cms_DE: 36

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
36 PARKVIEW NURSING 85002 2801 W. 6TH STREET WILMINGTON DE 19805 2018-08-01 689 D 0 1 LQUY11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and interview, it was determined that for one (R104) out of 43 sampled residents, the facility failed to ensure that the resident environment remained as free of accident hazards as was possible. Findings include: Review of R104's clinical record revealed: R104 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of R104's care plan revealed that starting on 3/30/18, R104 had the potential for falls related to immobility and dementia. The facility developed a care plan on 3/30/18 for the problem that R104 had the potential for [MEDICAL CONDITION] activity related to a [MEDICAL CONDITION] disorder. Interventions included to protect R104 from injury. Review of R104's 6/28/18 quarterly MDS revealed that R104 was totally dependent for bed mobility and transfers. On 7/24/18 at 8:40 AM, R104 was observed lying in bed with no side rails and no staff in the room. The height of R104's bed was elevated off the ground in a high position. During this observation, E5 (LPN) entered R104's room, provided care to R104's roommate, then quickly left the room without lowering R104's bed. During an observation on 7/30/18 at 2:44 PM, R104 was seen lying in bed with no side rails and he was leaning far over to the right side of his bed. The height of R104's bed was elevated off the ground in a high position, and there were no staff in the room. On 7/30/18 at 4:40 PM, R104 was observed lying in bed with no side rails and no staff in the room. The height of R104's bed was elevated off the ground in a high position. During an interview on 7/30/18 at 4:45 PM, E2 (DON) went with the surveyor to R104's room and observed R104 lying in bed with no side rails and no staff in the room. The height of R104's bed was elevated off the ground in a high position. E2 verified with E4 (RN Unit Manager) that R104 was unable to move his bed up and down by himself. E2 confirmed that for safety, R104's bed should not have been elevated that high when staff were not in the room providing care. The facility failed to ensure that R104's environment remained free of accident hazards, as evidenced by 3 different observations of R104 alone in his room with his bed at an elevated height. Findings were reviewed with E1 (NHA) and E2 on 8/1/18 at approximately 4:45 PM. 2020-09-01