cms_PR: 100

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
100 SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC 405029 CALLE 4-L-10 URB COLINAS DEL OESTE HORMIGUEROS PR 660 2018-07-23 608 C 0 1 7WTE11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure its abuse and neglect prohibition policy included information on the mandated timeframes, and related staff education, for the reporting reasonably suspected crimes against a resident to the State Survey Agency and local law enforcement. The facility also failed to post, in a prominent location, information regarding the employee's right to be free of retaliation for reporting suspected crimes against a resident and how to file a complaint with the State Survey Agency in the event of suspected or actual retaliation. This failure had the potential to affect all 14 residents, visitors, and facility staff. Findings include: 1. Review of the facility's policy and procedure titled, Policy and Procedure for the Prevention of Abuse of Residents, revised (MONTH) (YEAR), indicated the policy and procedure failed to include: a. Procedures for reporting any reasonable suspicion of a crime against a resident to the State Survey Agency and local law enforcement, within two hours if the resident sustained [REDACTED]. b. Staff education regarding the types of acts considered to be a crime against a resident, and their obligation to report reasonable suspicions of a crime against a resident to the facility administration and/or directly to the State Agency and local law enforcement agencies. c. Provisions for posting information, in a prominent location, informing the employees of their right to be protected from retaliation for reporting a suspicion of crime against a resident to the facility administration and/or the State Survey Agency and local law enforcement. 2. Observations of the posted notices and information throughout the facility on 07/23/18 at 11:00 AM, revealed none of the information posted in the facility informed the staff of their right to remain free of retaliation from the facility for reporting reasonable suspicions of a crime against a resident, and how to file a complaint with the State Survey Agency in the event of suspected or actual retaliation. 3. During interviews on 07/22/18 at 11:25 AM and on 07/23/18 10:36 AM, the facility owner stated the facility does not report suspicions of a crime against a resident to the State Survey Agency and law enforcement S[NAME] The owner stated the facility's Administrator investigates the allegation, and if found to be true, reports the findings of the investigation to the State Survey Agency within five working days. The facility owner stated they had not posted information informing the employees of their right to be protected from retaliation for reporting suspicions of a crime against a resident. 2020-09-01