cms_TN: 14320

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
14320 GENERATIONS CENTER OF SPENCER 445388 87 GENERATIONS DRIVE SPENCER TN 38585 2010-01-21 280 D     IMBG11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, the facility failed to ensure the care plan was revised when a behavior modification program was initated for one (#14) of fifteen residents reviewed. The findings included: Resident # 14 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review of nurse's notes revealed a Weekly Summary, dated July 10, 2009, "Resident allowed to use...personal cell phone if meds taken as scheduled. Resident likes to call...sister (name) on...cell phone." Medical record review of the current care plan, revealed the use of the cell phone to modify the resident's behavior was not addressed on the care plan. Interview with the Social Services Director and Case Manager #1 on January 21, 2010, at 9:10 a.m., in the SSD's office, revealed the resident was allowed to use the cell phone, if...took medications as scheduled, at the request of the resident's conservator. Continued interview confirmed the use of the cell phone was utilized to encourage the resident to take medications as scheduled, and confirmed the cell phone program was not addressed on the comprehensive care plan. 2014-01-01