cms_DC: 47

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
47 SERENITY REHABILITATION AND HEALTH CENTER LLC 95015 1380 SOUTHERN AVE SE WASHINGTON DC 20032 2019-03-27 561 D 1 0 60IX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on staff and resident interviews for one (1) of four (4) residents, it was determined that facility staff failed to respect Resident #1's request to remain in bed. The findings include: Resident #1 was admitted to the facility on (MONTH) 15, 2013. According to the Minimum Data Set (MDS) assessment with a target date of (MONTH) 19, (YEAR), Resident #1 scored 12/15 on the Brief Mental Interview for Mental Status in Section C (Cognitive Patterns). According to the MDS 3.0 User's Manual page -14, a score of 8-12 suggests that the resident has moderately impaired cognitive skills for daily decision making. Resident #1 was assessed as requiring supervision for eating, extensive assistance for bed mobility, transfers, dressing and totally dependent for personal hygiene, toilet use and bathing in Section G (Functional Status). Disease [DIAGNOSES REDACTED]. According to a nurse's note dated (MONTH) 3, (YEAR) at 16:38 (4:38 PM): (Resident#1) met his/her goal of improving his/her strength to be out of bed, and maintaining his/her flexibility, but still requires lots of encouragement. Will monitor for needed intervention as needed. A telephone interview was conducted with Employee #1on (MONTH) 21, 2019 at 2:00 PM: I washed him/her up and got him dressed and he/she asked me to let him/her stay in bed. I said okay and got him/her all cleaned up and left him/her in bed. About eleven o'clock the charge nurse said to get (Resident #1) up to weigh him/her. I was transferring (Resident #1) to the wheelchair and he/she scratched me on my neck. He/she didn't want to get up out of bed and I had promised him/her I wouldn't get him/her up. But the charge nurse and the dietician told me I had to get him/her up. (Resident #1) was a very easy transfer with one person if he/she cooperates. When he/she doesn't want to do anything he/she will fight and scratch . Employee #1 wrote and signed the following statement dated (MONTH) 5, (YEAR): I, (Employee #1) had the 1st group. I was doing my AM care to (Resident #1). I promised him/her I will not bring him/her out of bed before he/she allows me to take care of him/her. I wash him/her and shave him/her then dress him/her up in the bed. I fulfill the promise I made to him/her around three hours. My nurse told me to bring him/her out for weigh him/her. I went to bring him/her out of bed. I put him/her in sitting position to put him/her in his/her chair (wheelchair). He/she start fighting me and scratch me at my neck. To prevent him/her from falling I quickly put him/her in his chair (wheelchair). I said to him/her don't do that again. See you scratched my neck. With angry voice the lady (Employee #3) at the door asked me What is it? I told him/her he/she scratched my neck when putting him/her in his/her chair. I learn my voice was high when I said Don't do that with anger of pain at my neck. I hold him/her and say Don't scratch people. I do not hit him/her that is all what happened. Resident #1 requested to remain in bed. Employee #1 had agreed to that request. Employee #1 was directed to get Resident #1 out of bed, against his/her wishes at the direction of the charge nurse. There was no evidence that Employee #1 relayed Resident #1's request to remain in bed to the charge nurse. Facility staff failed to respect Resident #1's request to remain in bed. A face-to-face interview was conducted with Employee #2 on (MONTH) 4, 2019 at 9:30 AM, who acknowledged the above. 2020-09-01