cms_TN: 14015

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
14015 PICKETT CARE AND REHABILITATION CENTER 445390 129 HILLCREST DRIVE BYRDSTOWN TN 38549 2009-03-04 225 D 1 1 HQCZ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, facility policy review, and interview, the facility failed to implement the abuse policy for one resident (#14) of three residents reviewed with an allegation of abuse. The findings included: Resident #14 was re- admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review of the Minimum Data Set, dated dated dated [DATE]; revealed the resident had no long term or short term memory impairment, and was independent with daily decision making. Medical record review of facility documentation dated January 19, 2009, revealed Certified Nursing Assistant #1 reported to the Assistant Director of Nursing #1, and Assistant Director of Nursing #2 that resident #14 reported on January 18, 2009, a Certified Nursing Assistant #2 had "slammed (resident #14) leg to the ground, and CNA#2 said" don't holler at me" Continued review revealed that resident #14 reported CNA#2 told resident #9 (resident #14 roomate) "you sure pee a lot, and resident #9 heard a slap followed by protest, and CNA #2 request not to yell at ..." Continued review revealed no documentation the Physician, Adult Protective Services, and Ombudsman were notified, and no completed incident report. Review of the facility policy Prevention of Abuse, Neglect and Misappropriation of Resident's Property revealed " ...The Administrator will report to other officals in accordance with State Law (including to state survey and investigation agency): a. Adult Protective Services ...c. Attending Physician ...e.Ombudsman ..." Interview with Assistant Director of Nursing #1 and Assistant Director of Nursing #2 on March 2, 2009, at 1:45 p.m., in the Director of Nursing office, confirmed CNA #1 reported the allegation, the resident was examined and no injury, and the resident denied her leg was hurt. Interview with resident #9 on March 3, 2009, at 10:00 a.m., revealed, resident #9 denied witnessing any mistreatment of [REDACTED]. Interview with the Social Worker, on March 3, 2009, at 10:15 a.m., in the conference room, confirmed, Adult Protective Services and Ombudsman were not notified of the allegation. Interview with the Administrator on March 3, 2009, at 11:00 a.m., in the conference room, confirmed on January 19, 2009, resident #14 made the allegation; the facility investigated and did not substantiate the allegation, and the accused did not work during the investigation. Continued interview confirmed an incident report was not completed, Adult Protective Services, the Ombudsman, and Physician were not notified as per facility policy. TN 762 2014-07-01