cms_OR: 70

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
70 PROVIDENCE BENEDICTINE NURSING CENTER 385018 540 SOUTH MAIN STREET MOUNT ANGEL OR 97362 2018-12-19 677 D 0 1 NNTH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review it was determined the facility failed to ensure resident oral hygiene was provided as directed by the care plan for 1 of 5 sampled residents (#49) reviewed for ADLs. This placed residents at risk for decline in oral hygiene. Findings include: Resident 49 was admitted to the facility in 2008 with [DIAGNOSES REDACTED]. The 3/2018 Annual CAAs indicated the resident had mild intellectual disorder and mental health diagnoses. The resident at times was delusional, agitated and demonstrated aggressive behaviors. The resident required assistance with ADLs. The 6/30/18 Dental Care note indicated the resident had poor oral hygiene. The resident had extreme gingivitis and root exposure. The resident did not have signs or symptoms to indicate the resident's oral condition bothered her/him. The Bedside Information Sheet last reviewed on 11/17/18 revealed the resident had natural teeth and her/his teeth were to be brushed twice a day. The staff were to use children's toothpaste and a soft toothbrush. On 12/12/18 at 9:16 AM and at 10:04 AM Staff 4 (CNA) indicated staff used soft sponge brushes with diluted mouth wash to brush the resident's teeth. Staff 4 indicated the resident tended to swallow the toothpaste and choked. The sponge brushes were used because the resident resisted oral care and at times bit down on the toothbrush. Staff 4 indicated the resident's oral hygiene supplies were kept in the bedside table. With Staff 4, the resident's bedside table drawer was observed and did not contain children's toothpaste. On 12/12/18 at 12:06 PM Witness 1 (Resident 49's Family) indicated the resident was to use children's toothpaste because Resident 49 swallowed toothpaste. On 12/13/18 at 8:33 AM Staff 3 (Central Stores Director) indicated the facility did not supply residents with children's toothpaste and he was never asked to purchase children's toothpaste. On 12/13/18 08:45 AM and at 10:01 AM Staff 2 (RNCM) stated Resident 49 had mental health [DIAGNOSES REDACTED]. Staff 2 indicated the resident was seen by a dentist on a regular basis and the dentist recommended the staff use children's toothpaste because the resident swallowed toothpaste. Staff 2 further stated three weeks ago she purchased the resident's toothpaste and staff did not report the toothpaste was empty. On 12/13/18 at 8:51 AM Staff 5 (CNA) indicated she was familiar with Resident 49. Staff 5 indicated she used a sponge brush and mouthwash to brush the resident's teeth because the resident swallowed the toothpaste and would become agitated. Staff 5 indicated she did not see the children's toothpaste in the resident's room for approximately three to four months. On 12/13/18 at 10:09 AM with Staff 20 (CNA) the resident's bedside drawer was observed to have one unopened two pack of soft bristle toothbrushes, one unopened children's toothpaste with the safety seal intact, one children's toothpaste nearly full and one non-children's toothpaste which was half full. On 12/13/18 at 10:17 AM Staff 23 (CNA) indicated she was assigned to work with Resident 49. The resident's teeth were not brushed but when the resident allowed she used mouthwash on a sponge brush to clean the resident's teeth. 2020-09-01