cms_OR: 93

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
93 AVAMERE HEALTH SERVICES OF ROGUE VALLEY 385024 625 STEVENS STREET MEDFORD OR 97504 2019-06-20 695 D 1 0 90J611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review it was determined the facility failed to ensure respiratory care was consistently provided and monitored for 2 of 6 sampled resident (#s 2 and 5) reviewed for respiratory care and accidents. This placed residents at risk for inadequate oxygen levels. Findings include: 1. Resident 2 admitted to the facility 12/2018 with [DIAGNOSES REDACTED]. Resident 2's medical record revealed a physician order [REDACTED]. The resident's 12/12/18 through 12/15/18 TAR revealed oxygen saturations were not checked on 12/13/18 on day or evening shift. A review of the resident Weights and Vitals Summary revealed the following: -From 12/16/18 through 12/27/18 no oxygen saturations were monitored (12 days). -On 12/28/18 oxygen saturations were only completed one time. -From 12/29/18 through 1/6/19 no oxygen saturations were monitored (nine days). On 5/22/19 at 8:52 AM Staff 34 (LPN) stated she recalled the resident utilized oxygen and had breathing difficulties. She indicated she would remind the resident to keep her nasal cannula in place. On 5/24/18 at 9:41 AM Staff 32 (CMA) stated she recalled the resident had a difficult time breathing and utilized oxygen. She stated they would have to remind the resident not to remove her/his nasal cannula. On 6/7/19 at 10:50 AM Staff 2 (DNS) stated any high risk resident should have oxygen saturations checked every shift. She acknowledged staff were not monitoring Resident 2 appropriately. 2. Resident 5 admitted to the facility 6/2012 with [DIAGNOSES REDACTED]. Resident 5's medical record revealed a physician order [REDACTED]. Resident 5's medical record revealed a physician order [REDACTED]. A review of the resident's 12/2018 and 1/2019 TARS revealed oxygen saturations were checked on 12/26/18 through 12/28/18 for three days, however no other information was located on the TARs regarding monitoring of Resident 5's oxygen saturations. A review of the resident Weights and Vitals Summary from 11/2018, 12/2018 through 1/2019 revealed the following: -From 11/1/18 through 11/5/18 no oxygen saturations were monitored (five days). -On 11/6, 11/9, 11/12, 11/13 and 11/26/18 oxygen checks saturation were only completed one time. -From 11/30/18 through 12/9/18 no oxygen saturations were monitored (10 days). -From 12/17/18 through 12/21/18 no oxygen saturations were monitored (five days). -From 1/1/19 through 1/3/19 no oxygen saturations were monitored (three days). -From 1/7/19 through 1/11/19 no oxygen saturations were monitored (five days). On 6/7/19 at 10:50 AM Staff 2 (DNS) stated any high risk resident should have oxygen saturations checked every shift. She acknowledged staff were not monitoring Resident 5 appropriately. 2020-09-01