cms_OR: 34

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
34 REGENCY GRESHAM NURSING & REHAB CENTER 385015 5905 SE POWELL VALLEY RD GRESHAM OR 97080 2019-05-06 688 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 provide restorative services at the frequency ordered to maintain or prevent a decline in range of motion for 1 of 3 sampled residents (#8) reviewed for range of motion. This placed residents at risk for worsening contractures. Findings include: Resident 8 was admitted to the facility in 8/2016 with [DIAGNOSES REDACTED]. A 4/7/18 OT assessment noted worsening contractures of the right hand. A 4/12/18 physician order [REDACTED]. A 6/20/18 physician order [REDACTED]. The 1/29/19 Quarterly MDS Section G: Functional Status, indicated Resident 8 had impairments on both sides of upper body extremities and one side of the lower body. The Section O: Special Treatments, Procedures and Programs, indicated Resident 8 had seven days of active and passive range of motion (AROM and PROM) for restorative nursing during the look back period. The 3/4/19 Restorative Evaluation and Summary indicated Resident 8 received restorative services for ambulation and range of motion with goals to maintain current functional level and prevent decline of bilateral upper extremities. The 4/29/19 Contracture Screening indicated Resident 8 had contractures of the right shoulder, elbow, wrist, fingers and thumbs. On 4/29/19 Resident 8 was observed to have contractures of all five fingers on her/his right hand and stiff appearing arm and fingers on the left side. She/he was in a wheelchair and used her/his legs for locomotion. Resident 8's current Restorative Care Plan included: - Ambulation within parallel bars (minimal assist) as tolerated up to two times per week; - Active ROM (range of motion) legs, Omnicycle (a lower body exercise device) two times per week for 15 minutes; - PROM of bilateral upper extremities all joints/planes two sets of 10 up to three times per week. The (MONTH) 2019 Restorative Tracking Form lacked any documentation for the following interventions. - (MONTH) 1-6: Ambulation in parallel bars; - (MONTH) 7-13: AROM legs, Omnicycle and PROM to bilateral upper extremities; - (MONTH) 14-20: AROM legs, Omnicycle; - (MONTH) 21-28: AROM legs, Omnicycle. On 5/3/19 at 11:24 AM, Staff 20 (RA) reported the blank areas on the Restorative Tracking Form indicated Resident 8 did not receive restorative services or a resident refusal was not documentated. She was unable to recall if resident received or refused services. On 5/3/19 at 11:25 AM, Staff 21 (RA) could not recall if Resident 8 received services on the blank dates on tracking form. An interview on 5/3/19 at 12:07 PM with Staff 3 (LPN/resident care manager) revealed restorative aides were employed seven days per week and CNAs do not provide restorative therapy. If there were blank areas on the tracking form, the resident did not receive services or the services were not documented as refused. 2020-09-01