cms_DC: 67

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
67	SERENITY REHABILITATION AND HEALTH CENTER LLC	95015	1380 SOUTHERN AVE SE	WASHINGTON	DC	20032	2018-07-20	677	D	0	1	L7I811	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview for one (1) of 56 sampled residents, the facility staff failed to provide adequate grooming services by failing to provide nail care for one (1) resident who was totally dependent on staff for all of his care. Resident #112. Findings included . Resident #112 was admitted to the facility on (MONTH) 18, (YEAR) with [DIAGNOSES REDACTED]. Observation on (MONTH) 12, (YEAR) showed Resident #112 lying in bed. The resident's nail edges were broken and jagged with black material underneath the nailbeds. Review of Resident #112's medical record showed an admission Minimum Data Set (MDS) with an assessment reference date (ARD) of (MONTH) 27, (YEAR). Section G (Functional Status) G0110 activities of daily living (ADL) assistance, the resident was coded as a three (3) for bed mobility, transfer, toilet use, dressing and locomotion, indicating the need for extensive assistance in all of the aforementioned areas. The support level coding for the ADLs was coded as a two (2), indicating the need for one (1) person's physical assistance to perform the activities, except in transfer, where it was coded as a three (3), indicating the need for physical assistance from two or more persons for transfer. During a face-to-face interview on (MONTH) 16, (YEAR) at approximately 2:30 PM, Employee #5 reviewed Resident #112's nails and stated the resident is very noncompliant with grooming and refuses care. A review of Interdisciplinary Team Meeting notes of (MONTH) 27, (YEAR) showed that the Resident #112's Responsible Party (RP) was informed of the elongated nails which were digging into his skin. RP was informed of the plan to initiate psychiatric consult. The medical record lacked documented evidence of follow-up interventions provided related to refusal to have nails trimmed and cleaned for a resident totally dependent for all care needs. Employee #5 acknowledged the finding on (MONTH) 16, (YEAR).	2020-09-01