cms_PR: 28

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
28 RYDER MEMORIAL HOSPITAL INC 405018 355 AVE FONT MARTELO HUMACAO PR 792 2019-05-23 655 D 0 1 L8MV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a recertification survey, review of ten medical records, resident interview and interview with the Nursing Supervisor (employee #1) performed from 05/21/19 thru 05/23/19, from 8:00 am thru 4:30 pm, it was determined that the facility failed to provide written care plan to residents/relatives as required by 483.21 (a) Comprehensive Person - Centered Care plan in tag F 655 of the State Operations Manual appendix PP -Guidance to Surveyors for Long Term Care Facilities. This deficient practice was identified in 8 out of 16 active cases reviewed. (RS #80, #81,#181, #182, #230, #231, #232 and #233) Findings include: 1. A mechanism to ensure that facility provide residents with a copy of the baseline care plan developed within the first 48 hours of admission was not performed, accordingly with the following findings identified during survey procedures performed from 05/21/19 thru 05/23/19, from 8:00 am thru 4:30 pm: a. Eight out eight residents were interview during survey procedures on 05/21/19 thru 05/23/19, from 8:00 am thru 4:30 pm and they stated that Facility did not provide a written copy of the baseline care plan developed the first 48 hours right after admission. RS #80, #81, #181, #182, #230, #231, #232, #233 b. Relative of resident sample # 80 was interview on 05/21/19 at 10:45 am and she stated that facility did not provide a written copy of the baseline care plan developed the first 48 hours right after admission. During interview on 05/21/19 at 10:05 am the Nursing Supervisor (employee #1) she stated that facility personnel discuss with residents and relatives the baseline care plan developed the first 48 hours right after admission. He also stated that facility did not implement a mechanism to comply with this requirement yet. She said that facility is in the process of design a format to document the information of the baseline care plan. c. During review of facility plan of care policy reviewed on 08/17/16 it was identified that procedure did not include mechanism to be follow to provide baseline care plan written copy to residents and relatives. 2. Resident # 181 is an [AGE] years old female admitted on [DATE] with a [DIAGNOSES REDACTED]. Evidence was found that resident #182 was oriented related to the interdisciplinary care plan and the registered nurse activate the plan of care however no evidence was found that the facility provide to the resident a copy of a written sumarry of the baseline care plan. 3. Resident # 182 is a [AGE] years old female admitted on [DATE] with an [DIAGNOSES REDACTED]. Evidence was found that resident #182 was oriented related to the interdisciplinary care plan and the the registered nurse activate the plan of care however no evidence was found that the facility provide to the resident a copy of a written sumarry of the baseline care plan. 4. Resident #230 is an [AGE] years old female admitted on [DATE] with a [DIAGNOSES REDACTED]. Evidence was found that resident #230 was oriented related to the interdisciplinary care plan and the registered nurse activate the plan of care however, no evidence was found that the facility provide to the resident a copy of a written sumarry of the baseline care plan. 5. Resident #232 is a [AGE] years old male admitted on [DATE] with an [DIAGNOSES REDACTED]. Evidence was found that resident #232 during the interview performed on 5/22/19 at 1:30 pm the resident stated that the nurse personnel was oriented related to the interdisciplinary care plan and the registered nurse activate the plan of care however, no evidence was found that the facility provide to the resident a copy of a written sumarry of the baseline care plan. 6. Resident # 231 is a [AGE] years old male admitted on [DATE] with a [DIAGNOSES REDACTED]. Evidence was found that resident #231was oriented related to the interdisciplinary care plan and the registered nurse activate the plan of care however no evidence was found that the facility provide to the resident a copy of a written summary of the baseline care plan. 7. Resident # 233 is a [AGE] years old female admitted on [DATE] with a [DIAGNOSES REDACTED]. Evidence was found that resident #233 was oriented related to the interdisciplinary care plan and the registered nurse activate the plan of care however no evidence was found that the facility provide to the resident a copy of a written summary of the baseline care plan. 2020-09-01