cms_DC: 64

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
64 SERENITY REHABILITATION AND HEALTH CENTER LLC 95015 1380 SOUTHERN AVE SE WASHINGTON DC 20032 2018-07-20 656 D 0 1 L7I811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews for three (3) of 56 sampled Residents, facility staff failed to develop a care plan that included goals and approaches for assessment of one (1) Resident AV(arteriovascular) graft/fistula access site, one (1) Resident for [DIAGNOSES REDACTED]. Resident #6, #38, and #138 Findings included . 1. Facility staff failed to develop a care plan that included goals and approaches for one (1) Resident AV graft/fistula access site. Resident #6 Resident #6 admission was on (MONTH) 10, (YEAR), with [DIAGNOSES REDACTED]. Diabetes Mellitus 2, Hypertension, Heart Failure, [MEDICAL CONDITION], and Cataract. A review of the quarterly MDS with ARD date (MONTH) 6, (YEAR), section I Active [DIAGNOSES REDACTED]. On (MONTH) 18, (YEAR), 11:50 AM a review of the following Nurses Progress Note showed that the Resident#6 AV graft/fistula access site for [MEDICAL TREATMENT] treatment located in her left arm clogged twice. April 11, (YEAR), 23:39 PM (Resident name) returned to the facility this afternoon at about 4 PM without being dialyzed (dialyzed), AV (Arteriovascular) graft was blocked. May 4, (YEAR), 18:08 PM Resident came back and was not dialyzed secondary to clogged AV graft. Resident scheduled for declogging on (MONTH) 5, (YEAR), at 9 am. A review of care plan showed no evidence that staff developed a care plan with goals and approaches that included the Resident's access site blockages, and pre and post [MEDICAL TREATMENT] assessment for her AV graft/fistula. The Resident's care plan lacked evidence that staff developed a care plan that included the access site blockages and assessment of the AV graft/Fistula pre and post [MEDICAL TREATMENT] treatment. A face-to-face interview conducted with Employee#19 on (MONTH) 19, (YEAR), she reviewed the care plan and acknowledged the findings 2. Facility staff failed to develop a care plan with goals and approaches for one (1) Resident for [MEDICAL CONDITION]. Resident #38 Resident# 38 admitted on (MONTH) 24, 2005, with [DIAGNOSES REDACTED]. A review of the Annual MDS with ARD date (MONTH) 2, (YEAR), section I Active [DIAGNOSES REDACTED]. A review of physicians order dated (MONTH) 29, (YEAR), 10:00 AM showed Psych to evaluate and treat as needed for [MEDICAL CONDITION], Impulsive disorder. A review of care plan showed no evidence that staff developed a care plan with goals and approaches to address the Resident's [MEDICAL CONDITION]. The Resident's care plan lacked evidence that staff develops a care plan with goals and approaches to address [DIAGNOSES REDACTED]. A face-to-face interview conducted with Employee#19 on (MONTH) 19, (YEAR), she reviewed the care plan and acknowledged the findings. 3[NAME] Facility staff failed to develop a care plan with goals and approaches for one (1) Resident [DIAGNOSES REDACTED].#138 Resident# 138 admitted on (MONTH) 6, (YEAR), with [DIAGNOSES REDACTED]. A review of the Quarterly MDS with ARD date (MONTH) 19, (YEAR), section I Active [DIAGNOSES REDACTED]. A review of the Physician orders [REDACTED]. A review of care plan showed no evidence that staff developed a care plan with goals and approaches that included the Resident's [DIAGNOSES REDACTED]. The Resident's care plan lacked evidence that staff develops a care plan with goals and approaches to address [DIAGNOSES REDACTED]. A face-to-face interview conducted with Employee#19 on (MONTH) 19, (YEAR), she reviewed the care plan and acknowledged the findings 3B. Facility staff failed to develop a care plan with goals and approaches for one (1) Resident for a resident Rehab Services. Resident#138 Resident# 138 admitted on (MONTH) 6, (YEAR), with [DIAGNOSES REDACTED]. A review of the Quarterly MDS dated (MONTH) 19, (YEAR), showed Section O0400 Therapies B. Occupational therapy started (MONTH) 20, (YEAR), and therapy ended (MONTH) 7, (YEAR). A review of care plan showed no evidence that staff developed a care plan with goals and approaches to address Resident Rehab Services. The Resident's care plan lacked evidence that staff develops a care plan with goals and approaches to address [DIAGNOSES REDACTED]. A face-to-face interview conducted with Employee#19 on (MONTH) 19, (YEAR), she reviewed the care plan and acknowledged the findings. 2020-09-01