cms_TN: 379

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
379 SEVIERVILLE HEALTH AND REHABILITATION CENTER 445132 415 CATLETT RD SEVIERVILLE TN 37862 2020-01-16 582 C 0 1 8CXC11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, the facility failed to provide 2 of 3 residents (Resident #20 and Resident #33) with the Advanced Beneficiary Notice, Center for Medicare and Medicaid Services (CMS)- when they ended therapy services and remained in the facility for long-term care services. This failure left residents without information related to the cost of therapy services if they desired to continue them in the facility and did not allow for them to have informed choice. Findings include: Resident #20 was admitted on [DATE] for a Medicare A stay. He had [DIAGNOSES REDACTED]. He received physical therapy, occupational therapy, and speech language therapy. The Social Service Director (SSD) issued the Notice of Medicare Non-Coverage (CMS- ) on 10/2/2019 informing him therapy services would end on 10/7/2019. The SSD did not issue the CMS- Advance Beneficiary Notice to the resident. The resident remained in the facility for long-term care and had Medicare benefit days remaining. Resident #33 was re-admitted on [DATE] after a hospital stay. His admitting [DIAGNOSES REDACTED].#33 received speech language therapy upon returning to the facility. The SSD issued the CMS- informing him that therapy would be ending on 12/20/2019. The CMS- was not issued to the resident or Family Member #33 indicating why the Medicare therapy services would no longer be covered and the cost of the therapy services, and the resident and representative were not provided with the choice to continue the services, pay privately for the services, or to stop the services. Interview with the SSD on 1/14/2020 at 12:01 PM revealed she was responsible for issuing all beneficiary notices. She stated she did not issue the CMS- to any residents remaining in the facility that had Medicare days remaining. She further stated the interdisciplinary team reviewed all Medicare residents and determined as a team that the individual no longer met Medicare requirements. She stated she was unaware that residents coming off Medicare and remaining in the facility as long-term care with benefit days remaining were supposed to receive the CMS- . Interview with Family Member #33 on 1/14/2020 at 12:35 PM revealed that they were not provided the CMS- . Interview with Resident #20 on 1/15/2020 at 3:11 PM revealed he had not been issued the CMS- detailing why his Medicare therapy was ending or the cost of the services. 2020-09-01