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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
48 GUARDIAN ELDER CARE AT WHEELING 515002 20 HOMESTEAD AVENUE WHEELING WV 26003 2018-05-03 561 D 0 1 X20F11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to promote one resident's right to make choices about aspects of their life. Specifically, the facility failed to provide a shower to resident #305 as requested. This failed practice had the potential to affect a limited number of residents. Resident identifier: #305. Facility census: 142. Findings included: a) Resident #305 According to the 5/18 physician's orders [REDACTED]. According to the admission progress note, dated 4/28/18, the resident was oriented to person, place, and time and was able to make her needs known. In an interview on 4/30/18 at 4:12 PM, Resident #305 said she had just admitted that past Saturday. She said the hospital never showered her so she really wanted a shower. She wanted to feel clean and thought she would feel much better after she received a shower. She said she had been asking for a shower since she admitted to the facilty. She asked her aide taking care of her that day if she could get a shower and the aide told her she would see what she could do. The resident was tearful during the interview. In an interview on 5/1/18 at 5:03 PM, Resident #305's hair was visibly wet and she was brushing it. She said she had just received a shower, her first since admission, and she felt much better. The resident's 5/18 physician's orders [REDACTED]. An order dated 4/28/18 directed Transfer assist of 2 with gait belt. An order dated 4/30/18 directed Cont (continue) with transfer assist of 2 and gait belt. Pt (patient) non-ambulatory on wing. Shower documentation and progress notes were reviewed on 5/2/18 at 4:50 PM. The shower records revealed an entry on 5/1/18 that documented not applicable, indicating a shower was not provided. Review of the progress notes revealed there was no documentation that a shower was given. The skilled progress note on 4/29/18 indicated the resident required assistance of two with transfers and bed mobility. In an interview on 5/2/18 at 4:31 PM, Licensed Practical Nurse (LPN) #34 said she was the one who admitted the resident after dinner on Saturday night. On admission the resident expressed that the hospital had not showered her in four days or changed her gown, so they had discussed getting her a shower. On Saturday night, staff provided her a bed bath and got her cleaned up. The resident was supposed to receive a shower on Sunday if she still expressed the desire to receive one. LPN #34 said the shower schedule was pre-set based on room numbers. The resident's shower days were Tuesdays and Fridays. She said no showers were scheduled on Sundays, but staff should have provided one, if needed. In an interview on 5/2/18 at 5:10 PM, CNA #121 said she had only worked at the facility for a few weeks and had worked that past Sunday. She said Resident #305 had requested a shower on Sunday, but she did not provide her with one. She explained she thought therapy had to evaluate a new resident before staff could assist the resident in any transfers. She said the resident stayed in bed all day on Sunday as she would not get residents up until therapy evaluated them. She stated she provided the resident with a shower 5/1/18, Tuesday. The Assistant Director of Nursing was present during the interview with CNA #121. She said the resident could have received a shower on Sunday as she requested. She said the facility's protocol was that all new admissions could be transferred with two staff and a gait belt until therapy could evaluate them, or if orders indicated otherwise. In an interview on 5/3/18 at 11:45 AM, the Director of Nursing (DON) said the CNA should have spoken to the nurse about the resident's transfer status. The nurse could have called the doctor to obtain orders, if they were unclear. She said most new admissions were a two assist with a gait belt unless they were walking as they entered the facility or they had non-weight bearing orders. She said residents could receive showers whenever they requested them. There was a shower schedule but if a resident requested a shower, then the staff should provide one. 2020-09-01