cms_VI: 12

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
12 SEA VIEW NURSING HOME 485000 7500 BOLONGO BAY ST THOMAS VI 802 2013-09-13 244 E 0 1 IBTI11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record review, it was determined that the facility failed to actively respond to a grievance regarding delayed meals presented by the residents at a resident council meeting. This was identified during a group meeting for 5 of 5 alert and oriented residents from 2 of 2 nursing units. This deficient practice was evidenced by the following: In preparation for the Quality of Life Assessment Group Interview the resident council minutes were reviewed from January 2013 through July 2013 and revealed that the issue of a long wait time for meals distribution was discussed in May and June. A review of the facility's Resident Council Concern Sheet used to follow-up on grievances did not reveal that the facility had responded to the resident ' s complaint of late meal delivery for either May or June of 2013. Resident Grievance files dated 03/20/2013 contain a complaint that indicates Food trays come to the unit, but there is a long wait/lag time before the trays are distributed and then the food is cold. There were no attached comments to indicate that the facility had responded to this grievance. During a group meeting conducted on 09/10/13 at 10:30 a.m., when asked Do you receive your breakfast, lunch and dinner on time? Four of five residents stated most of the time it's late. When asked how long beyond the scheduled time do the meals arrive? Four of the five residents attending stated, at least 30 minutes from the scheduled meal time. They all concurred that this practice occurs for all three meals. One of the residents told the surveyor, I am a Diabetic and take Insulin so this is not good for me (referring to the late meal distribution). The surveyor reviewed the record of this resident (resident #1), which revealed that the resident is an Insulin Dependent Diabetic. It further revealed that this resident was recently re-admitted to the facility on [DATE] following an acute hospitalization stay and is documented to have experienced a significant weight loss. During an interview conducted on 9/10/13 at approximately 12:15 PM with the Registered Dietitian (RD) it was revealed that the Kitchen serves both the Adolescent facility and the Nursing Home. When asked directly about the complaint of a long wait/lag time for meal distribution, the Registered Dietician stated the residents get the food late because the kids come first because they have to go to school. When interviewed on the afternoon of 09/11/13 regarding the Adolescents being fed before the Nursing home residents, the Administrator stated she was unaware that this was occurring and that the Adult resident should always be fed first. The Medical Director was interviewed 09/12/13 and stated he was not aware that the Adolescent facility was being served meals before the Nursing residents. This should never occur, these are separate facilities and the Nursing Home residents should always receive their meals first. 2017-01-01