cms_OR: 19
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 19 |
LAURELHURST VILLAGE |
385010 |
3060 SE STARK STREET |
PORTLAND |
OR |
97214 |
2017-09-11 |
280 |
D |
0 |
1 |
8N9P11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview it was determined the facility failed to update the care plan for 1 of 3 sampled residents (#58) reviewed for ADLs. This placed residents at risk for unmet needs. Findings include: Resident 58 was admitted to the facility in 11/2013 with [DIAGNOSES REDACTED]. a. Review of the resident's 10/8/16 Nutrition CAA revealed the resident required total assistance with meals. Review of the 10/19/16 RD Assessment revealed Resident 58 was ordered a regular dysphagia diet with nectar consistency. The RD revealed the resident would occasionally feed her/himself and needed total assistance with meals. Review of the resident's 6/15/17 Comprehensive Plan of Care Review revealed the resident required a regular puree texture diet and total assistance with meals. The resident's current care plan dated 7/19/17 instructed staff to set up the resident's meal tray and assist if needed. Review of the resident's current Kardex (CNA care plan) revealed the resident had two physician ordered diets as follows: *Regular texture diet with nectar thick liquids, nutritionally enhanced meals, finger foods and was able to eat independent with staff set up; and *Regular diet with puree texture, nectar thick liquids and the resident verbal cues and encouragement for eating. During an observation on 9/5/17 and 9/6/17 at the noon meal service, Resident 58 was observed to be fed her/his lunch meal by staff. The resident's meals were pureed. During an interview on 9/8/17 at 11:16 am, Staff 6 (CNA) stated Resident 58 received a mechanical soft diet and was fed by staff. During an interview on 9/8/17 at 1:56 pm, Staff 7 (RN) stated Resident 58 received a regular pureed diet with full assistance by staff. During an interview on 9/11/17 at 9:08 am, Staff 3 (RNCM) acknowledged Resident 58 was ordered and received a regular puree diet with full assistance and confirmed the care plan was not reflective. b. A physician order dated 12/4/14 instructed facility staff to not use geri sleeves (arm protectors) as the resident pulled them off causing skin tears Resident 58's 7/19/17 care plan indicated she/he wore geri sleeves to protect her/his skin and included the use of geri arms (arm protectors) as interventions to protect the resident's skin. Review of the resident's current Kardex instructed facility staff to use geri arms or long sleeves at all times as resident allows. During an interview on 9/11/17 at 9:08 am, Staff 3 (RNCM) confirmed geri arms and geri sleeves were the same thing. She also acknowledged Resident 58 had a physician's order to not use geri sleeves and confirmed the care plan was not updated. |
2020-09-01 |