cms_DC: 63

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.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
63 SERENITY REHABILITATION AND HEALTH CENTER LLC 95015 1380 SOUTHERN AVE SE WASHINGTON DC 20032 2018-07-20 655 D 0 1 L7I811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview for two (2) of 56 sampled residents, facility staff failed to develop baseline care plans with goals and approaches to properly care for one (1) resident with arteriovenous (AV) graft and indwelling catheter and one (1) resident with nephrostomy tubes. Residents' # 227 and #228. Findings included . 1.Facility failed develop a baseline care plan with goals and approaches to care for the residents' arteriovenous (AV) graft and indwelling catheter. Resident # 227. Resident #227 was admitted to the facility on (MONTH) 4, (YEAR), with diagnoses, which include [MEDICAL CONDITIONS] Hypertension, and Diabetes Mellitus. The resident also had an arteriovenous (AV) graft place on the left forearm for [MEDICAL TREATMENT] access and an indwelling catheter. According to health note dated (MONTH) 5, (YEAR), at 10:58 AM, read, S/P (status [REDACTED]. S/P indwelling Foley (catheter) with amber colored urine. Review of the Admission/Interim Care Plan (Baseline care plan) lacked evidence of goals and approaches to address the care needs for the left arm with the arteriovenous graft placement (such as, palpate the sight for thrill and using a stethoscope to listen for bruit and no obtaining blood pressure measurements on the residents left arm). Also, to ensure the indwelling catheter has no kinks or twists, empty the drainage bag(s) before they are full, and use of leg straps to securely hold the catheter in place). During a face-to-face interview with Employee #5 on (MONTH) 17, (YEAR), at 10:20 AM, the employee reviewed the baseline care plan and acknowledged that it did not include information regarding care of the residents arteriovenous (AV) graft and indwelling catheter. 2. Facility staff failed develop a baseline care plan with goals and approaches to care for Resident #28's nephrostomy tubes. Resident #228 was admitted to the facility on (MONTH) 25, (YEAR), with [DIAGNOSES REDACTED]. The resident also had and indwelling catheter (nephrostomy tubes) in place. The admission note dated 7/25/18, at 23:44 (11:44 PM) reads, .Bilateral nephrostomy tubing noted patient draining straw color urine with no odor. 110cc on the left drainage bag and 50cc on the right drainage bag. Review of the Admission/Interim Care Plan (Baseline care plan) lacked evidence of goals and approaches to address the care needs to maintain the bilateral nephrostomy tubes (such as, checking the skin at the insertion sites, ensure the tubes have no kinks or twists, empty the drainage bag(s) before they are full, and flushing protocols if ordered). During a face-to-face interview with Employee #5 on (MONTH) 17, (YEAR), at 5:13 PM, she acknowledged the baseline care plan did not address care of the residents nephrostomy tubes. 2020-09-01