cms_OR: 8

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
8 LAURELHURST VILLAGE 385010 3060 SE STARK STREET PORTLAND OR 97214 2019-02-27 698 D 1 1 71NL11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, interview and record review, it was determined the facility failed to provide post-[MEDICAL TREATMENT] care and assure accurate fluid restrictions for 1 of 1 sampled resident (#38) reviewed for [MEDICAL TREATMENT]. This placed residents at risk for [MEDICAL CONDITION] complications. Findings include: Resident 38 was admitted to the facility in 1/2019 with [DIAGNOSES REDACTED]. The 1/3/19 [MEDICAL TREATMENT] Care Plan identified the resident received [MEDICAL TREATMENT] treatments out of the building on Tuesday, Thursday and Saturday. The care plan directed staff to monitor for symptoms of fluid overload and electrolyte imbalance with emergency procedures provided. Nursing staff were to monitor the [MEDICAL TREATMENT] catheter every shift for signs of infection, [MEDICAL CONDITION], ischemia, bleeding, dislodgement and presence of a catheter cap. A 1500 ml/day fluid restriction was identified. Progress notes identified monitoring of the catheter after [MEDICAL TREATMENT] on 1/3/19, 1/10/19, 1/17/19, 1/24/19 and 1/31/19. There was no evidence of routine monitoring of the [MEDICAL TREATMENT] catheter in February. The 2/2019 TAR directed nursing staff to ensure the [MEDICAL TREATMENT] form was sent to and returned from the [MEDICAL TREATMENT] center, and to monitor the [MEDICAL TREATMENT] catheter every shift. The 1500 ml/day fluid restriction was monitored and initialed as completed every shift. On 2/20/19, the Hydration Pass monitor identified the resident consumed 1800 ml within a 24 hour period. There was no evidence in the medical record nursing staff recognized or responded to the over-consumption of fluids on 2/20/19. In a 2/20/19 interview at 10:39 AM, Resident 38 who was alert and oriented stated the facility nurse did not regularly check her/his access site upon return from [MEDICAL TREATMENT] and often times, the first nursing contact she/he had was with the CMA who brought the noon medication pills or when the nurse checked her/his blood sugar levels before lunch. In a 2/25/19 interview at 11:15 AM, Staff 12 (LPN) stated the routine when residents returned from [MEDICAL TREATMENT] was to obtain the communication packet and review the information contained in it, document the weight from [MEDICAL TREATMENT] and follow up if there was anything of significance in the paperwork. When asked about a evaluation of the resident upon return from [MEDICAL TREATMENT], Staff 12 stated she would check in verbally with the resident, but usually the resident was tired and wanted to rest. Staff 12 reported checking the catheter site in the early morning, but generally did not check the catheter upon return from [MEDICAL TREATMENT]. On 2/26/19 at 10:20 AM, Resident 38 returned from [MEDICAL TREATMENT] and was greeted at her/his room door by the Staff 12 (LPN). The packet provided by [MEDICAL TREATMENT] was handed to Staff 12 and she returned to the nurses desk to begin reviewing the paperwork. The resident was assisted to her/his bed by a CN[NAME] No further assessment of the resident's condition occurred. When interviewed on 2/26/19 at 1:36 PM, Staff 10 (Resident Care Manager-LPN) stated she expected nurses to attend to the resident right away and check their access site for signs of bleeding or infection when they returned from [MEDICAL TREATMENT]. Then paperwork would be reviewed and follow up would occur. In a 2/27/19 interview at 1:52 PM, Staff 2 (DNS) stated pre and post-[MEDICAL TREATMENT], nursing staff should check on the access site and/or the dressing on it, assess for pain or any change in condition and complete a set of vitals after [MEDICAL TREATMENT]. Staff 2 stated this assessment should be documented. 2020-09-01