cms_PR: 86

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.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
86 SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC 405029 CALLE 4-L-10 URB COLINAS DEL OESTE HORMIGUEROS PR 660 2019-03-27 655 C 0 1 PV3411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a recertification standard survey, interview, observation and eight records reviewed it was determined that the facility failed to ensure that all patient has developed and implemented an activities plan of care within 48 hour of resident admission for 8 out of 8 residents in the sample (R#51, R#52, R#53, R#54 R#101, R#102, R#103 and R#104) Findings include: 1. Resident # 101 is a [AGE] years old female admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. On 03/25/19 at 10:00 am during interview with resident state that since arrive to the facility did not participate of any activity. That she entertain herself with letter soap book and watch television. On 03/26/2019 at 9:05 am during the record review no evidence was found related to the recreational therapist initial assessment. No evidence was found that the facility developed and implemented activities plan of care. 2. Resident # 102 is a [AGE] years old male admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. On 03/26/19 at 9:20 am, during interview with resident #102 she state that did not participate of any activity since he arrive. On 03/26/2019 at 9:50 am during the record review no evidence was found of the recreational therapist initial assessment was performed. No evidence was found that the facility developed and implemented an activities plan of care. 3. Resident # 103 is a [AGE] years old male admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. On 03/25/19 at 11:50 am, during interview with resident #103 he state that did not participate of any activity since he arrive. No one ask him about his preference for activities. On 03/26/2019 at 10:25 am, during the record review no evidence was found of the recreational therapist initial assessment was performed. No evidence was found that the facility developed and implemented an activities plan of care. 4. Resident # 104 is a [AGE] years old female admitted to the facility on [DATE] with a [DIAGNOSES REDACTED].#104 she state that since she arrive to the facility, no activity she has participate and no orientation was provided related to activities schedule. On 03/26/2019 at 10:00 am during the record review it was found no evidence of the recreational therapist initial assessment was performed. No evidence was found that the facility developed and implemented an activities plan of care. 5. No evidence was found in residents rooms of the activities program schedule. 6. No evidence was found in the recreational area of a schedule of the activity program since (MONTH) 2019. Interview with the administrator employee #3 on 3/25/2019 at 2:10 pm related to the activities program he state that the person in charge of the activity program was the recreational therapist and she was suspended from her job for 39 days. Interview with the Human Research Officer employee #1 on 3/26/2019 at 9:43 am she state that the Recreational Therapist was suspended for 45 days from (MONTH) 20, 2019 through (MONTH) 25, 2019 due to disciplinary measure after multiple disciplinary act for 45 days. The facility was in an intensive recruitment but after Maria Hurricane there was a shortage of professional. 7. The facility did not have a mechanism to cover the recreational therapist since (MONTH) 20, 2019 and did not ensure that the resident be affected due to not available of an activity program. 8. Resident #51 is a [AGE] years old female who was admitted on [DATE] with [DIAGNOSES REDACTED]. On 03/25/19 at 1:35 pm the resident was interview and she stated that the facility did not provide recreational activities. She stated that she received physical and occupational therapy but did not received recreational activities since admission. During the initial tour on 3/25/19 at 9:45 am it was not observed the weekly or monthly activity program in resident's room. On 3/26/19 at 9:00 am the resident record was reviewed and did not have the initial recreational assessment and no evidence of the activity program. No evidence was found that the facility developed and implemented an activities plan of care. 9. Resident #52 is a [AGE] years old female who was admitted on [DATE] to received Prosthesis Training of both lower extremities. The clinical record was reviewed on 3/23/16 at 9:00 am and provided evidence that the resident's had history of Amputation of both legs, Diabetes Mellitus, Hypertension and Heart by Pass. The admission plan of treatment was performed and revealed that the initial recreational assessment not performed by the recreational therapist. During the initial tour performed on 3/25/19 at 9:30 am no evidence of the recreational plan of activities in the resident room. On 03/25/19 03:12 pm during interview the resident stated that the facility did not provide recreational activities. She stated that today is the first physical therapy because was admitted on Saturday 23/2019 and today the physical therapist performed the initial assessment and she received the first physical therapy however, did not received recreational activities today. On 3/26/19 at 9:00 am the resident record was reviewed and did not have the initial recreational assessment and no evidence of the activity program. No evidence was found that the facility developed and implemented an activities plan of care. 10. Resident #53 is a [AGE] years old female who was admitted on [DATE] with [DIAGNOSES REDACTED]. On 03/25/19 at 2:35 pm the resident was interview and she stated that the facility did not provide recreational activities. She stated that received physical and occupational therapy but did not received recreational activities since admission. During the initial tour on 3/25/19 at 9:45 am did not observed the weekly or monthly activity program in resident's room. On 3/26/19 at 11:00 am the resident record was reviewed and did not have the initial recreational assessment and no evidence of the activity program. No evidence was found that the facility developed and implemented an activities plan of care. 11. Resident #54 is a [AGE] years old female who was admitted on [DATE] with [DIAGNOSES REDACTED]. During the initial tour on 3/25/19 at 10:00 am did not observed the weekly or monthly activity program in patient room. On 3/26/19 at 10:00 am the resident record was reviewed and did not have the initial recreational assessment and no evidence of the activity program. No evidence was found that the facility developed and implemented an activities plan of care. On 03/25/19 at 2:35 pm the resident was interview and she stated that the facility did not provide recreational activities. She stated that received physical and occupational therapy but did not received recreational activities since admission. 2020-09-01