cms_DC: 21

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
21	WASHINGTON CTR FOR AGING SVCS	95014	2601 18TH STREET NE	WASHINGTON	DC	20018	2019-07-30	837	F	0	1	BMNI11	Based on staff interview, Governing Body failed to ensure that action plans were developed and implemented to ensure that facility staff thoroughly investigated the incident which caused Resident #1 to sustained an orbital fracture and multiple bruises during am care as a potential for abuse, neglect. The Governing Body failed to ensure facility staff implemented measures to prevent further potential abuse, neglect from occurring to other residents within the facility; and as a result of their investigation appropriate corrective action was not taken in accordance with the facility's Abuse policy. Also, the Governing Body failed to ensure that the facility staff provided adequate supervision to prevent an accident for Resident #182 who had a fall with an injury and to provide appropriate and sufficient catheter care and assessments and reassessments to prevent Harm for Resident #58 who was admitted with an indwelling Foley catheter which resulted in penile erosion and laceration. The census on the first day of survey was 243. Based on record review and staff interview for two (2) of 56 sampled residents facility staff failed to ensure one (1) resident who had a fall with an injury received adequate supervision to prevent an accident. Resident #182 Findings included . 1.In the area of 42 CFR 483.12 (c)(2)-(4), F610, Investigate/Prevent/Correct/Alleged Violation. The Governing Body failed to thoroughly investigate the incident which caused Resident #1 to sustained an orbital fracture and multiple bruises during am care as a potential for abuse, neglect. In addition, the facility failed implement measures to prevent further potential abuse, neglect from occurring to other residents within the facility; and as a result of their investigation appropriate corrective action was not taken in accordance with the facility's Abuse policy. On (MONTH) 23, 2019, at 11:09 AM an Immediate Jeopardy (IJ)-L was identified at 42 CFR 483.12 (c)(2)-(4), F610, Investigate/Prevent/Correct/Alleged Violation. During the face-to-face interview on (MONTH) 23, 2019 approximately at 2:15 PM, Employees' #1 and #2 acknowledged the findings. Cross reference 42 CFR 483.12 (c)(2)-(4), F610, Investigate/Prevent/Correct/Alleged Violation. 2. In the area of 42 CFR 483.25(d)(1)(2), F689 Free of Accident Hazards/Supervision/Devices, the Governing Body failed to ensure that the facility staff provided adequate supervision to prevent an accident for Resident #182 who had a fall with an injury. During a face-to-face interview with Employee #13 on 7/26/19, at 1:44 PM, he acknowledged the findings and stated, The staff assigned to the solarium left to help a coworker although we educate them not to leave residents in the solarium alone. Cross reference 42 CFR 483.25(d)(1)(2), F689 Free of Accident Hazards/Supervision/Devices 3. In the area of 42 CFR 483.25(e)(1)-(3), F690 Bowel/bladder/Incontinence, Catheter, UTI, the Governing Body failed to ensure facility staff provided appropriate and sufficient catheter care and assessments and reassessments to prevent Harm for Resident #58 who was admitted with an indwelling Foley catheter which resulted in penile erosion and laceration. The findings were acknowledged on (MONTH) 29, 2019, at 10:00 AM during a face-to-face interview with Employee #3 (Unit manager) who stated she did not know what erosion was and would look it up on the internet. Cross reference 42 CFR 483.25(e)(1)-(3), F690 Bowel/bladder/Incontinence, Catheter, UTI	2020-09-01