cms_TN: 13659

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
13659 COUNTRYSIDE HEALTHCARE AND REHABILITATION 445280 3051 BUFFALO ROAD LAWRENCEBURG TN 38464 2010-11-03 157 D 0 1 08U511 **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 ensure staff notified the physician of an emergency transfer for 2 of 22 (Residents #21 and 22) sampled residents. The findings included: 1. Review of the facility's "Making an Emergency Transfer or Discharge" policy documented, "...Should it become necessary to make an emergency transfer or discharge to a hospital or other related institution, our facility will implement the following procedures: a. Notify the resident's Attending Physician..." 2. Medical record review for Resident #21 documented an admission date of [DATE] with a readmission date of [DATE] with [DIAGNOSES REDACTED]. Review of a Nurse's Note dated [DATE] documented, "...called to Rm (room) per staff, upon entry resdt. (resident) in bed... unresponsive to verbal + (and) tactile stimuli... unable to obtain V/S (vital signs)... CPR (cardiopulmonary resuscitation) initiated...( named emergency management service) leaving facility c (with) resident-destination (named hospital) CPR still in progress." There was no documentation in the medical record that the physician had been notified of Resident #21's emergency transfer. During an interview in the quiet room on [DATE] at 10:30 AM, the Director of Nursing (DON) confirmed there was no documentation the physician was notified. The DON stated, "It (physician notification) is not documented, I know it should be." 3. Medical record review for Resident #22 documented an admission date of [DATE] and a readmission date of [DATE] with [DIAGNOSES REDACTED]. Review of the Nurse's Notes dated [DATE] documented, "...transferred pt (patient) to (named hospital) ER (emergency room )..." There was no documentation in the medical record that the physician was notified of Resident #22's emergency transfer. During an interview in the quiet room on [DATE] at 5:05 PM, the DON was asked if the physician was contacted when Resident #22 was sent to the ER. The DON reviewed Resident #22's medical record and stated, "...I don't see in the record that the doctor was notified." 2014-11-01