cms_TN: 14289

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
14289	LIFE CARE CENTER OF COPPER BASIN	445310	166 COPPER BASIN INDUSTRIAL PARK PO BOX 518	DUCKTOWN	TN	37326	2010-02-03	314	D			NCHB11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and interview, the facility failed to ensure a pressure relieving device was in place to promote healing of a pressure sore for one resident (#2) of twenty-four residents reviewed. The findings included: Resident #2 was admitted to the facility on [DATE], and readmitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review revealed the resident was admitted to the hospital September 13, 2009, and returned to the facility on [DATE], with a pressure sore to the left heel described on the Pressure Ulcer Status Record as, "Soft and Mushy", 3.0 (width) x 4.0 (lenght) cm (centimeters). Continued review of the Pressure Ulcer Status Record revealed the pressure area progressed to a brown/black area 5.0 x 3.5 cm, Stage IV on October 9, 2009. Medical record review of the plan of care updated January 11, 2010, revealed, "Apply synthetic wool heel protectors' bilateral (feet), and heels elevated off bed at all times." Observation on February 2, 2010, at 11:00 a.m., revealed the resident in the bed with an abduction pillow supporting the resident's knees; however, heel protectors were not on the resident's feet, and the feet were pressing directly onto the mattress. Continued observation on February 3, 2010, at 9:30 a.m., revealed the resident's left heel pressing directly onto the mattress, without heel protectors on the feet. Continued observation with LPN #5, on February 3, 2010, at 10:05 a.m., revealed the (clean) fleece/wool heel protectors were located in the resident's closet. Observation on February 3, 2010, at 1:25 p.m., with (wound care nurse) LPN #5, revealed the wound to the left heel was a healing Stage IV, presenting as a healing Stage II, approximately 2.5 x 1.5 cm., with a small to moderate amount of serous drainage. Interview with the Licensed Practical Nurse #4, on February 3, 2010, at 10:15 a.m., at the north nursing station, confirmed the facility failed to ensure heel protectors were in place.	2014-02-01