cms_TN: 14110

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
14110 LAUREL MANOR HEALTH CARE 445156 902 BUCHANAN RD NEW TAZEWELL TN 37825 2010-06-23 280 D     SEOE11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, the facility failed to make revisions to the current Care Plan indicating the advanced directives code status for one (# 6) of twenty-four residents reviewed. The findings included: Resident # 6 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review of the resident's current Care Plan dated February 23, 2010, revealed "...Do Not Resuscitate (DNR)..." Medical record review revealed a Physician order [REDACTED]. Medical record review, on [DATE], at 4:40 p.m., revealed the resident's Care Plan for code status to resuscitate (CPR) was updated on [DATE]. Interview on [DATE], at 12:19 p.m., with the Director of Nursing (DON) and Registered Nurse (RN) # 1, in the resident's room, revealed "...He's a DNR..." Interview on [DATE], at 4:20 p.m., with the DON and RN # 1, in the 100 Hall, revealed "...the resident is a full code...we were mistaken" Continued interview revealed, RN # 1 pointed to a blue, circular sticker "dot", beside the resident's name on the door, indicated the resident is full code (CPR) status. Interview with the Care Plan Coordinator, on [DATE], at 11:00 a.m., in the Care Plan Coordinator's office, revealed the resident's POST code status was changed on February 23, 2010 and the Care Plan was updated on [DATE] but not placed in resident's chart. Interview on [DATE], at 1:50 p.m., with the Social Services Director, in the conference room, revealed the Social Services Director is responsible for immediately updating Care Plan changes for code status and confirmed the facility failed to update the resident's current advanced directives code status on the Care Plan. 2014-04-01