cms_TN: 4486

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
4486	SUMMIT VIEW OF FARRAGUT, LLC	445258	12823 KINGSTON PIKE	KNOXVILLE	TN	37923	2016-09-20	309	D	1	0	VQPS11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on facility policy review, medical record review, and interview the facility failed to follow the physician's orders for 1 resident (#3) of 7 residents reviewed. The findings include: Review of the facility's job description titled, Treatment Nurse (2003 Med-Pass, Inc.) states, Duties and Responsibilities, Initiate requests for consultation or referral. Respond to requests from the resident, physician, or nursing staff. Medical record review revealed Resident #3 was admitted to the facility on [DATE] with the following Diagnoses: [REDACTED]. nervous system and sense organs, Personal history of other mental and behavioral disorders, Presence of Aortocoronary Bypass Graft. Review of the Minimum Data Set ((MDS) dated [DATE] revealed the resident scored 9 out of 10 on Brief Interview for Mental Status indicating the resident had moderate impaired cognition. Continued review revealed the resident required limited assistance of one person with bed mobility and transfers, was totally dependent of 1 person with locomotion on the unit and off the unit, toilet use and bathing, and needed extensive assistance of 1person with dressing and personal hygiene. Continued review revealed the resident received Occupational Therapy and Physical Therapy. Review of the Interdisciplinary Progress Notes (IDT) dated 1/29/16 (late entry) for the Admission entry on 1/27/16, revealed the resident had been admitted for Physical Therapy, had a history of [REDACTED]. Continued review revealed the resident had an AAA surgery pending in 4 to 8 weeks, was diabetic, and had surgical incisions in the right groin and right ankle area. Review of the document (discharge orders) titled, Tennova Healthcare External Skilled Nursing Facility Orders signed and dated by the facility 1/27/16 at 2:40 PM states .12. *Ask vascular surgery for [REDACTED]. Record review of the facility's admission orders [REDACTED]. Interview with the Director of Nursing (DON) and the Wound Care Nurse on 9/20/16 at 8:00 PM, in the conference room confirmed the Vascular Surgeon had not been contacted by the facility to follow up on the resident status [REDACTED]. decision to make, really. Interview with the DON 9/20/16 at 8:40 PM, in the conference room, confirmed, The Vascular Surgeon should have been notified, that is what I would expect.	2019-09-01