cms_OR: 43

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
43 REGENCY GRESHAM NURSING & REHAB CENTER 385015 5905 SE POWELL VALLEY RD GRESHAM OR 97080 2017-09-26 323 D 1 0 5RH111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review it was determined the facility failed to ensure fall interventions were implemented for 1 of 3 sampled residents (#5) reviewed for falls. This placed residents at risk for injury. Findings include: Resident 5 was admitted to the facility in (YEAR) with [DIAGNOSES REDACTED]. The 1/10/17 Admission CAAs indicated Resident 5 had dementia and a history of falls. The resident was assessed to have poor balance, weakness and was a moderate risk for continued falls. The resident was also identified to be incontinent of bowel and bladder and did not always use the call light to request assistance. The 7/11/17 Physician order [REDACTED]. The current Care Plan indicated to prevent falls and injury Resident 5 was to have interventions including a mat on the floor by the side of the resident's bed. The 8/16/17 Fall investigation indicated the resident was found on the floor by the transfer pole. The summary included New order for mat on floor . The investigation did not indicate the fall mat was on the floor by the resident's bed. The resident did not sustain an injury. On 8/28/17 at 1:05 pm with Staff 13 (CNA) Resident 5's room was observed to not have fall mat. The resident had the left side of the bed against the wall and a transfer pole to the right side near the head of the bed. Staff 13 indicated Resident 5 was recently moved to a different room due to facility remodel and the resident no longer had a fall mat. On 8/28/17 at 1:18 pm and on 8/29/17 at 9:40 am Staff 1 (RNCM) indicated Resident 5 frequently tried to stand without assist. Therapy evaluated the resident and determined a transfer pole might help the resident transfer to the wheelchair and not fall. The mat was not able to be placed by the pole and would potentially interfere with the transfer. Staff 5 acknowledged the order was still in place for a fall mat to prevent injury and the mat was not currently in use. Staff 1 indicated the mat should have been discontinued and a nonskid mat might be helpful to prevent the resident's feet from slipping if the resident attempted to transfer without assistance. 2020-09-01