cms_OR: 75

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
75 PROVIDENCE BENEDICTINE NURSING CENTER 385018 540 SOUTH MAIN STREET MOUNT ANGEL OR 97362 2018-12-19 790 D 0 1 NNTH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review it was determined the facility failed to ensure a resident received necessary dental treatment for 1 of 3 sampled residents (#70) reviewed for dental care. This placed residents at risk for continued pain and a lessened quality of life. Findings include: Resident 70 admitted to the facility in 8/2018 with [DIAGNOSES REDACTED]. The 8/25/18 Admission MDS indicated Resident 70 had difficulty chewing. The 8/25/18 Dental CAA indicated Resident 70 had some loose teeth and would see the dentist when she/he felt better. The CAA stated staff were to assist with appointments if the resident's teeth worsened. A 12/3/18 Nutrition Observation indicated Resident 70 had difficulty eating because of teeth problems and the resident's diet was changed to a mechanical soft diet. The current care plan, updated 12/7/18, indicated one of Resident 70's teeth broke off recently. Resident 70 was to receive a mechanical soft textured diet. The care plan indicated Resident 70 was to receive dental evaluations and interventions as needed. On 12/10/18 at 2:15 PM Resident 70 stated she/he broke a tooth and needed to see the dentist. Resident 70 stated she/he gave the tooth to staff but did not hear anything back. Resident 70 stated she/he was unable to see a dentist outside of the facility due to her/his non-weight bearing status and inability to transfer into a dentist chair. On 12/13/18 at 10:41 AM Staff 18 (Social Services) stated Resident 70 had private insurance and any dental needs were coordinated through Witness 6 (Case Manager). Staff 18 stated facility staff would need to talk with the case manager to request a dentist come to the facility instead of sending the resident out. Staff 18 stated she was unaware Resident 70 needed dental treatment. On 12/13/18 at 11:29 AM Witness 6 stated she was not aware Resident 70 needed dental treatment. Witness 6 stated it was possible for a dentist to come to the facility for urgent dental treatment when required. On 12/14/18 at 9:09 AM Staff 19 (RD) stated Resident 70 had lots of dental problems and had a difficult time chewing. On 12/14/18 at 9:54 AM Staff 21 (RNCM) identified herself as one of the RN Care Managers for the 200 hall, where Resident 70 currently resided. Staff 21 stated Resident 70's tooth broke off and the resident had pain and trouble eating. Staff 21 stated this issue was identified prior to the resident moving to the 200 hall and the resident's previous RNCM (Staff 22) was working on getting dental treatment while the resident resided in the other hall. Staff 21 stated she was not aware of any current plan for obtaining dental treatment for [REDACTED]. On 12/14/18 at 9:58 AM Staff 22 stated she was in the process of obtaining dental treatment for [REDACTED]. Staff 22 stated she was not sure what occurred since that time with regard to the resident's dental needs. 2020-09-01