cms_DE: 60

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.

Data source: Big Local News · About: big-local-datasette

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
60 WILLOWBROOKE COURT AT COUNTRY HOUSE 85003 4830 KENNETT PIKE WILMINGTON DE 19807 2018-07-18 656 D 0 1 9EWR11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, it was determined that for one (R29) out of 23 sampled residents, the facility failed to develop and implement a care plan to reflect R29's refusal to be placed in bed. Findings include: Cross refer F686 Review of R29's clinical record revealed: R29 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. R29's 5/21/18 Admission MDS stated that R29 required extensive assistance of two people for bed mobility. R29 was documented as having no unhealed pressure ulcers and was at risk for developing pressure ulcers. The MDS stated that R29 was on a turning and repositioning program. An initial wound assessment from 6/4/18 revealed that R29 had a stage 2 pressure ulcer to his scrotum due to pressure from his wheelchair pummel cushion. An initial wound assessment from 6/18/18 revealed that R29 had a stage 2 pressure ulcer to his sacrum. During an interview on 7/17/18 at 3:20 PM, E3 (ADON) stated that R29 mostly stayed in his wheelchair and refused to get back in bed (where he was to be turned every 2 hours to prevent pressure ulcers). E3 stated that when in bed R29 got anxious because he felt that he was supposed to be up for work. Review of R29's care plan lacked evidence that he refused being placed in bed and preferred to be up in his wheelchair. Findings were reviewed with E2 (DON) and E3 on 7/18/18 at approximately 2:00 PM. 2020-09-01