cms_DE: 25

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
25 KENTMERE REHABILITATION AND HEALTHCARE CENTER 85001 1900 LOVERING AVENUE WILMINGTON DE 19806 2018-12-06 758 D 1 1 H65F11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record reviews and interviews, it was determined that the facility failed to ensure medication regimens were free from unnecessary [MEDICAL CONDITION] medications for two (R15 and R83) out of 54 sampled residents. For R15, the facility failed to ensure that non-pharmacological interventions were used prior to her receiving PRN [MEDICATION NAME] and failed to monitor the effectiveness of her PRN [MEDICATION NAME]. For R83, the facility failed to limit PRN [MEDICAL CONDITION] medications to 14 days. Findings include: 1. Review of R15's clinical record revealed: 8/25/16- R15 was admitted to the facility and has [DIAGNOSES REDACTED]. 7/21/18- A recommendation from the pharmacist stated that R15 received [MEDICATION NAME] gel in July, but documentation whether it was effective or ineffective was inconsistent. A physician responded to the recommendation on 7/26/18 and stated, please have nursing document if effective or ineffective after administration. 9/25/18- R15 had a physician's orders [REDACTED]. 10/3/18 and 10/5/18- According to the MAR, R15 received [MEDICATION NAME] Gel on these dates. There was no documentation of non-pharmacological interventions used prior to administering the [MEDICATION NAME] and no documentation of the effectiveness of the medication, including in the progress notes and on behavior monitoring sheets. 10/28/18- R15 had a physician's orders [REDACTED]. 11/1/18, 11/6/18, 11/7/18, 11/11/18, 11/20/18, 11/23/18, 11/25/18, and 11/28/18- According to the MAR, R15 received [MEDICATION NAME] Gel on these dates. There was no documentation of the effectiveness of the [MEDICATION NAME] on all of the dates, including in the progress notes. Additionally, there was no evidence of non-pharmacological interventions being used prior to [MEDICATION NAME] administration on 11/1/18 and 11/28/18, including in the progress notes and behavior monitoring sheets. 12/5/18 2:35 PM- Findings were reviewed with E2 (DON). Findings were reviewed on 12/6/18 at approximately 7:45 PM during the exit conference with E1 (NHA), E2 (DON), E3, and E14 (QA). 2. Review of R83's clinical record revealed: 4/21/17 - R83 was admitted to the facility with [DIAGNOSES REDACTED]. 11/13/18 8:42 AM - A physician progress notes [REDACTED]. The plan was documented that R83 was to receive an order for [REDACTED]. 11/14/18 - An order was entered for R83 to receive [MEDICATION NAME] 0.25 mg PRN every 8 hours PRN for anxiety for 30 days. There was no documented rationale for ordering R83 [MEDICATION NAME] PRN for greater than 30 days. The facility failed to limit R83's PRN [MEDICATION NAME] to 14 days, or provide physician documented rationale. 12/5/18 4:30 PM - Findings were reviewed with E2 (DON). 2020-09-01