cms_TN: 91

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
91	NASHVILLE COMMUNITY CARE & REHABILITATION AT BORDE	445033	1414 COUNTY HOSPITAL RD	NASHVILLE	TN	37218	2018-07-25	677	E	0	1	565T11	Based on observation and interview, the facility failed to timely assist 5 of 7 dependent diners in the B3 dining room during 2 observations of the mid-day meal. Findings include: Observation of the mid-day meal in the B3 dining room on 7/23/18 from 11:40 AM-12:42 PM revealed 4 dependent diners were seated at the same table. 1 resident at the table was served a tray at 11:42 AM and was assisted by a Certified Nurse Aide (CNA). The other 3 dependent diners at the table did not receive a meal tray. Continued observation revealed 2 dependent diners at the table were served a meal tray at 12:01 PM and assisted by 2 CNAs. Further observation revealed the 4th dependent diner was served his meal tray at 12:40 PM and assisted by a CN[NAME] Interview with CNA #3 on 7/23/18 at 12:43 PM in the B3 dining room confirmed there were 3 residents the dining room that required cueing and 6 residents were dependent diners and required total assistance with eating. Continued interview confirmed there were 2 CNAs in the dining room available to assist the residents and 3 CNAs were passing trays on the halls at that time. CNA #3 confirmed 1 dependent diner waited 1 hour before she could assist him with his meal. Observation of the mid-day meal in the B3 dining on 7/24/18 from 11:40 AM-12:20 PM revealed 3 dependent diners and 1 resident requiring cueing were seated at a table. Another dependent diner was seated in a Geri Chair by the table. Continued observation revealed the resident in the Geri Chair and 1 resident seated at the table were served their meal at 11:43 AM and assisted by CNA #4 and CNA #5. Continued observation revealed CNA #3 served the resident that required cueing his meal at 12:08 PM and assisted with set up and cutting his food. CNA #4 sat next to him and cued him while the other 2 dependent diners dozed in their wheelchairs. Continued observation revealed the remaining 2 dependent diners were served their meals at 12:22 PM and assisted by CNA #4 and CNA #5. Interview with the Director of Nursing (DON) on 7/24/18 at 4:17 PM in the hall by the conference room was notified of the dining observations on 7/23/18 and 7/24/18 and the concerns of dependent diners having to wait for assistance before they could eat their meal. The DON was asked if she realized this was a concern and stated, I didn't realize it was a concern to that extent. Interview with the Administrator on 7/25/18 at 7:15 AM in the conference room confirmed the facility failed to assist dependent diners timely.	2020-09-01