cms_DE: 69

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
69 BRANDYWINE NURSING & REHABILITATION CENTER 85004 505 GREENBANK ROAD WILMINGTON DE 19808 2018-04-25 657 D 1 0 81S611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interview it was determined that the facility failed to revise the care plan to reflect current resident's needs for two (R8 and R9) out of 11 sampled residents. Findings include: 1. Review of the clinical record revealed the following: 10/24/17 - R2 was admitted to the facility with [DIAGNOSES REDACTED]. 10/25/17 - A care plan was developed for the problem potential for altered mood state. This care plan stated R8 was fixated on another wandering male resident ,who she believes is her husband, and often follows him which then provokes this other resident. An intervention stated to increase supervision with redirection in regards to this resident wandering with this particular resident. 1/26/18 - A quarterly MDS assessment stated R8 had severe cognitive impairment, disorganized thinking, verbal behavioral symptoms directed toward others, such as threatening others, screaming at others, cursing at others which occurred on 1 to 3 days during the 7 day review time period. This MDS also stated R8 wandered daily and was independently ambulatory. Review of nurse's progress notes from 3/1/18 through 4/21/18 revealed multiple episodes of R8 wandering into other residents' rooms, taking things, eating their food, and on some occasions becoming combative. The facility failed to review and revise R8's care plan to reflect her above listed behaviors and failed to identify interventions to help manage the behaviors. Findings were reviewed with E1 (NHA) and E2 (DON) during the exit conference on 4/25/18 at approximately 4:00 PM. 2. Review of R9's clinical record revealed the following: 9/2/15 - R9 was admitted to the facility with [DIAGNOSES REDACTED]. 4/11/17 - R9 was care planned for wandering into other rooms and wandering in the hallway. The interventions included: - redirect as needed; - 1 on 1 as needed; - encourage activities; - return to room or quiet area as needed; - toilet as needed or incontinent care as needed; - give food or fluid; - change position; - adjust room temperature; - backrub; - refer to charge nurse for further intervention; and - psych consult as ordered. 2/19/18 at 2:36 PM - A Social Services note stated that R9 had short and long term memory impairment and wandered daily. 2/29/18 - The quarterly MDS Assessment stated R9 had short-term and long-term memory problems, decisions were poor and required cues and supervision for daily decision making, experienced hallucinations, wandering behavior occurred daily and was independently ambulatory in her room and the corridor. 3/7/18 - Despite R9's continued wandering into other residents room, the facility failed to initiate new interventions and her care plan remained the same. 4/25/18 at 2:45 PM - Findings were reviewed with E2 (DON). The facility failed to revise R9's wandering care plan by initiating new interventions as she repeatedly continued to wander into other residents rooms. 2020-09-01