cms_TN: 13972

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
13972	MARTIN HEALTH CARE	445249	158 MT PELIA RD	MARTIN	TN	38237	2010-01-27	280	E	1	0	J15E11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Intakes: TN 783 Based on medical record review, observation and interview, it was determined the facility failed to ensure the comprehensive care plans were revised to reflect the resident's current status for changes in diets, constipation/impaction, living arrangement, change to feeding tube, amputation and/or care of emergency bleeding for 5 of 22 (Residents #1, 2, 12, 13 and 14) sampled residents. The findings included: 1. Medical record review for Resident #1 documented and admission date of [DATE] with [DIAGNOSES REDACTED]. The physicians's order dated [DATE] stated, "DIET: PUREED W (WITH) NECTAR THICK LIQUIDS". The care plan dated [DATE] stated "pureed diet with thin liquids". The care plan was not revised with the physicians's order for the change in diet in regard to liquids. 2. Medical record review for Resident #2 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. A [DATE] Kidney, Ureter and Bladder xray (KUB) documented, "...Probable fecal impaction." A [DATE] xray documented, "...HISTORY: FOLLOW UP FECAL IMPACTION... Formed rectal stool ball possibly related to fecal impaction..." A [DATE] physician's orders [REDACTED].#2's impaction or gout diet During an interview in the Minimum Data Set (MDS) office on [DATE] at 1:55 PM, Nurse #1 confirmed the care plan had not been updated to reflect Resident #2 had an impaction or being placed on a gout diet. 3. Medical record review for Resident #12 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of the [DATE] nursing care plan documented, "Problem... Altered psychosocial well being... Approaches: MARRIED. RESIDES IN ROOM AS WITH HUSBAND..." The care plan was not revised to reflect Resident 12's spouse had died . Observations of Resident #12 on [DATE] at 2:20 PM, revealed Resident #12 did not have a roommate. During an interview in the MDS office on [DATE] at 2:15 PM, Nurse #1 stated, "...her husband has expired..." 4. Medical record review for Resident #13 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of the [DATE] nursing care plan documented, "Approaches: Ensure that resident has and wears properly-fitting non-skid soled shoes for ambulation... Goal: Resident will eat at least 50% (percent) of all meals served per day..." Observations of Resident #13 on [DATE] at 9:05 AM, revealed Resident #13 lying in the bed with a tube feeding of Glucerna 1.2 infusing at 65 cubic centimeters (cc) and Resident #13 was noted to have bilateral AKA. During an interview in the MDS office on [DATE] at 2:00 PM, Nurse #1 stated that should have been taken off (referring to ambulation and meal consumption). 5. Medical record review for Resident #14 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of the nursing care plan dated [DATE] did not include interventions for emergency bleeding. During an interview in the MDS office on [DATE] at 2:10 PM, Nurse #1 stated, "...there should be an order for [REDACTED].	2014-07-01