cms_DC: 99

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
99 SERENITY REHABILITATION AND HEALTH CENTER LLC 95015 1380 SOUTHERN AVE SE WASHINGTON DC 20032 2018-10-23 657 D 1 0 FXOI11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on resident and staff interviews and record review, it was determined that facility staff failed to accurately develop a comprehensive care plan, identifying that the residents required the assistance of two (2) persons for bed mobility. Residents #1and #2 The findings include: Resident #1 was admitted to the facility on (MONTH) 11, (YEAR). According to the Minimum Data Set (MDS) assessment with a target date of (MONTH) 19, (YEAR), Resident #1 was assessed as requiring extensive assistance with two person assist for bed mobility (Item GO110A on the MDS) in Section G (Functional Status) Resident #2 was admitted on (MONTH) 9, (YEAR). According to the MDS assessment with a target date of (MONTH) 16, (YEAR) Resident #2 was assessed as requiring extensive assistance with two person assist for bed mobility in Section G (Item GO110A on the MDS). Resident #3 was admitted on (MONTH) 30, 2010. According to the MDS assessment with a target date of (MONTH) 21, (YEAR), Resident #3 was assessed as requiring extensive assistance with two person assist for bed mobility in Section G (Item GO110A on the MDS). Face-to-face interviews were conducted with Residents #2 and #3 on (MONTH) 23, (YEAR) between 12:00 PM and 2:00 PM. Both residents acknowledged that they consistently receive the assist of one (1) person for bed mobility. A review of the care plans for Residents #1 and #2 revealed the following: Resident #1 According to the resident's admission care plan: Problem: Resident #1 has an ADL Self Care performance Deficit r/t (related to) MS, multiple wounds, [MEDICAL CONDITION]. Intervention: Bed mobility: reposition and turn resident q (every) 2 hrs while in bed for pressure relief. Problem: Resident #1 has limited physical mobility r/t MS, contractures of all extremities, limited mobility, [MEDICAL CONDITION]. Intervention: Mobility: resident requires staff participation for mobility/uses wheelchair for mobility. Monitors/document/report to MD PRN s/sx (signs/symptoms) of immobility, worsening of contractures, thrombus formation, worsening of skin-breakdown, fall related injury. Provide gentle range of motion as tolerated with daily care. PT, OT referrals as ordered. Resident #2 According to the resident's admission care plan: Problem: Resident #2 has an ADL self-care performance deficit r/t limited mobility, wound to lower extremities. Intervention: Bed Mobility: Remind resident to turn and reposition while in bed q 2 hours for pressure relief. Resident #3 Problem: Resident #3 requires total assistance for transfers related to: unsteady gait physical limitations, lack of strength. Interventions: Transfer: Requires two staff assistance when transferring. There was no care plan problem for Resident #3 that required the assistance of two persons for bed mobility. Facility staff failed to include the intervention to use two (2) person assist for bed mobility for Residents #1, #2 and #3. Employee #2 acknowledged the above finding. 2020-09-01