cms_DC: 46

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
46	WASHINGTON CTR FOR AGING SVCS	95014	2601 18TH STREET NE	WASHINGTON	DC	20018	2018-09-26	842	D	0	1	PSFH11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview for one (1) of 38 sampled residents facility staff failed to accurately document a fall assessment to reflect the resident's current status. Resident# 33. Findings included . Resident admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review on 9/22/18 at 1:00 PM of the Quarterly Minimum Data Set (MDS) showed Section G0400 (Functional Limitation Range of Motion) lower extremity (hip, ankle, knee, foot) impairment on both sides; G0600 (Mobility Devices) wheelchair is selected as normally used. A review of the physician note (Initial or Progress) dated 7/13/18 showed Dementia-Advanced, Hypertension, [MEDICAL CONDITION], Bilateral Above Knee Amputation, Resident with multiple problems, completely dependent for all activities of daily living, she (Resident) did have a reported fall in (MONTH) with no injuries. Review of the care plan showed Resident is limited in physical mobility related to bilateral above the knee amputation. Review of the Fall assessment dated [DATE] showed Description: Fall Risk, Ambulation/Elimination Status is scored as 4 which indicates resident is ambulatory/incontinent. Fall Risk Score-Score of 10 or higher represents a high risk for falls. The Fall Risk is scored as 13.0 which represents a high risk for falls. During an interview 9/22/18 on at 2:00 PM Employee# 15 stated this score is not correct, the resident has a bilateral amputation and is not ambulatory. Facility staff failed to accurately calculate the Fall Risk Score and code the Fall Risk Assessment to reflect the resident's current status as a bilateral [MEDICAL CONDITION]. During a face-to-face meeting on 9/22/18 at 3:00 PM Employee# 15 acknowledged the finding.	2020-09-01