cms_NH: 2100

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.

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
2100 PLEASANT VALLEY NURSING CENTER 305039 8 PEABODY ROAD DERRY NH 3038 2011-01-13 282 D     FPTF11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview it was determined that the facility failed to ensure the implementation of the care plan for 2 of 2 residents. (Resident identifiers are #1 and #2.) Findings include: Resident #1 Review of Resident #1's medical record on 1/13/11 reveals that Resident #1 is severely cognitively impaired and requires 1 to 2 staff assist in ADL's with incontinence of bowel and bladder. Resident #1's care plan indicates at risk for skin breakdown related to incontinence, impaired bed mobility, altered nutrition and cognitive impairment. Care plan approaches include to monitor for incontinence every 2 hours and as needed, change promptly and to turn and reposition every 2 hours. Interview on 1/13/11 with Staff A and Staff B, DON revealed that Staff O, LNA reported that Resident #1 was found at 7 a.m. on 11/15/10 in bed with the same street clothes on as 11/14/10 and incontinent of feces some of which was dried on. Staff A and B also indicated that through the investigation Staff O had placed Resident #1 in bed at 2 p.m. on 11/14/10. Staff B indicated that Staff I, LNA on the 3 p.m. to11 p.m. shift and Staff G, LNA on the 11 p.m. to 7 a.m. shift were assigned to care for Resident #1. During the facility investigation Staff I and G both indicated to Staff A and B that they did not provide care to Resident #1 other than empting the Foley catheter bag. Resident #2 Review of Resident #2's medical record revealed that Resident #2 had [DIAGNOSES REDACTED]. Review of Resident #2's at risk for Skin breakdown care plan with an review date of 9/2/10 reveals under the "Approachs" column, 1. Monitor for incont. AC/PC/HS Q 2 hrs @ noc and prn, change promptly. (Before meals, after meals, hour of sleep, every 2 hours at night and when needed.) 2. Assist with repositioning as needed, using padding between pressure areas. 3. Encourage p.o. and fluid intake. 8.) Turn and reposition AC/PC/HS Q2rs @ noc and prn.11. Keep bed free of wrinkles, crumbs, and other sources of pressure. Interview on 1/13/11 with Staff A and Staff B, DON revealed that Staff F, LPN reported that Staff F had done rounds with the ARNP to assess rash on Resident #2 At 3:45 p.m. Staff F gave LNA's report and stressed to staff that Resident #2 would not be getting out of bed and that Staff F be called for skin check during Resident #2's bed bath. During this time it was noted that Resident #2 had crushed meds in Resident #2's beard and incontinent on the pad. Resident #2 had an order for [REDACTED]. Staff J indicated that Staff J looked in on Resident #2 a few times but Resident #2 was sleeping. Staff J is aware of the policy that residents are to be turned every 2 hours but stated the floor was too busy. Staff J knows that Resident #2 is a 2 person assist and that Staff J never asked for help to turn or to provide care because Staff J assumed that another staff member would just help Staff J. Staff A and B confirmed that Resident #2 for 6 hours had not received personal care, supper or incontinence care. 2014-04-01