cms_WV: 9899
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9899 | EASTBROOK CENTER LLC | 515089 | 3819 CHESTERFIELD AVENUE | CHARLESTON | WV | 25304 | 2012-06-21 | 323 | D | 1 | 0 | MNCH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on family interview, staff interview, and medical record review, the facility failed to ensure the environment remained free from environmental hazards which potentially caused a severe respiratory reaction in one (1) of five (5) sampled residents. Resident #92 was intubated and placed on a respirator with one of the emergency physician's impression being "Possible allergic or toxic reaction to cleaning materials causing respiratory edema". The facility failed to ensure housekeeping staff were instructed to refrain from spraying chemical deodorizers in the resident's room. Resident identifier: #92. Facility census: 117. Findings include: a) Resident #92 During an interview with the spouse of this incapacitated resident, on 06/21/12 at 2:00 p.m., she stated housekeeping staff sprayed deodorizer on her husband's bedside curtains and made him so sick he was put in the hospital on a ventilator. Review of the medical record found the resident was hosptalized on [DATE] with [DIAGNOSES REDACTED]. The resident was intubated and placed on a ventilator. He was readmitted to the facility on [DATE]. An interview with housekeeping aide, Employee #62, was conducted at 2:30 p.m. on 06/21/12. He was pushing a housekeeping cart up the 100 hallway. He verified he worked for housekeeping and had worked in that position for approximately 2 years. He was asked if there was deodorizer on the housekeeping cart for use in the resident rooms. He opened the door of the cart and indicated a spray bottle labeled "fabric freshener". When asked if he had been instructed to not use the spray in rooms of residents with breathing problems, he stated he had not been instructed to not use it. An interview was conducted with Employee #153 on 06/21/12 at 2:45 p.m. He stated he had been the head of housekeeping for 1 year and supervised about eight (8) housekeeping staff members. According to Employee #153, the facility had switched to a fabric freshener spray to get away from the use of aerosols. He stated the housekeeping staff sprayed the fabric freshener on the bedside curtains in resident rooms. He was aware the resident's spouse did not want any bleach products or spray fresheners used in Resident #92's room. He stated the spouse explained the use of these products "bothers" the resident. He was asked how he informed the housekeeping staff about the complaint by the resident's spouse. He stated he went to the staff members "one-on-one" and discussed with them to not use any bleach or spray products other than multisurface cleaner. He was asked to provide inservice records of who he spoke with. He stated he did not keep any records. He was unable to state who he spoke with or when he spoke with them. He was informed Employee #62 stated he had not been told not to use the fabric freshener in Resident #92's room. He stated "I guess I missed him". When asked if he could be confident all his housekeeping staff were knowledgeable about not utilizing the deodorizing spray in the Resident #92's room, he stated he could not be sure. . | 2015-08-01 |