cms_OR: 33

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
33	REGENCY GRESHAM NURSING & REHAB CENTER	385015	5905 SE POWELL VALLEY RD	GRESHAM	OR	97080	2019-05-06	656	D	0	1	9QV111	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review it was determined the facility failed to implement the comprehensive care plan for 1 of 3 sampled residents (#14) reviewed for nutrition. This placed residents at risk for unmet needs. Findings include: Resident 14 admitted to the facility in 7/2013 with [DIAGNOSES REDACTED]. The care plan initiated on 10/19/17 and in use on 4/29/19 revealed the following: -The resident was totally dependent on staff for eating; -One-on-one assistance while eating, sips of liquids between bites to clean oral cavity and small bites; -Position upright in her/his wheelchair at all meals. On 4/29/19: -Observed at 12:11 PM a tray was delivered to Resident 14 in her/his room. The resident was alone and started eating independently without staff present; -Obsevered at 12:23 PM Staff 25 (CNA) entered the room, stopped the resident from eating and removed the tray from her/his bedside; -In an interview at 12:23 PM Staff 25 stated it was not safe for Resident 14 to eat alone. Resident 14 had no observed distress or concerns while eating alone on 4/29/19. On 5/1/19 and 5/2/19 the resident was observed eating in the dining room in her/his wheelchair with one-on-one assistance and was encouraged by the attending CNA to cough to clear secretions. In an interview on 5/2/19 at 1:40 PM Staff 26 (Registered Dietitian) stated when residents, including Resident 14, were charted as dependent on staff for eating it meant residents would receive one-on-one assistance. Staff 26 stated staff should not drop off a tray and let Resident 14 eat alone because she/he needed help at all times and should not be left alone. In an interview on 5/2/19 at 4:18 PM Staff 1 (DNS) stated she expected staff to follow the resident's care plan. In an interview on 5/6/19 at 12:15 PM Staff 19 (Administrator) stated she expected staff to follow the care plan.	2020-09-01