cms_NM: 5651

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
5651 HOBBS HEALTH CARE CENTER 325040 5715 NORTH LOVINGTON HIGHWAY HOBBS NM 88240 2011-01-28 225 E     9D4X11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview, the facility failed to self-report an injury of unknown origin to the State Agency Hotline for 8 days for 1 (#20) of 24 residents. The facility also failed to investigate an injury of unknown origin to identify the source of an injury for Resident #20. The initial investigation began 8 days after the incident occurred. The findings are: A. Observation of Resident #20 on 01/25/11 at 9:25 am, revealed the resident was sitting on the floor in the hallway outside her room, picking at the floor. When she looked up, there were yellow/green discolorations under both eyes. B. Record review of the Interdisciplinary Progress Notes (IPN) dated 01/16/11 at 1:00 pm revealed, "CNA (Certified Nurse Aide) noticed resident had Rt (right) eyebrow and eye lid bruise with eyebrow swollen." 1. IPN dated 01/16/11 at 7:45 pm revealed, "hematoma noted to R (right) eye, [MEDICAL CONDITION] noted." 2. IPN dated 01/17/11 at 10:15 am revealed, "Bruising to R eye lid dark purple bruising to L (left) eye lid and below lower lid. Yellow/green bruise noted to upper R eyebrow." 3. IPN dated 01/18/11 at 6:00 pm revealed, "Both eye lids are purple ..." 4. IPN dated 01/23/11 at 7:20 pm revealed, "Bruises to bil (bilateral) eyes noted, light yellow in color bruises noted to forehead." C. Review of the physician progress notes [REDACTED]." D. Review of the Incident Report dated 01/24/11 revealed, "Nurse notified by CNA this resident was on the floor which she is often and she had a bruise on her right eye brow and it was swollen. Unknown origin, nobody witnessed any falls or incidents." The report identified the incident occurred on 01/16/11 at 12:40 pm and was reported to the State Agency on 01/24/11 at 5:31 pm, 8 days after the bruising had occurred. E. The policy provided by the facility, revision date 10/2010, titled "What You Need To Know" Abuse Prohibition, revealed on page 2. under the policy section, "3. The facility's Leadership will provide notification to the proper authorities, and, when required, the release of information to those agencies, pursuant to applicable federal and/or state law." Page 4. Component IV revealed under the identification section, "1. Staff members identify and assess suspected or alleged reports of abuse of neglect, focusing on objective and observable evidence, such as suspicious bruising..." F. On 01/26/11 at 2:45 pm, the Director of Nurses (DON) was interviewed. When asked if the incident with Resident #20 had been investigated or reported to the State Agency, she stated, "We did not investigate or report it at that time. I thought no one had done anything malicious. She is a always on the ground. I just did not think to report an incident like this. We did not suspect anything wrongful so we did not report. I just thought we reported abuse and neglect." When asked about injuries of unknown origin, she stated, "Oh yea, I forgot about that." The DON then found the State regulations for reporting. The DON stated, "It says injuries for which there was no known cause of origin. We did not investigate or report it until Monday the 24th and we should have done it on the Monday (the 17th) after it happened." G. On 01/27/11 at 4:00 pm, the Administrator was interviewed. When asked if he followed the facility policy or regulations to investigate and report an injury of unknown source, the Administrator stated, "No, I did not. I overlooked it and the report was a week late. I think they (the staff) did not tell me about the 2 black eyes and that would have triggered me to do more." 2014-02-01