cms_TN: 6575

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

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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
6575 THE WATERS OF JOHNSON CITY, LLC 445487 140 TECHNOLOGY LANE JOHNSON CITY TN 37604 2015-05-28 514 D 0 1 05GJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on facilty policy review, medical record review and interview, the facility failed to maintain a complete and accurate medical record for one resident (#101) of 38 residents reviewed. The findings included: Medical record review revealed Resident #101 was re-admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of facility policy, Charting and Documentation, date revised 06/2014, revealed 1. Chart all pertinent changes in the Resident's condition .4. New Admission - c. Chart on all shifts for the first three (3) days .Miscellaneous: 1. Documentation should also include any time the physician or family is called about the resident, as well as their response .Death of a Resident: 1. Documentation pertaining to the death of a resident includes: a. Pertinent information before death (i.e. symptoms, vital signs, treatment, etc.) b. date and time of death. c. Name of physician notified and when notified . Medical record review of the Interdisciplinary Progress Notes revealed, 2/23/15 4:30 p (PM) Resident arrived at the facility from MC (Local Medical Center) via stretcher escorted by EMS (Emergency Medical Services). Resident is alert & oriented x 3 (person, place, time) .VS (vital signs) 102/93 P (pulse) 78 .Denies pain or discomfort .Resident requires asst x 2 for ADLS (resident required the assistance of 2 staff for activities of daily living) . Continued medical record review revealed a nurse's note dated 2/25/15 0754 (7:54 AM, 39 hours 24 minutes and 4 shifts later) While CNA (Certified Nursing Assistant) was taken am (morning) meal into room she returned to this writer et (and) we entered this room et noted Res without respiration et pulse .ADON (Assistant Director of Nursing) aware, Res family aware. No obtainable vitals signs. Modeling (mottling) noted in facial, B/L U +LE (bilateral upper and lower extremities) .LPN #2 Further medical record review revealed a nurse's note, dated and timed 2/23/2015 at 0754 (7:54 AM), Entered Resident 's room with (LPN #2) no visible respirations. No obtainable VS (vital signs). Skin pale, cool to touch. Pronounced @ 0754 (pronounced dead at 7:54 AM) .RN, ADON (Registered Nurse, Assistant Director of Nursing). Interview with the Administrator and LPN #2 on 5/28/15 at 10:00 AM, in the conference room confirmed LPN #2 worked day shift 2/24/15 and 2/25/15, but the doctor saw the resident on 2/24/15, had the chart most of the day, and they didn't get a chance to chart. LPN #2 also stated she had checked on the resident at 6:00 AM on 5/25/15 but later in the interview said, The lab tech came to do a lab draw and came out of the room around 7:55 AM and said he/she thought the resident had passed away. Medical record review of the Medical history and physical examination [REDACTED]. Telephone interview with the Physician, contacted by the Administrator, on 5/28/15 at 10:00 AM, confirmed the Physician remembered the resident but did not remember the circumstances related to his death without having the chart in front of me. Interview with the Director of Nursing (DON) on 5/28/15 at 12:10 PM, in the DON's office confirmed the facility failed to document changes in the resident's condition, times of notifications of family and the physician, and the medical record was incomplete. 2018-07-01