cms_OR: 73

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
73 PROVIDENCE BENEDICTINE NURSING CENTER 385018 540 SOUTH MAIN STREET MOUNT ANGEL OR 97362 2018-12-19 695 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 obtain orders for the use of oxygen, update a care plan and ensure the respiratory equipment was clean for 2 of 2 sampled residents (#s 20 and 422) reviewed for respiratory care. This placed residents at risk for unmet respiratory needs. Findings include: 1. Resident 20 was admitted to the facility in (YEAR) with [DIAGNOSES REDACTED]. The Progress Notes dated 12/7/18 at 12:47 AM indicated the resident's oxygen saturation level was 88 to 90 percent on room air (Normal is 95 to 100 percent). The resident was administered oxygen and the resident's oxygen saturation level stabilized at 94 to 98 percent. The 12/7/18 at 10:02 PM note indicated the resident was administered oxygen and was lethargic and appeared to be fatigued. The 2:00 PM note indicated the resident's physician was notified of the resident's condition. The note did not include an order for [REDACTED].>On 12/11/18 at 2:36 PM Resident 20 was observed in bed. Next to the bed was an oxygen concentrator (medical device takes in air, modifies the air and delivers oxygen). The machine was not on and the resident was not being administered oxygen. The 10/21/18 Personalized Bedside Care Plan was not updated to address the use of oxygen. On 12/12/18 at 10:47 AM Staff 2 (RNCM) acknowledged the resident had a change in condition and required the use of oxygen. The staff did not obtain an order for [REDACTED].>2. Resident 422 was admitted to the facility in 11/2018 with [DIAGNOSES REDACTED]. Observations on 12/14/18 at 1:24 PM revealed the resident was using an oxygen concentrator (medical device takes in air, modifies the air and delivers oxygen). The filter on the concentrator had a large build up of dust. Resident 422 indicated the filter was not changed since she/he was admitted to the facility. On 12/14/18 at 1:26 PM Staff 24 (CNA) indicated that once a resident was discharged staff in central supply cleaned the concentrators. She was unaware of what to do about the dirty filter and thought the staff who worked in central supply would replace the filter. On 12/14/18 at 1:28 PM Staff 3 (Central Supply) indicated they cleaned all the concentrators once the resident was discharged and would replace the dirty filters if the nursing staff let them know. 2020-09-01