cms_TN: 12351

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.

Data source: Big Local News · About: big-local-datasette

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
12351 NHC HEALTHCARE, DICKSON 445004 812 CHARLOTTE ST DICKSON TN 37055 2010-11-17 280 D 0 1 9SDV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record reviews, observations and interviews, it was determined the facility failed to revise the comprehensive care plan to address range of motion (ROM) and/or oxygen (O2) for 4 of 27 (Residents #4, 5, 19 and 22) sampled residents. The findings included: 1. Medical record review for Resident #4 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of the Minimum Data Set (MDS) with an assessment reference date of 10/16/10 documented Resident #4 had impairment on both sides of the upper and lower extremities for ROM. Review of the care plan dated 11/6/10 revealed no documentation to address ROM limitations. During an interview in the care plan office on 11/16/10 at 3:50 PM, MDS Coordinator #1 confirmed there was no care plan to address ROM and stated, "I am going to add it right now." 2. Medical record review for Resident #5 documented an admission date of [DATE] and a readmission date of [DATE] with [DIAGNOSES REDACTED]. Review of the MDS with an assessment reference date of 10/4/10 documented Resident #5 had impairment on both sides of the upper and lower extremities for ROM. Review of the care plan dated 10/5/10 revealed no documentation to address ROM limitations. During an interview at the unit 2 nurses' station on 11/17/10 at 8:30 AM, MDS Coordinator #1 stated, "No, it's (ROM) not in the ADL's (activities of daily living) where it (ROM) should be..." 3. Medical record review for Resident #19 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of Resident #19's physician's orders [REDACTED].@ (at) 3L (liters) PER NC (nasal cannula) CONTINUOUS..." Review of the nurse's notes dated 11/15/10 documented Resident #19 was receiving O2 continuous at 2 liters per minute (LPM). Review of the care plan dated 9/22/10 revealed no care plan for O2 therapy. Observations in room [ROOM NUMBER] on 11/15/10 at 10:15 AM, on 11/16/10 at 4:00 PM and on 11/17/10 at 9:25 AM, revealed Resident #19 lying in bed with O2 in use. During an interview at the unit 4 nurses' station on 11/17/10 at 9:35 AM, Nurse #8 stated, "I don't see oxygen on here (care plan). It should be. Looks like there's a problem with the care plan." 4. Medical record review for Resident #22 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of the physician's orders [REDACTED].@ 2L PER NC..." Review of the care plan dated 9/18/10 revealed no care plan for O2 therapy. Observations in room [ROOM NUMBER] on 11/16/10 at 4:10 PM and on 11/17/10 at 8:30 AM, revealed Resident #22 lying in bed receiving O2 at 2 LPM per NC. During an interview in the care plan office on 11/17/10 at 10:20 AM, MDS Coordinator #1 confirmed there was no care plan for O2 therapy and stated, "It looks like I need to make some updates, I will add it (O2 to care plan) now." 2015-08-01