cms_TN: 5879

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
5879 FOUR OAKS HEALTH CARE CENTER 445458 1101 PERSIMMON RIDGE RD JONESBOROUGH TN 37659 2015-10-14 155 D 0 1 IC5J11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident rights, medical record review, and interview, the facility failed to allow a resident (#35) to refuse treatment for [REDACTED]. The findings included: Review of Resident Rights-Integrity Healthcare of Jonesboro-LLC, revealed .B.Notice of rights and services .4. The Resident has the right to refuse treatment . Medical record review revealed Resident #35 was admitted to the facility on [DATE] and readmitted on [DATE], with [DIAGNOSES REDACTED]. Medical record review of the Quarterly Minimum (MDS) data set [DATE] revealed the resident's Brief Interview for Mental Status score was 15 indicating the residnet was cognitively intact. Interview with Resident #35 on 10/12/15 at 11:32 AM, in the resident's room revealed approximately 1 month ago (September) at 4:00 AM, staff woke her up and held her down to obtain a blood sample. Continued interview revealed the staff member was a nurse, CNA (Certified Nursing Assistant) and the outsource laboratory technician. The resident stated had refused to have the blood drawn. Continued interview with the resident revealed this had made the resident mad. The resident stated she normally has blood drawn from the right arm, and the staff had taken the blood sample from the left, causing bruises. Medical record review of a facility investigation dated 9/2/15 revealed the resident had 2 bruises, 1 on the left forearm and 1 on the left hand as a result of the attempt and the actual blood sample had been drawn. Interview with Resident #35 on 10/13/15 at 1:50 PM and again on 10/14/15 at 9:00 AM, revealed the resident remembered the staff holding her against her will to obtain the blood specimen. During each interview the resident stated had made her mad that staff did not listen to her and how they (staff) had caused the bruises to her left arm and hand. Interview with the Assistant Director of Nursing (ADON) on 10/14/2015 at 6:50 AM, in the Director of Nursing's office confirmed the resident had been held down to obtain the blood specimen which was against the resident's rights. 2018-11-01