cms_DE: 2

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
2 KENTMERE REHABILITATION AND HEALTHCARE CENTER 85001 1900 LOVERING AVENUE WILMINGTON DE 19806 2016-07-18 280 D 0 1 Z68211 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interviews, it was determined that for 2 (R8 and R62) out of 30 Stage 2 sampled residents, the facility failed to ensure that their care plans were reviewed and/or revised after each assessment. Findings include: 1. Review of R8's clinical record revealed: For R8, the facility developed a care plan entitled UTI-Altered urinary elimination related to (+) bacteriuria, effective 5/6/16. Review of R8's record revealed that this resident had a supra-pubic catheter. The care plan interventions included: - monitor for signs and symptoms of UTI such as painful urination, frequency and urgency, etc.; - encourage frequent voiding to promote bladder emptying. These interventions were not appropriate since R8 had a supra-pubic catheter. Additionally, on 7/18/16 at approximately 12:20 PM, E2 (DON) stated that R8 changes her own supra-pubic drainage bag. The care plan interventions failed to include that R8 was changing her own drainage bag and that education and staff monitoring was occurring periodically. The facility failed to ensure that R8's care plan was revised to reflect appropriate interventions for supra-pubic catheter care. Findings were reviewed with E2 and confirmed on 7/18/16 at approximately 4:30 PM. 2. Cross refer to F315 Review of R62's clinical record revealed: R62 has resided at the facility for multiple years and has [DIAGNOSES REDACTED]. 1/10/14 - A care plan for occasional urinary incontinence r/t altered mobility and inability to always voice need to urinate was developed. Interventions included: Observe for s/sx of UTI, toilet resident on toilet/commode to promote complete emptying of bladder, toilet per toileting schedule and as needed, incontinence care after each incontinent episode. 4/9/16 - The quarterly MDS assessment stated that during the seven (7) day review period R62 was frequently incontinent of bladder. This was a decline from the previous 1/8/16 annual MDS assessment, when R62 was occasionally incontinent. The facility failed to revise R62's incontinence care plan when a decline in continence status occurred. Findings were confirmed by E2 (DON) during an interview on 7/14/16 at approximately 2:00 PM. 2020-09-01