cms_DE: 38

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
38 PARKVIEW NURSING 85002 2801 W. 6TH STREET WILMINGTON DE 19805 2018-08-01 776 D 0 1 LQUY11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, it was determined that for one (R32) out of 43 sampled residents, the facility failed to ensure that a STAT x-ray result for R32 was received in a timely manner, in order to facilitate appropriate follow up care. Findings include: Review of R32's clinical record revealed: On 2/2/18, R32 was admitted to the facility with a [DIAGNOSES REDACTED]. 2/9/18, R32's Admission MDS revealed that R32 was able to make consistent and reasonable decisions and he needed limited assistance of one person for transfers. On 2/24/18 at 1:35 PM, a progress note stated that the floor nurse heard R32 calling for help, responded, and found R32 sitting on the floor in the bathroom. R32 told staff that he fell fell while trying to transfer himself from the wheelchair to the toilet, and he landed on his right knee. R32 reported right knee pain of 5 out of 10 (10 being the highest in intensity in a scale of 1 to 10). On 2/24/18 at 5:07 PM, a progress note stated that slight swelling was noted to R32's right knee, and that R32 reported pain of 10 out of 10. Pain medicaton was administered as ordered. The nurse practitioner was notified and gave an order for [REDACTED]. On 2/24/18 at 5:13 PM, an order was placed with the contracted mobile x-ray facility for a STAT x-ray of the right knee. On 2/24/18 at 7:15 PM, a progress note stated the x-ray was done and the results were pending. On 2/24/18 at 7:50 PM, a radiology report, signed by a radiologist, revealed that R32 had an acute fracture involving the right mid patella. The report was not called to or sent to the facility at that time. On 2/24/18 at 10:56 PM, a progress note stated that R32's x-ray of right knee was done and they were awaiting the result. On 2/25/18 at 1:05 AM, a progress note stated that the mobile x-ray facility had been called two times for R32's x-ray results, at 11:30 PM and at 1:00 AM, and they would fax the results immediately. On 2/25/18 at 2:22 AM, a radiology report for R32's STAT right knee x-ray was received at the facility via FAX. On 2/25/18 at 7:10 AM, a progress note stated that results from R32's x-ray were received at 2:30 AM, which showed a fracture involving the right mid patella. The doctor on call was notified and advised the facility to send R32 to the hospital for further management. The ambulance arrived to pick up R32 at 3:00 AM and transported him to the hospital. On 8/1/18 at 2:26 PM, during an interview with a E6 (RN), E6 stated that the expectation for a stat x-ray was that the mobile x-ray facility would call in about an hour once the x-ray was read. The facility failed to obtain timely radiology services to meet the needs of R32, as evidenced by , the results of R32's STAT right knee x-ray were not received for approximately 6.5 hours after it was read and signed by the radiologist. Findings were discussed with E2 (DON) and E3 (ADON) on 8/1/18 at approximately 4:30 PM. 2020-09-01