cms_NM: 14

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
14	SANTA FE CARE CENTER	325030	635 HARKLE ROAD	SANTA FE	NM	87505	2019-07-19	690	D	0	1	W7WU11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to provide incontinence care for 1 (R #27) of 2 (R #27 and R #48) residents reviewed for bladder and bowel incontinence. This deficient practice has the potential to affect the self-esteem and well-being of the residents. The findings are: [NAME] On 07/16/19 at 3:13 PM, during an interview, R #27's roommate, R #86, revealed that R #27 was not changed on (MONTH) 15th and 16th from 5am to 1pm. B. On 07/17/19 at 11:50 AM, during observation, R #27 was walking down the hall towards her room with a saggy brief that appeared to be full and R #27 had the odor of urine. C. On 07/17/19 at 1:50 PM, record review of ADL (activities of daily living): The things we normally do in daily living including any daily activity we perform for self-care such as feeding ourselves, bathing, dressing, grooming, work, homemaking, and leisure.) sheets revealed that the CNAs during day-shift did not document changing resident's brief for the following days: 07/07/19, 07/12/19, and 07/16/19. D. Record review of R #27's care plan dated 04/30/19 revealed: Focus: I, (name of R #27) have bowel and bladder (B&B) incontinence r/t: Progressed dementia Goal: My risk for [MEDICAL CONDITION] (a serious bloodstream infection. It's also known as blood poisoning. [MEDICAL CONDITION] occurs when a bacterial infection elsewhere in the body, such as the lungs or skin, enters the bloodstream.) will be minimized/prevented via prompt recognition and treatment of [REDACTED].) through the review date. * I will decrease frequency of B&B incontinence to only once daily through the next review date by routine toileting. * I (name of R #29) will remain free from skin breakdown due to incontinence and brief use through the review date. Interventions: ACTIVITIES: notify nursing if incontinent during activities. BRIEF USE: I use small disposable briefs. Change every 2-3 hours and prn. Provide good peri-care (washing the genitals and anal area.) and apply skin barrier cream after each incontinent episode to protect my skin integrity. Encourage fluids during the day to promote prompted voiding responses. Ensure I have an unobstructed path to the bathroom. Establish voiding patterns. Offer prompted toileting every 2-3 hours to prevent/decrease incontinent episodes. E. On 07/18/19 at 9:13 PM during an interview, the ADON revealed that R #29 should be changed as needed and CNAs need to be checking her at least every 2 hours to ensure R #27 brief is changed.	2020-09-01