cms_TN: 11817

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
11817 THE KINGS DAUGHTERS AND SONS 445221 3568 APPLING ROAD BARTLETT TN 38133 2012-03-14 280 D 0 1 08J911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, medical record review, observation and interview, it was determined the facility failed to revise the current care plan for medications, oral care, Prostat, self feeding and heel protectors for 1 of 21 (Resident #5) sampled residents. The findings included: Review of the facility's RESIDENT CARE PLAN policy documented, .APPROACH/PLAN A. List all care to be provided for the problem listed. The care must be NECESSARY AND APPROPRIATE to accomplish the goal stated. c. Individualize care for the unique needs of the resident. RE-EVAL (re-evaluate). B. The care plan must be reviewed and revised (updated) as necessary. RESIDENT CARE PLAN DOCUMENTATION AND USE OF THE PLAN. B. The licensed nurses must review the resident care plan each time an order is received from a physician to determine if an entry is needed. Medical record review for Resident #5 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of a physician's orders [REDACTED]. physician's orders [REDACTED]. Review of the care plan dated 5/4/10 and updated January 2012 documented the following interventions: a.Potential for [MEDICAL CONDITION] 8/18/10. [MEDICATION NAME] 50mg [MEDICATION NAME] (5 tabs) po (orally) q (every) hs (bedtime). b.Resident is edentulous. He can perform OH (oral hygiene) per self with setup. Provide setup for OH Q (every) am, allow him to perform per self. c.Give scheduled pain meds to decrease pain with mobility (per orders). Tylenol 650 mg bid. d.Resident is at a nutritional risk. Prostat 64 po per MD (Medical Doctor) orders. Provide tray setup and observe for self feeding q meal daily, assist him when he becomes tired or is unable to complete meal without spilling. The care plan documented no interventions for the heel protectors. Observations in Resident #5's room on 3/12/12 at 10:08 AM, 2:45 PM, 5:00 PM and 6:00 PM and on 3/13/12 at 7:50 AM, 8:15 AM and 9:55 AM, revealed Resident #5 in bed wearing bilateral heel protectors. Observations in Resident #5's room on 3/12/12 at 6:00 PM and 3/13/12 at 7:50 AM, revealed Resident #5 was being fed by a Certified Nursing Assistant (CNA). During an interview at the South 2 hall nurses' station on 3/14/12 at 9:40 AM, CNA #6 was asked if Resident #5 ever attempted to feed himself. CNA #6 stated, .No, we totally feed him. doesn't try because his hands are shaky. CNA #6 was asked if they ever set up Resident #5 for oral care and let him perform his own oral hygiene. CNA #6 stated, .No, he won't let us put dentures in. we swab his mouth with lemon swabs. During an interview in the conference room on 3/14/12 at 9:55 AM, Nurse #3 was asked if the [MEDICATION NAME], Tylenol, oral care, Prostat and self feeding were accurate. Nurse #3 stated, .No. Nurse #3 was asked if the heel protectors were on the care plan. Nurse #3 stated, .I didn't see it. 2015-11-01