cms_DC: 15

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

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
15	WASHINGTON CTR FOR AGING SVCS	95014	2601 18TH STREET NE	WASHINGTON	DC	20018	2019-07-30	693	D	0	1	BMNI11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review and staff interview for one (1) of 56 sampled residents facility staff failed to provide evidence of providing care for one (1) resident's percutaneous endoscopic gastrostomy (PEG) site. Resident #155. Findings included . Resident #155 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the Quarterly Minimum Data Set ((MDS) dated [DATE] showed resident Brief Interview for Mental Status (BIMS) is coded as 6 to indicate moderately impaired cognition. Further review of the MDS showed Section K (Swallowing/Nutritional Status) Nutrition Approach resident is coded as having a feeding tube. Percutaneous Endoscopic Gastrostomy (PEG) is a medical procedure in whch a tube is passed into a patient's stomach to provide a means of feeding when oral intake is not adequate. Review of the nurses note on 6/28/19 showed resident went to the emergency room via non-emergency ambulance for evaluation. Review of (Hospital name) transfer summary dated 7/3/19 showed the patient was found to have skin excoriation and some pus discharge around the PEG tube site on admission. Further review of the transfer summary showed discharge plan please continue the PEG care at the nursing home, clean the area around the PEG tube. Observation on 7/26/19 at 11:30 AM of Resident #155 PEG site showed PEG tube insertion site without a dressing in place or evidence the site was cleaned. During an interview on 7/26/19, at 11:30 AM Employee #13 was asked if nurses were providing PEG site care? Employee #13, I did not see this on the transfer summary, I will let the doctor know right away. Review of the medical record showed no documented evidence facility staff are cleaning around the PEG site. Facility staff failed to provide evidence of providing skin care to PEG site to maintain infection control practices. During a face-to-face interview on 7/26/19 at 11:30 AM, Employee #13 acknowleged the finding.	2020-09-01