cms_OR: 99
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 99 |
AVAMERE HEALTH SERVICES OF ROGUE VALLEY |
385024 |
625 STEVENS STREET |
MEDFORD |
OR |
97504 |
2019-06-20 |
807 |
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 adequate hydration was monitored for 1 of 3 residents (#1) reviewed for hydration. This placed residents at risk for dehydration. Findings include: Resident 1 admitted to the facility in 11/2018 with [DIAGNOSES REDACTED]. On 12/6/18 a public complaint was received and indicated Resident 1's lips and skin were visibly dry and the resident could not always access her/his water. A comprehensive care plan dated 12/4/18 indicated the resident was at nutritional risk related to diabetes and staff were to monitor hydration pass as ordered. A review of Resident 1's Hydration Pass from 12/2018 through 1/2019 revealed the following: -Staff were to monitor and document the resident's hydration intake three times a day. -from 12/4/18 through 1/9/19 no documentation was located regarding the resident's hydration intake. On 5/23/19 at 12:08 PM Witness 1 (Complainant) stated she visited the resident on 12/5/18 and her/his lips were very dry and the resident asked for some water. Resident 1's water was in the corner of the room where she/he was unable to reach it. On 5/23/18 at 2:00 PM Witness 17 (Friend of the Complainant) stated she visited the resident on 12/7/18 and her/his lips were extremely dry, cracked and peeling. She indicated the resident was too weak to bring the water up to her/his lips for a drink without assistance. On 5/28/19 at 2:05 PM Staff 33 (CNA) stated at times the resident had difficulty holding onto cups in order to drink water. On 6/5/19 at 8:55 AM Staff 19 (CNA) stated she thought Resident 1 was on a hydration pass and she recalled monitoring how much water the resident would drink. On 6/3/19 at 12:30 PM Staff 11 (RNCM) stated she could not find any documentation of staff monitoring Resident 1's hydration intake from 11/29/18 through 1/9/19 and thought the resident was on a hydration pass. |
2020-09-01 |