cms_OR: 24

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

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
24	LAURELHURST VILLAGE	385010	3060 SE STARK STREET	PORTLAND	OR	97214	2018-10-29	661	D	1	0	O7YK11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on interview and record review it was determined the facility failed to ensure a resident's discharge summary was thoroughly completed for 1 of 3 sampled residents (#5) reviewed for facility discharges. This placed residents at risk for an ineffective transition to a lower level of care. Findings include: Resident 5 was admitted to the facility in (YEAR) with [DIAGNOSES REDACTED]. The (MONTH) (YEAR) Progress Notes indicated on 7/17/18 a date was set for when Resident 5 was to be discharged to an assisted living facility. On 7/18/18 the notes indicated the resident signed the Voluntary Consent form for leaving the nursing facility and was notified of the details of her/his move. The resident was to receive home health services with a start dated of 7/20/18. The resident was discharged on [DATE]. The Discharge Summary and Plan form initiated on 7/17/18 and completed on 7/19/18 did not include the following information: Resident 2's mental and psychosocial status, cognitive status, dietary requirements, pursuit for activity potential and/or involvement, any critical labs or diagnostic tests including the resident's [MEDICATION NAME] level (measures the concentration of medication found in the blood to ensure medication was therapeutic) and [MEDICAL CONDITION] function test results, current [DIAGNOSES REDACTED]. The recapitulation of the facility stay included the resident was admitted to the facility from the hospital for skilled services on 4/29/18. The note did not include the services provided. The resident's skilled services ended on 6/13/18. There was no additional information to describe in detail the services/treatments the resident received and the current health and functional status before discharge. On 10/24/18 Staff 4 (RNCM) indicated the Discharge Summary should be completely filled out and a detailed summary of the resident's stay at the facility including skilled services, treatments and current level of care before discharge. Staff 4 indicated she was not sure the reason Resident 5's Discharge Summary was incomplete.	2020-09-01