cms_TN: 400

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
400 THE WATERS OF CLINTON, LLC 445135 220 LONGMIRE RD CLINTON TN 37716 2017-11-13 157 D 1 1 UJ6N11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on medical record review and interview, the facility failed to notify the physician and family of a fall for 1 resident (#43) of 8 residents reviewed for falls, of 29 residents reviewed. The findings included: Medical record review revealed Resident #43 was admitted to the facility on [DATE] and readmitted on [DATE] with [DIAGNOSES REDACTED]. Medical record review of the Quarterly Minimum Data Set ((MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 8, indicating moderately impaired cognition. Review of the significant change MDS dated [DATE] revealed the resident required extensive assist of 2 persons for bed mobility, transfers, toilet use; and extensive assist of 1 person for locomotion on the unit, dressing, and eating. Medical record review of a nursing note dated 9/15/17 at 8:45 PM revealed, .Night nurse here for shift report. Night nurse taken to resident's room for report. Night nurse verbalizes understanding to this nurse's shift report. Resident lying on floor mat. Resident's eyes closed, respirations even and unlabored. Skin warm, dry and normal color . Medical record review of a nursing note dated 9/15/17 at 9:30 PM revealed, .This nurse and staff observe resident sitting on mat. Resident offered water per this nurse. Resident refuses to drink water. Resident covered with blanket for comfort. This nurse leaves room with door open due to no residents in hallway . Medical record review of the SBAR - Change of Condition (Situation, Background, Action, Response) created on 9/16/17 at 12:14 AM with an effective date (meaning the time/date of incident) of 9:07 PM, revealed, .Resident observed sitting on floor in her room. Resident was scooting across floor . Medical record review of a nursing noted dated 9/16/17 at 7:32 AM revealed, .Post Fall: Head to toe assessment - greyish/blue colored bruise & (and) swelling across forehead - tissue soft to palpate .Quarter size blue bruise with raised area top of head. Bruise remains bridge of nose; swelling with reddish bruise lt (left) eye. Old bruising both hands & scattered bruises BUE & BLE (bilateral upper extremities and bilateral lower extremities) .Bruise rt (right) side rib area. No c/o (complaint of) pain. Rested quietly during the night in low bed - mattress beside bed . Medical record review of a nursing note dated 9/16/17 at 6:39 PM revealed, .Notified of increase in bruising and [MEDICAL CONDITION] to the nose, forehead, and eyes of this resident S/P (after) fall last night. Spoke with the hospice medical director .Medical director for hospice at this time wants to wait for the hospice nurse to evaluate the resident and speak with the family on their wishes . Medical record review of a nursing note dated 9/16/17 at 7:50 PM revealed, .Talked with D.O.N. (Director of Nursing) regarding resident previous fall. Hospice called and nurse came in .Asked to call family to see if they wanted to send resident to ER (emergency room ) or not .Talked with (family member) . Interview with Registered Nurse (RN) #1 on 11/7/17, at 8:04 AM, at the south nurses' station, revealed RN #1 was notified of Resident #43's facial bruising on 9/16/17, at approximately 6:30 PM, approximately 21 1/2 hours after the fall. The RN then notified the hospice physician and family at that time. Further interview confirmed the facility failed to notify the physician and family of the fall in a timely manner. 2020-09-01