cms_DE: 91

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
91 BRANDYWINE NURSING & REHABILITATION CENTER 85004 505 GREENBANK ROAD WILMINGTON DE 19808 2017-07-19 428 D 1 1 ZBS111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interview, it was determined that the facility failed to act on an irregularity identified by the consultant pharmacist during the monthly drug regimen review for one (R112) out of 55 Stage 2 sampled residents. Findings include: Review of R112's clinical record revealed: 2/7/17- R112 was being treated for [REDACTED]. R112's monthy drug regimen review had a pharmacist recommendation that stated due to the resident currently receiving Epogen, which uses up the body's iron stores, to consider checking blood iron stores or starting iron therapy. 2/10/17- The physician checked agree for the pharmacists recommendation, dated 2/7/17, and wrote for Iron 325 mg by mouth twice daily. During clinical record review an order for [REDACTED].>7/19/17 9:07 AM- Interview with E3 (RN, Staff Development) revealed the unit manager had the responsibility to review the monthy drug regimen review recommendations after the physician reviewed them and to enter all written orders. E3 reviewed R112's clinical record and confirmed that R112 does not have an order for [REDACTED].>7/19/17 2:45 PM- The findings were reviewed and confirmed with E2 (DON) and E3. 2020-09-01