cms_TN: 12072

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
12072 ADAMSVILLE HEALTHCARE AND REHABILITATION CENTER 445397 409 PARK AVENUE ADAMSVILLE TN 38310 2012-02-23 282 D 0 1 40S411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, it was determined the facility failed to follow the care plan for turning, repositioning and skin care for 1 of 17 (Resident #8) sampled residents. The findings included: Medical record review for Resident #8 documented an admission date of [DATE] with a readmission date of [DATE] with [DIAGNOSES REDACTED]. Review of the care plan dated 4/29/11 documented, .Prone to skin breakdown. turn every 2 hours while in bed. Resident #8's medical record contained documentation of a hospitalized from [DATE] through 7/18/11 with a [DIAGNOSES REDACTED]. The facility was unable to provide documentation that the resident was turned and repositioned every two hours. During an interview in the conference room on 2/23/12 at 2:30 PM, the Director of Nursing (DON) was asked if there was documentation to verify that the resident was turned and repositioned every two hours. The DON stated, No. I don't think we have anything in the computer for that. The DON was asked if the facility had a policy for turning and repositioning a resident at risk for skin breakdown. The DON stated, There is no policy for turning every two hours. 2015-10-01