cms_DC: 45

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
45 WASHINGTON CTR FOR AGING SVCS 95014 2601 18TH STREET NE WASHINGTON DC 20018 2018-09-26 744 D 0 1 PSFH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, personnel training record and staff interview of one (1) of 38 sampled residents, the facility failed to develop a Dementia Care Program and ensure the competency of staff, to address the needs of residents diagnosed with [REDACTED].#108) Findings included . Resident #108 was admitted with a past medical history of [REDACTED]. She was admitted to 1 Blue, a locked unit designated Dementia unit. Review of the care plan that addresses her Alzheimer's/Dementia, last edited 07/17/18 showed a goal that the Resident will be reoriented to person, place and time and resident will be safe in their environment of the next 90 days.The approaches documented were: 1. Reorient resident to person, place and time as needed when confusion is noted. 2. Monitor residents whereabout in the facility to ensure safe environment. 3. Remove resident from areas where there is over stimulation that agitated or confuses resident. 4. Document declines in cognitive status in the clinical record. 5. Administer medications as ordered by MD (Medical Doctor) 6. Psych (psychiatric) evaluations as needed. During a tour of unit 1 Blue, conducted on 09/24/18 at 2:20 PM, the surveyor observed two Certified Nursing Assistants (CNA) throwing a beach ball to Residents seated in the day room. The surveyor conducted a face to face interview on 9/24/18 at approximately 2:30 PM with Employee # 29, Certified Nursing Assistant, regarding training she received on dementia care. She stated that she has not had any formal training. The surveyor conducted a face to face interview on 09/24/18 at 2:45 PM, with Employee #30, Certified Nursing Assistant regarding Dementia training. She stated that the staff was sent offsite to complete training. Review of Continuing Education Unit (CEU) certificates for staff showed that Employee #30 completed six hours of training on [MEDICAL CONDITION] and Dementia Care. Employee #29, did not complete training. The facility failed to develop a Dementia Care program to meet the needs of residents housed on a Dementia Care unit. The surveyor conducted a face to face interview on 09/26/18 at 9:21 AM with Employees #3, Director of Clinical Operations, and Employee #1, Administrator. Both acknowledged that the facility had no formal Dementia Care Program at the time of survey. 2020-09-01