cms_OR: 10

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
10 LAURELHURST VILLAGE 385010 3060 SE STARK STREET PORTLAND OR 97214 2019-02-27 757 D 1 1 71NL11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review, it was determined the facility failed to adequately monitor weights for 1 of 5 sampled residents (#16) reviewed for unnecessary medications. This placed residents at risk for inaccurate weight status and medication dose. Findings include: Resident 16 was admitted to the facility in 2/2019 with [DIAGNOSES REDACTED]. The 2/8/19 Admission MDS Section C: Cognitive Patterns specified a BIMS (brief interview for mental status) score of 12. This score indicated Resident 16 was moderately impaired. Resident 16's 2/1/19 physician's orders [REDACTED]. Resident 16's 2/1/19 physician's orders [REDACTED]. The 2/2019 TAR for daily weights was reviewed. The following 10 out of 19 days did not have a weight recorded: -2/4/19 to 2/6/19; -2/12/19; -2/14/19 to 2/16/19; and -2/18/19 to 2/20/19. There was no information on the TAR regarding a reason for failure to obtain Resident 16's daily weight. A review of progress notes revealed no information related to Resident 16's daily weight. In an interview on 2/21/19 at 1:43 PM, Resident 16 stated she/he took [MEDICATION NAME] (a medication used to treat fluid retention) for the fluid around her/his heart. Resident 16 stated she/he was supposed to get weighed every day. She/he stated staff used to take her/his weight every day but it had not been done lately. In an interview on 2/22/19 at 1:43 PM, Staff 5 (RNCM) stated Resident 16 took [MEDICATION NAME] for [MEDICAL CONDITION] and should be weighed daily. She stated staff should be monitoring Resident 16 for weight gain and notifying the physician as ordered. Staff 5 stated it was the nurse's responsibility with RNCM oversight to ensure daily weights were completed and confirmed Resident 16's weight was not obtained and recorded daily. In an interview with on 2/26/19 at 3:57 PM, Staff 2 (DNS) stated Resident 16 was pretty sick, bed bound and possibly unable to tolerate a daily weight. Staff 2 added she nor Staff 5 (RNCM) located documentation to support Resident 16's refusals or intolerance and Resident 16 should have been weighed daily as ordered. Staff 2 stated a new system will be implemented to ensure daily weights are completed as ordered. 2020-09-01