The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.
|WEST VIRGINIA UNIVERSITY HOSPITALS||1 MEDICAL CENTER DRIVE MORGANTOWN, WV 26506||July 14, 2011|
|VIOLATION: MAINTENANCE OF PHYSICAL PLANT||Tag No: A0701|
|Based on observations during the survey conducted from July 11, 2011 through July 14, 2011, the hospital failed to maintain the condition of the physical plant in a manner to protect the safety and well-being of patients.
1. During a tour of the hospital operating room area on 07/13/11 at approximately 8:30 a.m., the sterile core was observed to have a non cleanable, porous type, ceiling tile. This will prevent a sterile environment.
2. During a tour of the hospital 5th floor on 07/13/11, at approximately 9:45 a.m., the Post Anesthesia Care Unit (PACU) airborne isolation/negative air patient room was observed, not to be provided with a door closing device to maintain the door in a closed position.
|VIOLATION: PHYSICAL ENVIRONMENT||Tag No: A0700|
|Based on observation, staff interview and documentation review during the survey conducted 07/11/11 to 07/14/11, it was determined the hospital failed to maintain the environment and all equipment to ensure the safety of all patients and staff. This determination was based on life safety code deficiencies identified as tags K0067, K0077 and K0147 issued to the hospital for non-compliance with the 2000 edition of the life safety code and deficiencies generated related to maintaining the physical environment identified as tags A0701 and A0722, Therefore, this Condition is not met.|
|VIOLATION: FACILITIES||Tag No: A0722|
|Based on observation it was determined the hospital failed to maintain the required special design consideration for a safe environment on behavior/psychiatric patient care units by failing to remove potential looping devices or tie-off points.
1. On 07/12/11 during the time frame of 09:00 a.m. and 10:30 a.m., a tour of Chestnut Ridge hospital patient care units was conducted. At this time, the following design requirements of American Institute of Architects (AIA) guidelines for Design and Construction of Health Care Facilities in reference to behavior/psychiatric units were observed not to be met:
a. Thirty (30) of thirty (30) patient care rooms had the following potential looping devices or tie-off points:
Corridor room doors had ball knob-type door hardware.
Corridor and toilet room doors had standard type hinges. (cut-hinge type is acceptable).
2. Also all patient corridors had the following potential looping devices or tie-off points:
a. Pendant type sprinkler heads were observed in the corridors and are not the required type for behavior units (must be recessed or tamper-resistant type).
b. Wall mounted handrails in the corridors that were observed to have an open space between wall and handrails.
c. Corridor doors had ball knob-type door hardware and standard type hinges.
d. The lay-in ceiling tiles in the corridor for the fourteen (14) bed unit do not meet the minimum design standard, due to the fact that they are not clipped down to secure them.
3. These conditions found in the patient care units are not giving the required special design consideration to prevent potential patient injury or suicide.