cms_ID: 9

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
9 ST LUKE'S ELMORE LONG TERM CARE 135006 895 NORTH 6TH EAST MOUNTAIN HOME ID 83647 2017-07-27 281 D 0 1 V9TA11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, resident and staff interview, it was determined the facility failed to ensure physician orders [REDACTED]. This was true for 1 of 7 sampled residents (#4) and had the potential for harm if residents received inappropriate incontinent care. Findings include: Resident #4 was readmitted to the facility on [DATE] with multiple diagnoses, including urinary obstruction. Resident #4's physician order, dated 9/29/16, documented an order for [REDACTED].>Resident #4's current bladder continence care plan, dated 6/12/17, documented an intervention, Condom catheter on at all times. Resident #4's quarterly Minimum Data Set assessment, dated 6/28/17, documented the resident was incontinent of bowel and bladder, and had an external catheter. Resident #4's nurse progress notes, dated 6/30/17, documented a small area of the skin of the meatus was missing from Resident #5's penis, the physician was notified and the resident received a barrier cream to the affected area. Nurse progress notes, dated 7/7/17, documented the resident's penis had healed with no new issues noted and the nurse documented, we will continue to keep the condom catheters off at this time. Resident #4's active physicians orders and treatment administration record from 7/1/17 to 7/27/17, documented a 9/29/16 physician order [REDACTED].>On 7/25/17 at 12:55 pm, Resident #4 said he no longer used the condom catheter and did not like to wear incontinent briefs when in bed. On 7/24/17 at 3:00 pm, CNA #5 (Certified Nurse Assistant) said Resident #4 was incontinent of bowel and bladder and used incontinent pads while in bed because he did not like to wear incontinent briefs. On 7/25/17 at 1:55 pm, CNA #6 said Resident #4 had used a condom catheter in the past, but had not used a catheter for a month or two. On 7/25/17 at 2:20 pm, LPN #1 said Resident #4 did not use a condom catheter. On 7/26/17 at 1:50 pm, the DNS (Director of Nursing Services) said the condom catheter had been a physician's orders [REDACTED]. 2020-09-01