cms_PR: 84

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
84 CENTRO MEDICO WILMA N VAZQUEZ SNF 405025 ROAD 2 KM 39 5 BO ALGARROBO VEGA BAJA PR 693 2018-08-20 641 D 0 1 1LG411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview the facility failed to ensure the Minimum Data Set Assessment (MDS), an assessment tool completed by the facility used for care planning, accurately reflected for one of eight sampled residents (Resident(R) 86's related to his urinary continence and his diagnosis. Findings include: Review Active Problems in R86's electronic medical record (EMR) revealed his [DIAGNOSES REDACTED]. During interview with R86 on 08/17/18 at 1:58 PM he stated he was a paraplegic; he had a Foley catheter (indwelling urinary catheter); and he was in the facility for IV antibiotics due to an infection in the pressure ulcers on his hips. He also stated c Foley catheter he is incontinent of bladder. When ask why he had a Foley catheter he stated he was not sure. Observation of the resident revealed he had an indwelling urinary catheter bag hanging one the side of the bed. The pressure ulcer plan of care with an initiation date of 08/08/18 indicated the resident was admitted for IV (intravenous) therapy due to an infection of the ulcers. A Consult Note Infectiology dated 08/16/18 indicated R86 was on [MEDICATION NAME] due to hip osteo[DIAGNOSES REDACTED] due to the stage 3 decubitus ulcers of the bilateral hips. Review of R86's Admission MDS Assessment with an Assessment Reference Date (ARD), end point of evaluation, of 08/12/18 revealed the assessment was inaccurately coded. The assessment was inaccurately coded to indicate he was continent of urine at section H, urinary continence. At Section I, Active Diagnosis, the assessment was inaccurately coded with a no response at wound infections, diabetes mellitus, and [MEDICAL CONDITION], indicating he did not have any infections, did not have diabetes mellitus and was not paraplegic. Each area of the Assessment and the last section of the MDS was coded at completed and signed by the MDS Coordinator. On 08/20/18 at 11:26 AM the MDS Coordinator was interviewed. During interview she verified the MDS assessment was completed and signed. When the MDS was reviewed with her she verified the above sections were inaccurate. 2020-09-01