cms_TN: 10447

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
10447 ALAMO NURSING AND REHABILITATION CENTER 445467 580 W MAIN STREET ALAMO TN 38001 2011-12-14 280 D 0 1 VD1G11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, medical record review and interview, it was determined the facility failed to revise or update the care plan for [MEDICAL CONDITION] disorder and [MEDICAL CONDITION] safety precautions for 1 of 18 (Resident #14) sampled residents. The findings included: Review of the facility's Care Plan Policy documented, .Care plans should be reviewed and revised as often as necessary in order to reflect the resident's current status. Goals and interventions should be conveyed that will help the resident attain or maintain the highest practicable level of physical, mental, and psychosocial well being . Medical record review for Resident #14 documented an admission date of [DATE] and readmitted [DATE] with [DIAGNOSES REDACTED]. Review of the hospital history and physical dated 10/22/11 through (-) 11/1/11 documented, .[MEDICAL CONDITION] disorder . Review of the physician's orders [REDACTED].Levetiracetam 500 mg (milligram) take 1 tablet po (by mouth) (sub [MEDICATION NAME]) once a day for [MEDICAL CONDITION] . Review of the care plan dated 10/20/11 and updated 12/12/11 contained no documentation of [MEDICAL CONDITION] disorder or [MEDICAL CONDITION] safety precautions. During an interview in the Minimum Data Set (MDS) office on 12/14/11 at 10:20 AM, the Director of Nursing (DON) was asked to review Resident #14's medical record. The DON stated, .No, there is no [MEDICAL CONDITION] disorder or [MEDICAL CONDITION] safety precautions documented on the care plan . it should include maintain patent airway, stay beside resident until [MEDICAL CONDITION] is over . 2016-07-01