cms_TN: 1884

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
1884 HILLCREST HEALTHCARE CENTER 445316 111 E PEMBERTON STREET ASHLAND CITY TN 37015 2019-05-21 684 D 0 1 UFDY11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, medical record review, and interview the facility failed to administer treatment to restore normal bowel function for 1 of 1 (Resident #53) sampled residents reviewed for bowel function. The findings include: The facility's Bowel Policy . dated 12/30/11 documented, .beginning of the 3rd day of no B.M (bowel movement) Administer [MEDICATION NAME] 17 gram, mix with prune juice or beverage of choice, wait 4 hours, if no bowel movement repeat one time, wait 2 hours. Apply one ducalox ([MEDICATION NAME]) sup (suppository) rectally, wait 2 hours. Administer fleets enema one rectally, wait 2 hours . Medical record review revealed Resident #53 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The Care Plan dated 1/29/19 documented, .Problem .I have the potential for constipation r/t (related to) Decreased mobility, Pain med (medication) use .Interventions .receive laxatives and stool softeners as needed/ordered nurse will monitor the effectiveness of laxatives that I receive .staff will monitor my BM record daily, report to charge nurse and if no BM >(greater than) 3 days initiate BM protocol . The progress note dated 2/22/19 documented, .Resident has not had a bowel movement in 10 days . Review of the (MONTH) 2019 Treatment Administration Record revealed there was no documentation that the [MEDICATION NAME] or Fleets Enema had been given per the bowel protocol. Interview with the Director of Nursing (DON) on 5/21/19 at 12:21 PM, in the Staff Development Room, the DON confirmed there was no documentation that [MEDICATION NAME] and Fleets Enema had been given per the bowel movement protocol. 2020-09-01