cms_TN: 14274

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
14274 KINDRED NURSING AND REHABILITATION -LOUDON 445253 1520 GROVE ST BOX 190 LOUDON TN 37774 2010-01-27 323 D     S2CF11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observation, and interview, the facility failed to ensure safety devices were functional or in the lowest position for three (#6, #13, #14) of twenty-nine residents reviewed. The findings included: Resident #6 was admitted the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review of the Minimum Data Set (MDS) dated [DATE], revealed the resident had short and long term memory problems, moderately impaired cognitive skills, required extensive assistance with transfers/ambulation, and had fallen in the past ,[DATE] days. Medical record review of the current Care Plan reviewed on [DATE], revealed "...Resident is at risk for falls...alarms to bed/chair..." Observation on [DATE], at 9:00 a.m., revealed the resident lying on the bed with a pressure pad alarm in place, however, the alarm box was not activated. Observation and interview, on [DATE], at 9:15 a.m., with Licensed Practical Nurse (LPN) #1 revealed the resident lying on the bed, with a pressure pad alarm in place, and confirmed the alarm was not turned on/activated. Resident #13 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 short/long term memory problems, and moderately impaired cognitive skills for daily decision making. Medical record review of the Fall Risk assessment dated [DATE], revealed the resident was at high risk for falls. Medical record review of the physician's recapitulation orders dated [DATE], revealed, " ...Pressure Alarm On When Resident in Bed... " Medical record review of the Care Plan dated [DATE], revealed, "...pp (pressure pad) alarm in bed..." Observation on [DATE], at 1:50 p.m., revealed the resident entered the bathroom and closed the door. Continued observation with RN #2 revealed a pressure pad alarm on the bed, but not sounding. Further observation of the pressure pad alarm revealed, " Six month thin bed sensor pad", dated [DATE], in black marker. Interview on [DATE], at 1:50 p.m., with RN #2, in the resident's room, confirmed the pressure pad alarm was not sounding, and the sensor pad had expired. Resident #14 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 short/long term memory problems with severely impaired cognitive skills for daily decision making. Medical record review of the fall risk assessment dated [DATE], revealed the resident was at high risk for falls. Medical record review of the physician's recapitulation orders dated [DATE], through February 10, 2010, revealed, "...Low Bed with mat ..." Medical record review of the care plan dated [DATE], revealed, "...Low Bed..." Observation on [DATE], at 10:45 a.m., with LPN #4, revealed the resident lying in the bed. Observation revealed the bed was not in the low position. Interview at this time with LPN #4, in the resident's room, confirmed the bed was not in the low position. 2014-02-01