cms_TN: 14072

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
14072 ASBURY PLACE AT MARYVILLE 445017 2648 SEVIERVILLE RD MARYVILLE TN 37804 2010-05-05 314 D     M4JO11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, manufacture recommendations, observation and interview, the facility failed to ensure the specialty mattress was set accurately for two residents (#11, #1) of twenty- five residents reviewed. The findings included: Resident #11 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review revealed the residents weight dated May 3, 2010, was131 lbs (pounds). Medical record review of the physician's orders [REDACTED]. Review of the name brand manufacture recommendations revealed "...The comfort control LED displays the patient comfort pressure levels from 0 to 9 and provides a guide to the caregiver to set approximate comfort pressure levels depending on the patient weight..." Observation and interview with the Wound Care Nurse on May 5, 2010, at 11.00 a.m., revealed the resident lying supine in the bed on the specialty mattress. Continued observation revealed the control panel set on 5 (for weight of 175 to 210 lbs). Interview with the Wound Care Nurse at the time, confirmed the specialty mattress is set depending on the resident's weight, and the current setting of 5 was not accurate for the resident's current weight. Resident #1 was admitted to the facility on [DATE], with the [DIAGNOSES REDACTED]. Medical record review of the care plan dated March 25, 2010, revealed "...apply air mattress to bed..." related to the risk of impaired skin integrity due to impaired mobility and [MEDICAL CONDITION]. Medical record review of the Weight Chart dated May 1, 2010, revealed the resident's weight of one hundred seventy-six pounds. Observation on May 3, 2010, at 10:30 a.m., May 4, 2010, at 8:00 a.m., and May 5, 2010, at 7:45 a.m., revealed the resident lying in a bed equipped with a Low Air Loss and Alternating Pressure Mattress. Continued observation revealed a control pump, with a pressure adjust knob and markings to indicate the resident's weight in pounds. Further observation revealed the pressure adjust knob set at two hundred fifty pounds. Interview on May 5, 2010, at 8:35 a.m., in the resident's room with the Central Supply employee revealed "...mattress should be set by resident's weight, if weight loss or weight gain it should be adjusted accordingly..." Further interview with the Central Supply employee at 1 South Nurse's Station confirmed the resident's weight of hundred seventy-six pounds. Interview on May 5, 2010, at 8:45 a.m., in the resident's room with LPN (licensed practical nurse) #4 and the Central Supply employee confirmed the facility failed to set the pressure adjust knob according to the resident's weight. 2014-04-01