cms_PR: 45

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.

Data source: Big Local News · About: big-local-datasette

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
45	DAMAS HOSPITAL SNF	405023	2213 PONCE BY PASS	PONCE	PR	717	2019-03-28	700	D	0	1	HR5211	Based on recertification survey, observations, review of twelve clinical sample records, and interviews, it was determined that the facility failed to attempt to use appropriate alternatives prior to put the bed rail up. The facility fail to present evidence of the Policies and Procedure for the use of bed rails for 1 out of 12 resident sample. (Resident #115) Findings include: During record review of Resident #115 it was found that she have fall two times during her stay, one on 03/20/2019 at 1:40 am and the other on 03/22/2019 4:00 am. The fall report reflect on 03/20/2019 that the resident was found on the floor beside the bed with the wet floor in front of the bed. The floor was wet because the resident urinated on the floor. In the report is written that the resident refer that she was coming back from the bathroom and got dizzy and she hit on the head and right hip. The upper side rails were up. No injuries or bleeding were found. MD evaluation was perform on 03/20/2019 at 2:10 am. On 03/22/2019 at 4:00 am the report reflect that a resident start screaming Nurse a resident fell . Resident #115 was observe sitting on the floor and refer that she try to sit in between the bed rails and she slides to the floor and hit the lower back. In the incident report at the Environmental Factor is written that the four bed rails were up. The resident was evaluated by the MD on 02/22/2019 at 4:52 am and no injuries were found. 03/25/19 12:13 PM During Telephone interview with Daughter of the Resident #115 refer that my mother have two falls during the stay. The last fall was on Friday night On 03/27/2019 at 10:00 AM During interview with Resident # 115 it was identified that the resident did not recall any of the falls in the SNF. On 03/28/19 10:45 AM it was identified that Resident # 115 was evaluated by Neurocognitive Rehabilitation on 03/13/19 and identified that the patient was moderately disoriented in time and have her recent memory slightly impaired. The facility failed to attempt to use appropriate alternatives prior to put the bed rail up. The facility fail to present evidence of the Policies and Procedure for the use of bed rails.	2020-09-01