cms_VI: 14

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
14 SEA VIEW NURSING HOME 485000 7500 BOLONGO BAY ST THOMAS VI 802 2013-09-13 312 D 0 1 IBTI11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, it was determined that the facility failed to ensure that a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. This deficient practice was noted for one of 14 sampled residents. The findings are: Resident # 9 is a [AGE] year-old male diagnosed with [REDACTED]. Care Plans for Dementia, documented 7/2013, indicate the resident is Aphasic, cognitively impaired, hearing impaired and requires total care for all ADLs. On 9/9/2013, at 9:40 A.M., the resident was observed during the initial unit tour lying supine in bed. The door to the resident ' s room was open, his bedside curtain was not drawn, and the resident was uncovered. A bed sheet was hanging off of the foot of the bed and the resident ' s lower body was exposed. The resident was observed to wear a hospital type gown that was pulled up to his torso and he was wearing an adult diaper. The resident's feet were exposed and revealed extremely elongated, mycotic toenails. The resident's fingernails were also extremely elongated and mycotic. An interview was held immediately with the nurse accompanying the surveyor who stated the staff needs to check this resident more frequently to make sure he stays covered because he's very restless, he pulls his covers off a lot and he should not be exposed. When the nurse was asked about the condition of the resident's finger and toenails, she explained the cutting of residents fingernails is the responsibility of the Nursing Director and the Doctor is responsible for cutting everyone's toenails. I don't know why they were not done. They should be cut every three months. On 9/9/2013 at 10:00 A.M., during the interview conducted with the Director of Nursing to discuss resident #9 ' s care, the Nursing Director explained the facility maintains a monthly a list of residents who require fingernail and toenail cutting. Residents are scheduled each month, and after the list is completed, it is signed off by the doctor and by the charge nurse or by me. The doctor cuts all of the resident's toenails and I cut the fingernails. The Director of Nurses stated I' m sure that resident (#9) had his nails cut about three months ago. I can check the list, but I know he's on the list for the Doctor for this month. Copies of the fingernail/toenail cutting schedule for the past six months were not immediately available when requested, and when produced, were observed to not have been signed by either the physician or a nurse to indicate each resident on the list had been groomed. Resident #9 was listed on the monthly schedules for November, 2012, February 2013, May 2013, and August 2013. On 9/9/2013 at approximately 5:00 P.M. the Director of nursing informed the surveyor that she had just attempted to cut resident #9's fingernails, but they were too thick and required a larger toenail cutter than the one size available in the facility. The DON stated she would have to find a larger size. A quality of life Assessment Interview was held with residents on 9/10/2013 at 10:30 A.M. 5 of the 5 residents in attendance complained of having to wait for as long as 6 months before their finger and toenails were cut. The Attending Physician, responsible for grooming resident toenails was interviewed 9/11/2013 at approximately 11:00 A.M. and reported to the surveyor that he came in to cut Resident #9s toenails but was unable to do so in the usual manner because the toenails were too mycotic and a special instrument was required. Cross refer F-241 2017-01-01