cms_WV: 9834
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 |
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9834 | GOLDEN LIVINGCENTER - RIVERSIDE | 515035 | 6500 MACCORKLE AVENUE SW | SAINT ALBANS | WV | 25177 | 2012-08-02 | 152 | D | 1 | 0 | K6SZ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on record review and staff interview, the facility failed to aenure a resident who was alert and oriented was provided the opportunity to make her own health care decisions. Resident #85 had expressed that she did not want cardiopulmonary resuscitation (CPR) and two days later, her medical power of attorney (MPOA) changed this decision without the legal authority to do so and without evidence the resident was involved in this decision. The resident's family was also permitted to sign her admission paperwork without evidence the resident was involved in her admission or in decisions regarding her care at this facility. This practice was evident for one (1) of nine (9) sampled residents. Resident identifier: #85. Facility Census: 84. Findings include: a) Resident #85 Resident #85 was admitted to the facility on [DATE]. Her advance directives were reviewed and it was determined she had appointed a medical power of attorney on [DATE], just two (2) days prior to her admission to this facility. At the time of this resident's admission, on [DATE], the resident completed a cardiopulmonary resuscitation (CPR) form to express her wishes if she were to suffer a [MEDICAL CONDITION], respiratory arrest, or if death was imminent. She directed the facility withhold CPR and all life saving measures. The resident signed this form along with her representative who she had appointed her MPOA. Review of the medical record found that this resident was examined by the physician on [DATE]. It was recorded in the history and physical that she was alert and oriented times four (x 4). There was no incapacity statement found in the medical record to establish this residtn was not able to make her own medical decision and to activate her medical power of attorney. Further review of the medical record found that on [DATE], the appointed MPOA completed and signed a new CPR form stating "I want CPR". This form did not have the resident's signature on it and was completed only by the family with no evidence the resident had been involved in this decision or was even aware her CPR status had been changed. The Director of Nursing (Employee #67) was interviewed on [DATE] at 9:00 a.m. She revealed that she could not find a capacity statement for this resident. She also verified the admission papers had been signed by the power of attorney without evidence there was legal authority to allow her to sign these forms and without evidence the resident had requested the family be allowed to do so. . | 2015-08-01 |