cms_DE: 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.
This data as json, copyable
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 15 |
KENTMERE REHABILITATION AND HEALTHCARE CENTER |
85001 |
1900 LOVERING AVENUE |
WILMINGTON |
DE |
19806 |
2018-12-06 |
580 |
D |
1 |
1 |
H65F11 |
> Based on interviews and review of the clinical record and facility documentation, it was determined that for one (R45) out of 54 sampled residents, the facility failed to immediately notify the resident's representative and immediately consult with the resident's physician when there was an incident that had the potential for requiring physician intervention and a change in treatment. For R45, the facility failed to immediately consult with F4 (Physician/Medical Director) and failed to immediately notify F6 (R45's POA) after an allegation of sexual abuse was made on 11/7/18 at 6:30 AM. Findings include: Cross refer to F607, F608, F609 and F610 The facility's policy entitled Provider Notification of Resident Change in Medical Condition, effective (MONTH) (YEAR), stated, It is the policy .that staff communicates changes in a resident's medical condition to providers in a timely and accurate manner .Any incident requiring notification of the Division of Long Term Care Resident Protection . Review of R45's clinical record revealed: 11/7/18 at 6:30 AM - The facility's Incident/Accident Report, completed by E2 (DON), stated the following: - Description of what happened: CNA alleged staff was inappropriately touching resident; - Physician notified at 6:30 AM; - POA notified on 11/8/18 at 9:45 AM. 12/6/18 at 8:46 AM - During an interview, this surveyor showed E4 (Medical Director) a copy of the facility's incident report for the 11/7/18 allegation of sexual abuse, which stated that E4 was notified at 6:30 AM and asked her if she remembered being notified. E4 stated that she was unable to remember exactly when she was notified. E4 stated that she remembered being told by E9 (RN, Supervisor) about the incident by hey did you hear ., but does not remember being officially notified about the incident involving R45. E4 stated that she would have immediately sent R45 to be examined at the hospital, as they are the experts, upon being told that there was an allegation of sexual assault. This surveyor said that E4 ordered R45 to be sent to the hospital's Emergency Department to be examined on Friday, 11/9/18, two days after the alleged incident. E4 stated that it was her practice that if she was notified of an allegation of a sexual assault, she would immediately send the resident to the hospital to be examined by the Forensic Team. The facility failed to immediately notify E4 of the 11/7/18 allegation of sexual abuse. 12/6/18 at 9:09 AM - During an interview, this surveyor asked who notified E4 (Medical Director) on 11/7/18 at 6:30 AM, as recorded on the facility's Incident Report. E2 (DON) and E3 (ADON) said neither one notified E4. 12/12/18 at 10:48 AM - During an interview, F6 (POA) stated that she was notified on 11/8/18 at 9:45 AM about the 11/7/18 allegation of sexual abuse involving R45. The facility failed to immediately notify F6 until approximately 27 hours later. |
2020-09-01 |