cms_OR: 44

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
44 REGENCY GRESHAM NURSING & REHAB CENTER 385015 5905 SE POWELL VALLEY RD GRESHAM OR 97080 2017-09-26 371 F 1 0 5RH111 > Based on observation, interview and record review it was determined the facility failed to ensure the kitchen was kept in a sanitary manner for 1 of 1 kitchens and failed to ensure a process was in place to monitor resident use refrigerators for 1 of 3 sampled residents (#1) reviewed for call light response times. This placed residents at risk for foodborne illnesses. Findings include: 1. On 8/28/17 at 10:50 am two kitchen windows were observed to be open. The window on the left side of the wall did not have a screen to prevent debris and insects from entering the kitchen. The window on the right side of the wall had a screen but the screen did not fit securely in the window and a gap was present to allow outside debris from entering the kitchen. The screen also had a layer of dust and cobwebs accumulated on the outside of the screen. The counter in front of the window did not contain food but had visible dust. On 8/28/17 at 11:00 am Staff 12 (Cook) acknowledged one window did not have a screen and another window had a gap and did not provide a secure seal. Staff 12 also acknowledged the counters were dusty. 2. The 9/2011 Record of Refrigeration Temperatures policy indicated a daily temperature record was to be kept of the refrigerators. The policy indicated nursing unit refrigerators and freezers and other refrigerators/freezers with resident food stored in it must be clean, food must be dated and have temperatures recorded. On 8/29/17 at 2:10 pm with Staff 9 (CNA) Resident 1's refrigerator was observed to have cups of food and drinks in her/his personal room refrigerator. There were three cups of milk with no dates and one boiled egg in a covered bowl. The refrigerator and items in the refrigerator felt cold but there was no thermometer observed to determine the temperature of the refrigerator. On 8/30/17 at 1:00 pm Staff 4 (Maintenance) indicated he assisted with resident personal use refrigerators as needed but the housekeeping staff were to monitor the temperatures. On 8/30/17 at 1:26 pm Staff 6 (Housekeeping) indicated she did not monitor the resident refrigerators. On 8/31/17 at 10:00 am Staff 10 (CNA) indicated she did not check the resident room refrigerator temperatures. On 8/30/17 at 10:30 am with Staff 2 (DNS) and Staff 11(RNCM) Staff 11 indicated the personal refrigerators in the resident rooms were the responsibility of the residents. Staff 2 acknowledged Resident 1 was not able to monitor the refrigerator because the resident was confined to bed and was not able to check the food dates. Staff 2 indicated Resident 1 was alert and oriented and was able to choose the foods to eat. On 8/29/17 at 2:10 pm Resident 1 indicated she/he asked staff to mark the food before it was placed in the refrigerator. If the food was not marked she/he did not eat the food. On 8/31/17 at 11:20 am Staff 3 (Dietary Manager) acknowledged there was no system in place for monitoring resident room refrigerators. 2020-09-01