cms_DC: 44

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.

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
44 WASHINGTON CTR FOR AGING SVCS 95014 2601 18TH STREET NE WASHINGTON DC 20018 2018-09-26 690 D 0 1 PSFH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, record review, and staff and resident interview of one (1) of 38 sampled residents, the nursing staff failed to evaluate and address catheter care for a resident with an indwelling catheter and recurrent urinary tract infections (Resident #197). Findings include . The[NAME]Center for Aging Services policy entitled Catheter Care - Suprapubic, undated, stipulates that the purpose of catheter care is to reduce infection and promote good hygiene. The procedure of catheter care included .cleanse the skin around the catheter and the entire visible length of the catheter with soap and water. Be sure all drainage is removed from skin and catheter . The policy describes that the type and amount of drainage should be noted, if present. Resident #197 was admitted to the facility with a [DIAGNOSES REDACTED]. Review of the medical record showed that Resident #197 had multiple urinary tract infections (UTI's) beginning in 03/2017 when he was placed on isolation for an Extended Spectrum Beta-Lactamase (ESBL) infection in the urine. Additionally, he was treated for [REDACTED]. Review of the physician orders [REDACTED]. The surveyor conducted a face to face interview with Employee #25, Charge Nurse, 2 Orange, in the presence of Employee #11, Unit Manager 2 Orange, on 09/25/18 at 11:08 AM regarding catheter care. When asked what the procedure was for catheter care, she stated that the nurse observes the drainage bag and checks the urine for sediment, color, and blood. When the surveyor asked if cleaning the catheter was considered catheter care, she stated no, cleaning the catheter is considered an Activity of Daily Living (ADL) and is performed by the Certified Nursing Assistant (CNA). When asked how the resident's frequent UTI's were being addressed related to catheter care, she could offer no further insight. The surveyor conducted a face to face interview on 09/26/18 at 2:45 PM with Employee #27, Infection Control Nurse Practitioner, in the presence of Employee # 1, Administrator, and Employee 28, Infection Preventionist, regarding how the Infection Control department was addressing the recurrent Catheter Acquired Urinary Tract Infections (CAUTI's) for Resident #197. She stated that they provided education for staff regarding hand hygiene. When asked if training was provided to staff regarding catheter care, she stated no. The above employees acknowledged the findings. 2020-09-01