses and Guidelines for Determining Acts That May Be Delegated or Assigned by Licensed Nurses (Delegation Guidelines), the facility failed to provide services in accordance with accepted standards of clinical practice. Review of Resident #26's medication administration records (MARs) revealed the orders that offered the option to the licensed practical nurse (LPN) of administering by mouth or via enteral tube, with no parameters to guide the LPN's decision-making process. This practice allows an LPN to act outside his or her scope of practice as established by the WV Boards of Nursing. Resident identifier: #26. Facility census: 59. Findings include: a) Review of Resident #26's MARs found orders that offered the option to the LPNs of administering medications by mouth or through the resident's enteral feeding tube, with no parameters to guide a LPN's decision-making process. Review of the Delegation Guidelines, revised by the West Virginia Board of Examiners for Registered Professional Nurses and the West Virginia State Board of Examiners for Licensed Practical Nurses on 06/17/09, found the following information on Page 13: ACTIVITIES THAT MAY BE DELEGATED TO THE LPN Activities appropriate for delegation to the LPN should be those that, after careful evaluation by the supervising RN, are expected to contain only one option. That is, the LPN is expected to be able to proceed through the established steps or an activity without encountering an unexpected response or reaction and competence in performance of the activity has been demonstrated. ACTIVITIES THAT SHOULD NOT BE DELEGATED TO THE LPN Activities that are NOT appropriate for delegation to an LPN are those that are likely to present decision making options, requiring in depth assessment and professional judgment in determining the next step to take as the provider proceeds through the steps of the activity. During an interview with an LPN (Employee #56) on 01/27/11 at 2:34 p.m., Employee #56 stated, He can only take his medication thru his [DEVICE]. This information was related to the facility's director of nursing (DON - Employee #15) at 11:00 a.m. on 02/01/11.	2015-10-01