cms_PR: 98

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
98	SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC	405029	CALLE 4-L-10 URB COLINAS DEL OESTE	HORMIGUEROS	PR	660	2018-07-23	550	E	0	1	7WTE11	Based on observation and interview, the facility failed to promote resident dignity in dining. The facility served 14 of 14 residents ((R)2, R3, R4, R5, R6, R7, R8, R9, R10, R11, F12, R13, R14, and R15) meal trays with plastic disposable eating utensils and disposable foam drinking cups. Findings include: On 07/20/18 at 9:30 AM, the dirty meals trays from breakfast were observed on a rack in the kitchen. The trays were observed to have soiled plastic disposable eating utensils and disposable foam cups. Cook 1 was asked if the facility had regular eating utensils and drinking glasses/cups. He stated they had regular utensils and cups for residents who required adaptive eating utensils and glasses/cups and showed them to the surveyor. He stated they did not have regular eating utensils or glasses/cups for residents who did not need adaptive equipment. Based on observations of resident lunch trays on 07/20/18 at 11:30 AM, dinner trays on 07/20/18 at 4:30 PM, lunch trays on 07/21/18 at 11:30 AM, and breakfast trays on 07/22/18, the 14 residents R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, and R15) all received disposable eating utensils and drinking glasses/cups. During interviews with the 14 residents none of them had complaints regarding the disposable items they received. On 07/20/18 at 1:30 PM, the Administrator verified they were currently using disposable eating utensils and disposable foam cups for residents. On 07/23/18 at 12:30 PM, the Registered Dietician stated dining needed to be more homelike.	2020-09-01