cms_TN: 14255

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
14255 NHC HEALTHCARE, CHATTANOOGA 445013 2700 PARKWOOD AVE CHATTANOOGA TN 37404 2010-04-28 323 D     FSYY11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observation, and interview, the facility failed to provide supervision to prevent a fall for one (#21) of twenty-eight residents reviewed. The findings included: Resident #21 was 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 short/long term memory problems, moderately impaired cognitive skills for daily decision making, required extensive assistance for transfers, and was not able to attempt balance test for standing or sitting without physical help. Medical record review of the High Risk Patient Selection Form dated March 30, 2010, revealed the resident was at risk for falls. Medical record review of the post falls nursing assessment dated [DATE], revealed, "...CNA entered bathroom to find (resident) sitting on the bathroom floor...leaning against the shower chair that was over the toilet...4/12/10 staff reports pt. (patient) was...reaching for the sink ...placed on CNA sheet "do not leave alone in bathroom...was assessed for injury (with) no apparent injury noted...new intervention Do not leave unattended in BR-shower chair has seat belt and wheels that lock ..." Medical record review of the post falls nursing assessment dated [DATE], revealed, " ...CNA reported ...needed to get a washcloth for patient and no linen cart in hallway had to go to front hall to get washcloth off linen cart and upon returning to patient in bathroom ...found patient sitting on floor leaning to left side patient had stood up to get paper towel forgot that CNA had gone to get washcloth...patient not to be left alone in bathroom...assessed for injury (with) no apparent injury noted..." Observation on April 27, 2010, at 3:15 p.m., in the resident's room, revealed the resident lying on the low bed with mats on the floor beside the bed, and a tab alarm attached to the resident's shirt. Interview on April 27, 2010, at 3:55 p.m., with LPN #2, in the Director of Nursing office, confirmed the resident was not to be left alone in the bathroom. 2014-02-01