cms_TN: 81

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
81	NASHVILLE COMMUNITY CARE & REHABILITATION AT BORDE	445033	1414 COUNTY HOSPITAL RD	NASHVILLE	TN	37218	2017-06-13	520	E	0	1	PJSZ11	Based on medical record review, observation, and interview, the facility's Quality Assessment and Assurance (QAA) Committee failed to have an effective ongoing quality program that identified, developed, implemented, and monitored appropriate plans of action to correct issues. The findings included: 1. The QAA Committee failed to ensure that each resident received an accurate assessment to reflect the resident's current status. The deficient practice of F 278 is a repeat deficient practice for failure to accurately assess residents. The facility was cited F 278 on the recertification survey on 8/2012, 3/2015, and 4/7/16. 2. The QAA Committee failed to ensure a comprehensive care plan was developed for a resident that reflected the resident's current status. The facility was cited F 279 on the recertification survey for failure to develop care plans that reflected the resident's current status on 8/2012, and 4/7/16. 3. The QAA Committee failed to ensure resident's environment remained as free from accident hazards as possible and is a repeat deficient practice for this,. The facility was cited F 323 on the recertification survey on 8/2012, and 3/2015. 4. The QAA Committee failed to ensure proper sanitation and food handling practices in the kitchen and is a repeat deficient practice for failure to ensure proper sanitation and food handling practices in the kitchen. The facility was cited F 371 on the recertification surveys 8/2012, 12/2013, and 4/7/16. 5. The QAA Committee failed to develop an effective Infection Control Program that provided safe and sanitary environment, and prevent the potential development and transmission of disease and infection. The facility was cited F 441 on the recertification survey on 12/2013, 3/2015, and 5/6/16. Interview with the Administrator on 6/14/17 in the Administrator's office, the Administrator was asked if the QAA Committee had identified care plans as a quality concern. The Administrator stated, .I don't know that there has been anything that we have recently had to place a plan in place. I understand that we were tagged last year on following the interventions and updating and following the care plans . The Administrator was asked if the QA Committee ever identified any issues with side rails. The Administrator stated, .From what I found out this week our care plans don't match the consent, the MD (Medical Doctor) orders don't match the correct side rails that we have on the beds. I'm totally shocked by the side rails that you have found. Families have been adamant that we would get sued if their loved one got hurt in the side rails. Side rails have been an issue. We report on the number of side rails and restraints in QA . The Administrator was asked if the QA Committee identified issues with the environment and accident hazards. The Administrator stated, .I was not aware that the rounding forms and work orders were not kept. The Stand up meeting minutes has a place to put environmental concerns. He (Maintenance Director) will be inserviced. I am responsible for knowing what goes on in the building . The Administrator was asked if Infection control issues are reviewed during the QAA Committee meeting. The Administrator stated, .we have QA'd infection control .	2020-09-01