cms_ID: 70

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
70	WEISER CARE OF CASCADIA	135010	331 EAST PARK STREET	WEISER	ID	83672	2016-10-21	498	F	0	1	224111	Based on review of staff training records and staff interviews, it was determined the facility failed to ensure 17 of 17 CNAs (#1-#5 and #7-18) whose competency evaluations were reviewed, were verified as competent to appropriately and safely transfer residents using a sit-to-stand mechanical lift. This resulted in the unsafe transfer of 2 residents requiring the use of a sit-to-stand mechanical lift. Findings include: 1. CNA skills competencies were reviewed for CNAs #1-#5 and #7-18. None of the new hire core competencies or the annual competencies for these staff included a demonstration of competency with the sit-to-stand mechanical lift. During an interview with the SDC, on 10/19/16 at 6:30 pm, she stated newly hired CNAs received, as part of their orientation, training on the Hoyer lift and the sit-to-stand. She said the new employee was paired with a CNA mentor for orientation on the floor. The SDC said the new employee would perform a return demonstration with the mentor (using the mechanical lifts) and the mentor then notified the nurse if the new employee was competent or needed more training. The nurse then signed off the core clinical competency based on the verbal report from the mentor. The SDC said she only followed-up on training of the mechanical lifts if there were concerns. The SDC said nurses were not required to complete the training or competencies for the mechanical lifts. Nurses, whose competency with the sit-to-stand mechanical lift was not verified, were responsible for checking off the competency of CNAs. The SDC provided an in-service, dated 7/8/16, for the sit-to stand. The in-service was a table top in-service where staff read the information and signed that they read it. It did not include a return demonstration. 2. Refer to F323 (Immediate Jeopardy) as it relates to the failure of the facility to ensure residents requiring the use of mechanical sit-to-stand lifts for assistance with transfers, were monitored and re-evaluated for the continued appropriateness and safety of the devices; and staff were trained how to use the devices. This deficient practice placed the health and safety of Residents #4 and #6 in immediate jeopardy of serious harm, injury, or death.	2020-09-01