cms_WV: 9794

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
9794 MADISON, THE 515104 161 BAKERS RIDGE ROAD MORGANTOWN WV 26508 2010-06-01 315 D 0 1 2XEX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on medical record review and staff interview, the facility failed to ensure a resident, who was initially admitted to the facility without an indwelling catheter, was not catheterized unless the resident's clinical condition demonstrated the catheter was medically necessary. This occurred for one (1) of thirty-three (33) Stage II sample residents. Resident identifier #155. Facility census: 57. Findings include: a) Resident #155 Record review revealed Resident #155's initial admission to the facility occurred on 03/12/10. The resident's past medical history included [DIAGNOSES REDACTED]. The resident's discharge diagnoses, from the hospital on [DATE], included large left middle cerebral artery stroke and status [REDACTED]. Review of the resident's comprehensive admission minimum data set (MDS) assessment, with an assessment reference date (ARD) of 03/19/10, found, in Section H, the assessor encoded 4 for both bladder and bowel elimination, indicating total incontinence. No appliances or programs were documented. The resident assessment protocol (RAP) summary triggered for urinary incontinence. Documentation on the urinary incontinence RAP stated, Resident is incontinent of urine. Care plan will be directed towards preventing complications of incontinence via incontinence care. Will proceed with careplanning incontinence status. On 3/23/10, the facility completed a Urinary Incontinence Management Program Evaluation Admission Assessment; the facility's actions, per this assessment, were to monitor the care plan for effectiveness of interventions and to continue to manage the resident's incontinence with protective absorbent products. The care plan also contained these same interventions. The resident discharged to the hospital on [DATE] and returned to the facility on [DATE]. The resident's readmission orders [REDACTED]. At this time, the resident had an order for [REDACTED]. Review of the Medicare 5-Day MDS, with an ARD of 4/23/10, found the assessor encoded 0 in Section H for bladder elimination, indicating the resident was now continent of bladder, which includes use of in dwelling urinary catheter or ostomy device that does not leak urine or stool. The resident was also identified as having an indwelling catheter. Review of the physician's progress notes and the nursing notes found no medical justification for the continued use of the indwelling urinary catheter upon the resident's return to the facility on [DATE]. There was also no evidence to reflect efforts by the facility to further assess the resident for possible reversible causes of the [MEDICAL CONDITION], to include attempts to remove the catheter and measure the post-void residual of urine. An interview with the director of nursing (DON - Employee #58) and the assistant director of nursing (ADON - Employee #67) was completed at 9:00 a.m. on 06/01/10. When this surveyor inquired regarding the use of an indwelling urinary catheter without adequate indications for its use, the DON and ADON stated the catheter was placed while the resident was in the hospital for [MEDICAL CONDITION]. A request was made at that time for information to support the continued presence of [MEDICAL CONDITION] following the resident's discharge from the hospital. Upon exit on 06/01/10 at 3:00 p.m., no additional information was provided by the facility. . 2015-09-01