cms_DE: 10

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
10 KENTMERE REHABILITATION AND HEALTHCARE CENTER 85001 1900 LOVERING AVENUE WILMINGTON DE 19806 2017-09-07 329 E 1 1 H3FV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on clinical record review and staff interview, it was determined that the facility failed to monitor the effectiveness of [MEDICATION NAME] for one (R45) out of 25 Stage 2 sampled residents. Findings include: Review of R45's clinical record revealed the following: 5/11/17 - R45 was admitted to the facility with [DIAGNOSES REDACTED]. 5/11/17 - A physician's orders [REDACTED]. 5/24/17 - A care plan was developed for [MEDICAL CONDITION] drug use related to depression and [MEDICAL CONDITION]. Interventions included to assess need for psychotherapeutic medication and assess effectiveness of the medication. Review of MARs from 5/11/17 through 8/30/17 revealed that R45 received [MEDICATION NAME] on the following dates: 5/12/17, 5/17/17, 5/20/17, 6/16/17, 7/2/17, 7/16/17, 7/23/17, and 8/6/17. Review of behavior monitoring sheets, MARs and progress notes revealed the lack of monitoring of effectiveness of the [MEDICATION NAME] on the above listed dates. 8/31/17 at 10:25 AM - Findings were reviewed with E2 (DON). E2 confirmed the facility failed to monitor the effectiveness of the [MEDICATION NAME]. 2020-09-01