cms_ID: 54

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
54 WEISER CARE OF CASCADIA 135010 331 EAST PARK STREET WEISER ID 83672 2019-10-04 677 D 0 1 VWS011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, it was determined the facility failed to ensure residents were assisted with hand hygiene. This was true for 1 of 12 residents (Resident #40) reviewed for ADL care. This failure created the potential for harm by potentially exposing residents to the risk of infection. Findings include: Resident #40 was admitted to the facility on [DATE], with multiple [DIAGNOSES REDACTED]. A quarterly MDS assessment, dated 9/18/19, documented Resident #40 was cognitively intact and she required extensive assistance from one person for most activities of daily living. On 10/2/19 at 1:22 PM, CNA #4 was observed as she provided pericare to Resident #40. CNA #4 unfastened Resident #40's incontinence brief and Resident #40 scratched her genitalia vigorously using her right hand. CNA #4 asked Resident #40 to stop scratching and gave the resident a wet wipe. Resident #40 held onto the wipe, but did not clean her hands. CNA #4 proceeded to clean Resident #40's periarea and wiped it from front to back. CNA #4 then cleansed around Resident #40's catheter insertion site. Resident #40 then scratched her genitalia again using her right hand and her fingers were observed going to her catheter insertion site. CNA #4 reminded Resident #40 to stop scratching and gave Resident #40 another wet wipe. Resident #40 held onto the wipe, but did not clean her hands. CNA #4 then removed her gloves, performed hand hygiene, and applied new gloves. While CNA #4 was applying a new incontinence brief Resident #40 was observed to scratch her genitalia again. CNA #4 asked Resident #40 to stop scratching and said she was going to let the nurse know to check Resident #40's periarea. CNA #4 then assisted Resident #40 to sit on the edge of the bed and helped her to transfer to her wheelchair. As CNA #4 was helping Resident #40 to transfer to the wheelchair, Resident #40 scratched her nose and then wiped her mouth using her right hand. CNA #4 did not assist Resident #40 with hand hygiene after she touched her periarea. On 10/2/19 at 1:38 PM, CNA #4 said she should have cleaned Resident #40's hand when she finished with her pericare. 2020-09-01