cms_DE: 43

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
43	WILLOWBROOKE COURT AT COUNTRY HOUSE	85003	4830 KENNETT PIKE	WILMINGTON	DE	19807	2017-05-31	280	D	0	1	SQVX11	Cross-refer to F323 Based on record review and interview, it was determined that the facility failed to ensure that R22's fall risk care plan was periodically revised by a team of qualified persons after each assessment. Findings include: Review of R22's clinical record revealed that he had experienced 7 unwitnessed falls between 9/2016 through 5/2017. R22 sustained minor injuries on three of these unwitnessed falls. After R22 had been assessed and upon investigation, the potential causes for the falls have been identified, the facility failed to revise the care plan to put in place identified corrective actions and appropriate preventative strategies/interventions to reduce his falls. For example, based on the facility's investigation for R22's 7 falls, the facility identified the following problems and corrective actions: 9/16/16 Fall-R22 was non-compliant with the use of the call bell to request for assistance. 10/14/16 fall- Wife and R22 were non-compliant with the use of the call bell to request for assistance 11/18/16 fall- The facility's corrective action per investigation included Monitoring. 4/18/17 fall-The facility's corrective action as a result of the investigation included, Monitoring and continue checks through the night. The fall care plan and approaches were not updated/revised to identify current and appropriate preventative measures and interventions based on the facility's findings to reduce falls. This finding was reviewed with E2 (NHA) on 5/30/17 at 11:40 AM.	2020-09-01