cms_TN: 14272

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

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
14272 KINDRED NURSING AND REHABILITATION -LOUDON 445253 1520 GROVE ST BOX 190 LOUDON TN 37774 2010-01-27 281 D     S2CF11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observation, and interview, the facility failed to discontinue a medication as ordered by the physician for one (#6), and failed to ensure a fluid restriction was followed for one (#24) of twenty-nine residents reviewed. The Findings included: Resident #6 was admitted the facility on August 3, 2009, with [DIAGNOSES REDACTED]. Medical record review of the Minimum Data Set (MDS) dated [DATE], revealed the resident had short and long term memory problems and moderately impaired cognitive skills. Medical record review of a physician's orders [REDACTED]. Observation on January 26, 2010, at 2:20 p.m., revealed the resident lying on the bed, receiving oxygen at two liters per minute via a nasal cannula. Interview with the resident, at the time of the observation, revealed the resident was not experiencing any pain. Interview on January 25, 2010, at 1:10 p.m., with the Director of Nursing, in the conference room, confirmed the [MEDICATION NAME] was not discontinued as ordered by the physician. Resident #24 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review of a physician's orders [REDACTED]...1000 ML (milliliter) Fluid Restriction: Dietary to send 120 ML w/Ea (with each) meal...100 ML to be given at HS (bedtime) w/snack...Nursing to use 540 ML: 90 ML w/ea med pass (medication administration)." Medical record review of the Intake and Output Records dated September 1, 2009, through January 27, 2010, revealed "...12/9/09 24 HR. (hour) Total PO (by mouth) intake 1160...12/11/09 Total PO intake 1220...12/15/09 Total PO intake 1280...12/22/09 Total PO intake 1210...1/4/10 Total PO intake 1130...1/7/10 PO intake 220 plus 600 plus 240 Total 860 (Corrected total amount 1060)...1/19/10 Total PO intake 450 plus 870 Total 1020 (Corrected total amount 1320)...1/20/10 Total PO intake 1280...1/21/10 Total PO intake 1310...1/25/10 Total PO intake 1240..." Interview on January 27, 2010, at 12:45 p.m., with LPN #6 (Licensed Practical Nurse), at the nursing station, confirmed the facility failed to assure and monitor the resident only received 1000 milliliters of fluids by mouth a day. 2014-02-01