cms_DC: 1979

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
1979	THE WASHINGTON HOME	95005	3720 UPTON STREET NW	WASHINGTON	DC	20016	2012-03-06	280	D	0	1	KI3J11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview for two (2) of 50 sampled residents, it was determined that facility staff failed to amend the nutrition care plan for one (1) resident to address the resident ' s current nutritional status and to update one (1) resident ' s care plan to include a [DIAGNOSES REDACTED].# 107 and #175. The findings include: 1. A review of the comprehensive care plan for Resident #107 updated December 6, 2011 revealed facility staff failed to update the nutrition care plan to include the resident ' s current nutritional status. A review of the physician ' s progress notes dated January 20, 2012 revealed the resident ' s [DIAGNOSES REDACTED]. physician's order [REDACTED]. The care plan included the following: problem: alteration in nutrition - needs tube feeding to meet daily needs. The care plan lacked evidence of an update to include the pleasure feeding implemented as of January 25, 2012. The record was reviewed March 1, 2012. 2. Facility staff failed to update the vision care plan to include Resident #175 [DIAGNOSES REDACTED]. A during a face-to-face interview with Resident #175 he/she stated, Staff sometimes place my tray down (on the over-the-bed table) and doesn ' t open the items. I can ' t see to open my tray because I am blind in my left eye. A review of the follow up Ophthalmology Consult dated June 29, 2011 revealed, Findings [MEDICAL CONDITION] OS (left eye), Blind OS .Recommendations: See pt (patient) in 6 months. Stop drops. A review of the annual Minimum Data Set (MDS) completed on August 30, 2011 Resident #175 was coded in Section B1000 Vision as his/her vision being moderately impaired. The quarterly MDS completed on November 15, 2011 Resident #175 was coded in Section B1000 (Vision) as his/her vision being highly impaired. The Visual Function care plan last reviewed November 22, 2011 list, Problem: Visual deficits related to [MEDICAL CONDITION]. There was no evidence that the care plan for vision was updated to include the Resident #175 ' s [DIAGNOSES REDACTED]. At the time of this review there was no evidence in the active clinical record that Resident #175 seen in by the ophthalmologist since June 29, 2011 as recommended. Additionally, there was no documented follow up with the Ophthalmologist after the noted change in vision from the August 30, 2011 to November 15, 2011 MDS. A face-to-face interview was conducted with Employee #10 on February 18, 2012 at 3:40 PM. He/she acknowledged that the care plan was not updated to include the resident ' s [DIAGNOSES REDACTED].	2015-09-01