cms_DE: 34

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
34	PARKVIEW NURSING	85002	2801 W. 6TH STREET	WILMINGTON	DE	19805	2017-05-03	389	D	0	1	ZLDY11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, it was determined that the facility failed to ensure that one (R27) out of 27 Stage 2 sampled residents, received the services of a physician 24 hours a day in case of an emergency. Findings include: Review of R27's clinical record revealed: 1/31/17 at 1:35 AM- Nurse's progress note stated that at 1:25 AM, R27 was ambulating in the dayroom, she lost her balance and fell to the floor hitting her head on the wall. R27 was noted to be bleeding from the back of her head and pressure was applied to the area. Attempted to call on call physician, left message on answering machine, no return call, called 3 additional times with no answer. R27's daughter was notified of the event and gave the OK to send resident to the ER despite R27 had no hospitalization restriction on Palliative care assessment. On call nurse was notified and stated to send resident to the ER. 911 was called at 1:34 AM. R27 was transported to the hospital ER . 1/31/17 at 07:00 AM-R 27 returned to the facility from the hospital with [DIAGNOSES REDACTED]. 5/2/17 at 8:30 AM-During an interview with E13 (LPN), she stated that the NP(E3), who was taking call for the physician, did not return the call. DON (E20) and the physician was made aware. This finding was reviewed with E1 (Administrator) and E2 on 5/2/17 at 1:45 PM.	2020-09-01