cms_DC: 2579

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

This data as json, copyable

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
2579 CAPITOL HILL NURSING CENTER 95027 700 CONST. AVE. NE WASHINGTON DC 20002 2010-08-23 281 D     3GVT11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations during the medication pass conducted on August 17, 2010 at 10:30 AM, it was determined that facility staff failed to use appropriate standard of care technique while administering medication via gastrostomy tubing ([DEVICE]) for one (1) resident. Resident MS1. The findings include: During medication pass observation conducted on August 17, 2010 at 10:30 AM on 4th floor, Employee #30 washed his/her hands and donned a pair of gloves then spread strips of paper towels across Resident MS1's thighs for a protective barrier. He/she disconnected the [DEVICE] from feeding tube and clamped off the feeding tube portion. Employee #30 checked for [DEVICE] placement and residual then flushed the [DEVICE]. After Employee #30 completed flushing the [DEVICE] it was observed that the y- connector was not at the end of the G-tubing. Employee #30 then tied a loose knot in [DEVICE] and laid it on the strips of paper towels. At this time the fluid content within the G- tubing seeped out of the tubing and on to the paper towels, soaking through the paper towels and wetting the resident ' s bed linen before the administration of medication via [DEVICE]. According to Medpass .com " ...Disconnect plunger from 60cc syringe and connect syringe to clamped tubing. Put 15-30 cc of water in syringe and flush tubing with gravity flow. Clamp tubing after the syringe is empty, allowing water to stay into tubing. Pour dissolved/diluted medication into syringe and unclamped tubing, allowing medication to flow by gravity. Flush tubing with 15-30 cc of water, or prescribed amount. Allow water to remain in tubing. Clamp tubing and detached syringe. Restart continuous feeding " . Facility staff failed to use appropriate standard of care technique when he/she failed to clamp G-tubing while administering resident medication via [DEVICE]. A face-to-face interview was conducted on August 17, 2008 at 10:35 AM with Employee #30. He/she acknowledged the findings when he/she explained that the paper towels were used as a barrier to prevent resident's clothing and bed linen from being wet. The record was reviewed on August 17, 2010. 2014-01-01