cms_OR: 50

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
50 PROVIDENCE BENEDICTINE NURSING CENTER 385018 540 SOUTH MAIN STREET MOUNT ANGEL OR 97362 2016-06-06 272 D 0 1 NQJS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review it was determined the facility failed to comprehensively assess the use of a catheter for 1 of 2 sampled residents (#122) reviewed for urinary catheter use. This placed residents at risk for unnecessary catheter use. Findings include: Resident 122 was admitted to the facility in 2012 with [DIAGNOSES REDACTED]. The MDS annual comprehensive assessment dated [DATE] included a [DIAGNOSES REDACTED]. The Urinary Incontinence and Indwelling Catheter CAA dated 2/19/16 stated [DIAGNOSES REDACTED]. A review of the resident's medical chart revealed 11 Interdisciplinary Focus assessments completed on a quarterly basis through 2/26/16 each of which stated foley catheter use was due to a [DIAGNOSES REDACTED]. A Urinary Incontinence/Indwelling Catheter assessment dated seven times from 2/8/13 through 1/28/15 listed chronic indwelling foley catheter use was due to the resident's [DIAGNOSES REDACTED]. No mention of urinary obstruction was found. On 6/2/16 at 12:39 pm Staff 5 (RNCM) and Staff 2 (DNS) provided the surveyor a copy of a statement from the resident's MD dated 5/31/16 which stated long term catheter use was necessary due to the resident's history of obstruction and [MEDICAL CONDITION] which led to kidney failure. In an interview on 6/3/16 at 10:34 am Staff 5 acknowledged the resident's current MDS assessment and CAA had not included the resident's [DIAGNOSES REDACTED]. 2020-09-01