cms_ID: 44

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
44 WEISER CARE OF CASCADIA 135010 331 EAST PARK STREET WEISER ID 83672 2018-06-15 657 D 0 1 GRQ011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, policy and procedure review, and staff interview, it was determined the facility failed to ensure residents' care plans were revised and updated to maintain consistency and accuracy. This was true for 1 of 12 sample residents (#29) whose care plans were reviewed. This had the potential for harm if appropriate cares and/or services were not provided due to incorrect information on the care plan. Findings include: The facility's policy and procedure for Care Plans, dated 11/28/17, documented the following: * A comprehensive care plan is developed consistent with the residents' specific conditions, risks, needs, behaviors, preferences and with standards of practice . * The comprehensive care plan addresses services to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. * The care plan is revised and updated to demonstrate the resident's current status. Resident #29 was admitted to the facility on [DATE] with multiple diagnoses, including age-related cognitive decline and dysphagia (a swallowing disorder). Resident #29's significant change MDS assessment dated [DATE] documented moderate cognitive impairment with signs and symptoms of [MEDICAL CONDITION], a mechanically altered diet, and speech therapy was in place during (MONTH) (YEAR). Resident #29's physician orders, active as of 6/13/18, documented a regular diet, pureed texture, regular consistency. Resident #29's care plan documented the following: * Altered texture: nectar thick puree solids, pudding thick puree solids to be thinned to honey thick (as a max consistency) via cream whole milk, gravy/sauce or butter to improve bolus flow through esophagus per speech therapist recommendation, initiated on 5/11/18 and revised on 6/7/18. * Diet ordered by physician: regular diet, pureed texture, thin liquids, initiated on 7/16/14 and revised on 4/18/18. A Progress Note, dated 6/1/18 at 9:13 AM, documented Resident #29 had a change of condition with a downgrade in her diet due to the decline. Resident #29 had difficulty swallowing medications whole. On 6/13/18 at 2:20 PM, the speech therapist said Resident #29's diet should be pureed with thin liquids. The speech therapist said the order and care plan were not congruent, and Resident #29 should be on puree solids that are no thicker than honey thick. The speech therapist said the diet order and care plan were confusing. On 6/13/18 at 3:45 PM, RN #3 said Resident #29's care plan needed to be updated regarding her diet order. 2020-09-01