cms_DC: 77

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
77	SERENITY REHABILITATION AND HEALTH CENTER LLC	95015	1380 SOUTHERN AVE SE	WASHINGTON	DC	20032	2018-07-20	773	D	0	1	L7I811	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interviews, the facility faied to obtain a urine analysis, culture and sensitivity as per the nurse practitioners recommendation for one (1) resident, and failed to ensure one (1) resident's lab work was completed in accordance to the physician orders [REDACTED].#1 and #44). Findings include: Facility staff failed to obtain a urine analysis and culture and sensitivity as per the nurse practitioners recommendation for Resident #1. Resident #1 was readmitted to the facility on (MONTH) 13, (YEAR), with [DIAGNOSES REDACTED]. In addition, the resident has a suprapubic catheter in place. The Health Status note dated (MONTH) 12, (YEAR), at 10:55 AM read, Asked to resident's medication list due to repeated falls .[NAME] known dementia with repeated falls due to? H/o (history of) UTI (urinary tract infection) - SP (status [REDACTED]. P (plan).Check UA (urinalysis) and urine C/S (culture and sensitivity in AM for F/U (follow up) UTI. A review of the clinical record lacked evidence that the urinalysis and the culture and sensitivity of the resident's urine was completed as recommended by the Nurse Practitioner. During a face-to-face interview with Employee #5 on (MONTH) 17, (YEAR), at approximately 3:00 PM, she acknowledged the urinalysis and urine culture was note done. 2. Facility staff failed to ensure that Resident #44's lab work was completed in accordance with the physician's orders [REDACTED].>Resident #44 admitted on (MONTH) 26, (YEAR), with a [DIAGNOSES REDACTED]. A review of Physician orders [REDACTED]. (2) UA(urinalysis & (and) Urine C/S (culture /sensitivity) by I/O (in/out) Cath (catheter) on 2/17/18 AM Dx (diagnoses) R/O (rule/out) UTI (urinary tract infection). A review of the Clinical Records showed that the Resident had no labs drawn to be reported on since his admission to the facility (MONTH) 26, (YEAR), to (MONTH) 19, (YEAR), indicating the labs were not done. A review of the Nurses Progress Note dated (MONTH) 16, (YEAR), called responsible party to inform her of worsening UE (upper extremities) weakness and lab work ordered by NP (nurse practitioner). Responsible Party stated her needs to speak with NP (nurse practitioner) before the lab work is to be done . NP and notified her of Responsible party request to speak with her before the lab work is to be done. The evidence show facility staff failed to contact the (Hospital Name) lab and transport Resident #44 for CBC (complete blood count), CMP (comprehensive metabolic panel), Magnesium level, TSH, Free T4, Phosphorous level, Vit (vitamin) B12, Folate level, UA & C/S to ensure lab work was completed. A face-to-face interview conducted on (MONTH) 19, (YEAR), at 10:00 AM with Employee #19. She stated RP refused facility doing blood work only what she gave permission for, the resident must go to the (Outside hospital). She acknowledges the findings The labs were not done.	2020-09-01