cms_DE: 11

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
11 KENTMERE REHABILITATION AND HEALTHCARE CENTER 85001 1900 LOVERING AVENUE WILMINGTON DE 19806 2017-09-07 385 D 1 1 H3FV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on clinical record review and interviews, it was determined that for one (R177) out of 25 Stage 2 sampled residents, the facility failed to ensure that a physician was supervising the medical care of R177, specifically from 7/22/16 through 8/11/16, when R177 was identified with a [MEDICAL CONDITION]/growth on her coccyx/sacrum which later became an open wound. Findings include: Review of R177's clinical record revealed the following: 7/21/16 at 3:38 PM - A progress note stated that R177 had a [MEDICAL CONDITION]/growth on her coccyx and the facility's physician was notified. 7/22/16 at 12:16 PM - A progress note by E4 (ADON/Wound Care Nurse) stated that she was asked to assess R177's coccyx/sacrum regarding a [MEDICAL CONDITION]/growth. E4 stated that R177 had a raised 1.0 cm x 1.0 cm red to black area with no drainage, the skin around the area was blanchable, there was hair present throughout the [MEDICAL CONDITION]/growth and R177 had pain when the area was touched. E4 stated that the MD (physician) to evaluate on this day. Review of the clinical record revealed lack of evidence that a physician evaluated R177 on 7/22/16. 7/29/16 at 2:49 PM - A progress note by E4 stated that she was asked to re-assess R177's coccyx/sacrum regarding the [MEDICAL CONDITION]/growth which was now an open wound. E4 stated that R177's raised area was now open measuring 1.0 x 1.0 x 0.1 cm with a tan wound bed, scant amount serous drainage and fleshtone peri-wound. E4 stated that the MD to assess area .MD to evaluate. Review of R177's clinical record from 7/22/16 through 8/11/17 revealed lack of evidence that R177 was seen and evaluated by a physician regarding her open wound. 9/5/17 at 4:16 PM - During a combined interview, E4 (ADON) and E9 (RNAC) stated that they both were in R177's room on 7/22/16. E4 stated that she assessed the [MEDICAL CONDITION]/growth while E9 was translating as the R177's primary language was Spanish. E9 stated that she observed R177's [MEDICAL CONDITION]/growth on 7/22/16 and described the area as a bump or mole. 9/5/16 at 5:01 PM - During an interview, E10 (LPN) stated that she was the nurse who first identified the [MEDICAL CONDITION]/growth on R177's coccyx on 7/21/16. E10 stated that the area was not a blister or a mole. E10 stated that she was very familiar with R177 as she toileted her often and had never seen the [MEDICAL CONDITION]/growth before. E10 stated that she notified the physician and referred it to the wound care nurse, E4, to be assessed further. 9/6/17 at 4:36 PM - During a combined interview, E2 (DON) and E4 confirmed the findings. The facility failed to ensure that R177 was evaluated by a physician from 7/22/16 through 8/11/16 when a [MEDICAL CONDITION]/growth was identified on her coccyx/sacrum which later became an open wound. 2020-09-01