cms_DC: 10

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
10 WASHINGTON CTR FOR AGING SVCS 95014 2601 18TH STREET NE WASHINGTON DC 20018 2019-07-30 657 E 0 1 BMNI11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review for three (3) of 56 sampled residents, facility staff failed to revise care plan for one (1) resident diagnosed with [REDACTED]. Residents' #58, #155 and #182 Findings included 1. Facility staff failed to update/revise the care plan with resident-centered goals and approaches for care of Resident #58 with an indwelling Foley catheter who developed an penile injury. Resident #58 was admitted to facility on 1/27/15, with [DIAGNOSES REDACTED]., Depression, [MEDICAL CONDITION]. A review of the Quarterly MDS (Minimum Data Set) dated 4/16/19 showed, Section C (Cognitive) - BIMS score 05 indicating resident has severe cognitive impairment. Section G Functional Status the resident was coded as needing total assistance with one to two person support and care under toileting. Section H Bladder/Bowel - Appliances was coded to indicate resident has indwelling urinary draining device. A review of NP (Nurse Practitioner) progress note dated 5/31/2019 revealed, .10:36 PM Pt with UR, observed during day, unable to pee, Foley reinserted able to drain urine. Penis lacerated from previous Foley catheter with ulcer at glans Pt states pain burning at penis. Purulent drainage from penis . Foley inserted attached to right leg to avoid further laceration at left side Avoid diaper when patient has Foley (to lacerate penis). There was no evidence facility staff revised care plan to include care of penile laceration and erosion. The findings were acknowledged during a face-to-face interview with Employee #3 (Unit Manager) on (MONTH) 29, 2019 at 11:00 AM. 2. Facility staff failed to update/revise the care plan with resident-centered goals and approaches for care of Resident #155 percutaneous endoscopic gastrostomy (PEG) tube. Resident #155 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the Quarterly Minimum Data Set ((MDS) dated [DATE] showed resident Brief Interview for Mental Status (BIMS) is coded as 6 to indicate moderately impaired cognition. Further review of the MDS showed Section K (Swallowing/Nutritional Status) Nutrition Approach resident is coded as having a feeding tube. On 7/25/19 at 3:00 PM review of the care plan failed to show goals and approaches for care of Resident #155 percutaneous endoscopic gastrostomy (PEG) tube. During an interview on 7/25/19 at 3:00 PM, Employee# 13 acknowledged the findings. 3.Facility staff failed to update/revise the care plan with resident-centered goals and approaches for care of Resident #182 who sustained a fall with injury. Resident #182 was admitted to the facility on (MONTH) 15, 2019, with [DIAGNOSES REDACTED]. A review of Resident #182's admission Minimum Data Set ((MDS) dated [DATE], showed Section C (Cognitive Patterns) a Brief Interview for Mental Status (BIMS) with a score of 11 which indicated the resident had moderate cognitive impairment. Section G (Functional Status) resident is coded as 3 extensive assistance (resident involved in activity staff provide weight-bearing support) for bed mobility, transfer, locomotion on the unit and locomotion off the unit. A review of the Resident's progress note dated 7/7/19 showed the following: 7/9/19 1:51 PM Nurse Practitioner Progress note; Pt c/o pain today at left leg . x-ray ordered . pain with ROM at left leg at knee part, had pain earlier at left hip, slight swelling left leg and lower thigh, x-ray left leg. 7/10/19 9:52 AM Nurse's late entry for 7/9/19 Resident is status [REDACTED]. Seen by the NP .due to complaint of pain on the left hip that radiates to the lower extremity. As result, x-ray of the left hip, left femur and left knee was ordered. X-ray was done at 3 pm, preliminary x-ray result showed resident has [MEDICAL CONDITION] femur NP was notified An order to transfer resident to the emergency room . A review of the care plan initiated on 5/17/19 showed resident at risk for falling r/t (related) cognitive impairment, unsteady gait and [DIAGNOSES REDACTED]. resident was observe on the floor with no injury. Further review of the fall care plan on (MONTH) 25, 2019 failed to show any evidence that the facility reviewed and revised the care plan after the resident sustained [REDACTED]. During a face-to-face interview with Employee #13 on 7/26/19, at 1:44 PM, he acknowledged the findings 2020-09-01