cms_PR: 42

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
42 DAMAS HOSPITAL SNF 405023 2213 PONCE BY PASS PONCE PR 717 2019-03-28 578 F 0 1 HR5211 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on recertification survey observations, review of twelve clinical sample records, and interview with nursing supervisor ( employee # 1 ) , it was determined that the facility failed to comply with the requirements specified in 42 CFR part 489, subpart I related with Advance Directives. This deficient practice was identified in 12 out of 12 cases of resident sample (R#1, R#15, R#65, R#64, R#66, R#69, R#113, R#114, R#115, R#117 R#119 and R#118) Findings include: 1.A mechanism to ensure that facility provide written information to all adult residents concerning the right to accept or refuse medical or surgical treatment as an option and to formulate an advance directive, was not performed accordingly with these findings identified during survey procedures performed from 03/25/19 thru 03/28/19, from 8:00 am thru 3:00 pm: a.It was identified during interviews performed to 11 out to 12 residents during survey procedures from 03/25/19 thru 03/28/19, from 8:00 am thru 3:00 pm that admissions department did not provide written information to all adult residents concerning the right to accept or refuse medical or surgical treatment as an option and to formulate an advance directive. Nursing supervisor ( employee #1 ) stated on interview on 3/27/19 at 10:57 am that she went to admissions department to ask for about the availability of any written information prepared with the purpose to be provided to residents concerning the right to accept or refuse medical or surgical treatment as an option and to formulate an advance directive. She stated that admission department personnel inform her that during admission process information related with the rights to accept or refuse medical or surgical treatment as an option and to formulate an advance directive was well explained to residents and relatives, however they did not provide written information or brochure who explain this to them. 2.A mechanism to ensure that facility promote the right of each resident to formulate an advance directive was not performed accordingly with these findings identified during survey procedures performed from 03/25/19 thru 03/28/19, from 8:00 am thru 3:00 pm: a. Resident #115- is a [AGE] years old female who was admitted on [DATE] with a [DIAGNOSES REDACTED]. The clinical record was reviewed on 3/26/19 at 10:12 am and provided evidence that resident was disoriented since admission. No information was found documented on the medical record related with medical treatment and care relatives of resident representative make or advance directives formulation. Documentation related with the person who makes medical decisions for resident in the near future was not found. Nursing supervisor ( employee #1 ) stated on interview on 3/27/19 at 10:17 am that this resident lives in a remote location and only make visits to resident during weekends. She also stated that based on the situation that resident was disoriented a relative or representative appoint by relatives must be informed about the right to formulate advance directives. b. However there are no documentation found on the medical record who evidence resident relatives were informed of this matter. Facility failed to promote the right to inform advance directive information to the individual's resident relative/ representative as required when resident is unable to receive this information. 2020-09-01