cms_ID: 59

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
59 WEISER CARE OF CASCADIA 135010 331 EAST PARK STREET WEISER ID 83672 2016-10-21 242 D 0 1 224111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, and resident, family member, and staff interviews, it was determined the facility failed to ensure that 1 of 18 sampled residents (Resident #4), choice of when to arise in the morning was respected. This placed Resident #4 at risk for a decline in his psychosocial well-being. Findings include: Resident #4 was admitted to the facility on [DATE]. Resident #4's MDS assessment, dated 3/4/16, included [DIAGNOSES REDACTED]. The assessment further documented Resident #4 had functional impairment on both sides of his upper and lower limbs. This consequently caused him to depend on 2 staff for extensive assistance in all transfers. Resident #4's 10/1/16 active physician orders [REDACTED]. On 10/18/16 at 9:30 am, Resident #4 was observed in bed. As he was lying in bed, with some assistance from Family Member #1, he frequently suctioned copious amounts of clear thick sputum. Resident #4 shared that he wanted to get up earlier in the day, when other residents who eat in the dining room were assisted up. He said when he sits up he has less phlegm, and therefore, less need for suctioning. Resident #4 said Family Member #1 comes early morning every day to help him shave and brush his teeth, before he has to go to speech therapy. Family Member #1, present for the interview, stated she offered to get Resident #4 ready to get up, if staff would assist with getting him out of bed earlier. On 10/18/16 at 4:50 pm, Resident #4 was observed slowly wheeling himself, independently, in his wheelchair. He stated at that time that he tried to do 3 laps around the inside of the facility as exercise. On 10/18/19 at 3:00 pm, the DON was asked if she was aware of Resident #4's desire to get up for breakfast when other residents get up. She said he used to get up earlier than his current rising, but staff was getting rushed trying to get him up. She said in the interest of safety, his transfer time was changed to after breakfast. The DON said a meeting was held with Resident #4 and Family Member #1, and both agreed to the change. The DON attempted to explain the census and staffing issues. She said she was afraid the staff would rush through Resident #4's transfer, placing him at risk for injury. When the DON was told Resident #4 continued to desire the previous early rise time, the DON said she would have to think about how that could happen. When asked what she would do if Resident #4 received oral nourishment, she had no answer. 2020-09-01