cms_VI: 4

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
4 SEA VIEW NURSING HOME 485000 7500 BOLONGO BAY ST THOMAS VI 802 2010-08-25 311 D 0 1 MZE911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations , resident and staff interviews and review of the the resident's medical record, it was determined that the facility failed to ensure that a resident receives appropriate treatment and services to maintain or improve her abilities to achieve and maintain the resident's highest practicable outcome. The Findings are: Resident # 1 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 08/20/10 at approximately 5 PM, upon approaching the resident ' s room, the surveyor heard resident #1 calling for help. On entering the resident ' s room, the surveyor observed the resident was sitting in bed, the side rails were up, and a bedside table was positioned across the bed. A food tray was on this table . The following items were on the food tray: a container of milk, a vegetable dish, juice, 8oz cup of hot coffee, bread, and approximately 3 large stuffed Ravioli pasta shells. The resident was attempting to feed herself. she was struggling to cut the Ravioli. She was experiencing difficulty getting the food from the plate to her mouth which resulted in it spilling on her lap and on the bed. An interview with the resident was conducted at the time of this observation. The resident shared with the surveyor, that it is difficult for her to get help from the staff. When asked about the meals at the facility, she replied, The food usually tastes good but it was hard today. She stated, It is a good thing you were here today, otherwise I would not get to eat; I would still be fighting with it. The surveyor noted that after the pasta was cut into pieces and placed in the spoon for the resident , and the resident was cued that the food was on the spoon, she was able to pick up the spoon and to feed herself. At the time of this observation the resident appeared to have a very good appetite and ate approximately 80% of her meal. An interview was conducted with a staff nurse (Registered Nurse) assigned to resident #1 immediately following this observation. The nurse was asked why the resident was receiving her dinner in her room, and she replied that she was not sure why but the resident is known for wanting to stay in her room. When she was asked to describe the resident ' s ADL needs specifically related to eating; she stated the CNA has to set-up her tray. When the nurse was asked, if resident #1 needed assistance with cutting her food, she acknowledged that she should have the food cut for her . Resident #1 has a history of uncontrolled blood sugars. Her blood glucose levels are directly affected by her oral intake. The facilitation of adequate food consumption in significant for this resident. Her Diabetic status has an impact on her overall quality of health. A Registered Dietician's initial nutritional assessment notes dated 07/22/10 in the Eating Ability section reads: Partial assist type- set up, monitor, may need to be fed . On the same document in the Summarize Nutritional Findings section, the following statement is included: Appears more confused, not getting out of bed much yet. The summary documents: History of uncontrolled blood sugar. 0n 8/24/10, after the survey team brought to the facility's attention, the observed lack of monitoring and assistance given to the resident during meals, it was observed that resident #1 was taken out of her room for lunch and placed with the larger resident population. It was also noted that she was receiving assistance with meals as needed. The facility failed to ensure that resident #1 was provided with needed assistance in order to promote independence with self feeding. 2017-01-01