cms_DC: 89

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
89 SERENITY REHABILITATION AND HEALTH CENTER LLC 95015 1380 SOUTHERN AVE SE WASHINGTON DC 20032 2016-08-18 281 D 0 1 GZ9J11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview for one (1) of 35 Stage 2 sampled residents, it was determined that facility staff failed to follow acceptable standards of practice for administering an oral aerosol inhalation treatment per the manufacturer ' s specifications. Resident #109. The findings include: According to Glaxo[NAME]Kline Company-www.[MEDICATION NAME].com ; Revised (MONTH) (YEAR)- pp 33-35; stipulates: How to use your [MEDICATION NAME] HFA inhaler . Step 2. Hold the inhaler with the mouthpiece down (canister should be pointed upward) . On (MONTH) 11, (YEAR) at approximately 10:10 AM, Employee #18 was observed administering an oral inhalation aerosol treatment to Resident #109. Employee #18 instructed the resident to take a deep breath in and out. Proceeded to position the mouthpiece of the inhaler in the resident's mouth in an upward position (canister was pointed downward). A face-to-face interview was conducted with Resident #109 after the medication was administered. A query was made, if he/she felt the effect of the medication? He/she responded, Yes, I felt it going down. A face-to-face interview was conducted with Employee #18. He/she was queried regarding the correct positioning of the mouthpiece of the inhaler in the resident's mouth. He/she stated, It should be positioned with the mouthpiece in the down position with the canister pointing up. That's the way I usually administer it. The observation and record review were conducted on (MONTH) 11, (YEAR). Crossed Referenced 483.25 (F309) 2020-09-01