cms_TN: 5462

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.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
5462 ST BARNABAS AT SISKIN HOSPITAL 445008 1 SISKEN PLAZA CHATTANOOGA TN 37403 2015-12-16 242 D 0 1 69C911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, the facility failed to ensure personal choices were honored for 1 resident (#29) of 35 residents reviewed for choices. The findings included: Medical record review revealed Resident #29 was admitted to the facility on [DATE] and readmitted [DATE] with [DIAGNOSES REDACTED]. Interview with Resident #29 on 12/15/15 at 9:53 AM, in the residents room revealed don't put me to bed when I want to go to bed .I asked to go back to bed Friday (12/11/15) around 5:30 PM .they came in and told me they would put me back as soon as they could .the shift changed and second shift put back to bed after 7 .I called and I went out in the hall a couple of timesl .they were at the desk .I called my brother and he called them .they just didn't come put me back to bed .they were just sitting at the desk . Medical record review of the 30 day Minimum Data Set ((MDS) dated [DATE] revealed the resident was cognitively intact and requires assist with tranfers to be from the wheelchair. Interview with Certified Nurse Aide (CNA) #2/Unit Clerk on 12/15/15 at 2:00 PM at the 300 nursing station confirmed when the call light rings .I tell whoever the person is that is working with the resident or find someone to go take care of the problem, or I do it myself .I work 8-4:30 (8 AM-4:30 PM) Monday through Friday .after that everyone answers the call lights .shifts change at 7:00 PM . Interview with Licensed Practical Nurse (LPN) #2 Nursing Supervisor for 300 hall on 12/15/15 at 4:35 PM at the 300 nursing station confirmed (resident) had requested to go to bed Friday at approximately 5:30 PM and wasn't assisted to bed until after 7 PM when night shift came on . Continued interview confirmed .my expectation is within 30 minutes of the request depending on what is going on, on the unit or if there is extenuating circumstances .any staff certified or licensed can put residents to bed or get them up . Interview with CNA #1 on 12/16/15 at 12:40 PM in the 300 hall nursing station revealed .came back from [MEDICAL TREATMENT] and the ambulance people always put him back to bed after [MEDICAL TREATMENT] . Interview with LPN #1 on 12/16/15 at 12:45 PM in the 300 hallway confirmed .I helped the ambulance people put him in the wheelchair, he wanted to stay up so his brother could shave him and cut his hair .I was finishing up my last med (medication) pass, the CNA's were passing trays and feeding residents, he wasn't hurting, he just wanted to go to bed .I think I told (CNA #1) .I told him we would put him to bed as soon as possible .I can see the perception of us not putting him back to bed as soon as possible if he saw us at the desk or in the hall . Interview with the Director of Nursing (DON) on 12/16/15 at 1:46 PM, in the conference room confirmed there was no specific policy regarding timeliness of honoring requests and just consider it a nursing judgment .have to focus on feeding and passing trays .it's a judgment call .My expectation is within an hour depending on what is happening on the floor .this is not acceptable to make him wait and I understand the perception that we weren't helping him .His choice was not honored to go back to bed in a timely manner . 2019-02-01