cms_DE: 58
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
|
| 58 |
WILLOWBROOKE COURT AT COUNTRY HOUSE |
85003 |
4830 KENNETT PIKE |
WILMINGTON |
DE |
19807 |
2019-07-15 |
867 |
E |
0 |
1 |
N66611 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on reviews of one (R48) death record and 43 current residents' records, interviews and review of facility documentation as indicated, it was determined that the facility's Quality Assessment and Assurance Committee failed to identify a system failure to follow the facility's DNR policy and procedure that was in place since ,[DATE] to ensure completion of 7 (R1, R3, R8, R14, R17, R33 and R48) residents' code status. Findings include: Cross refer to F678 Review of R48's clinical record revealed that on [DATE], R48 had an acute medical event and was found on the bedroom floor at 4:56 AM. Facility staff did not initiate CPR as R48 was a DNR according to what was listed in R48's clinical record. E19 (RN) called 911 emergency services at 5:13 AM and EMS personnel responded. Despite E19 stating that R48 was a DNR and showing multiple documents to EMS personnel, the facility failed to have the proper DNR paperwork on hand for EMS personnel. The facility's failure to complete R48's code status according to the facility's DNR policy and procedure was identified as immediate jeopardy (IJ) on [DATE] at 3:44 PM. Review of all current residents' clinical records in the facility, as of [DATE], revealed that 6 (R1, R3, R8, R14, R17 and R33) out of 43 residents had incomplete code status documentation. [DATE] at 6:41 PM - A meeting was held with E1 (NHA), E2 (former DON), E3 (interim DON) and E6 (NP). The survey team identified 6 additional residents currently in the facility that had incomplete code status documentation in their clinical records. The facility also conducted an audit of all the current residents and acknowledged that there were incomplete code status issues with some residents. [DATE] at 11:10 AM - During a combined interview with E1 (NHA), E2 (former DON) and E3 (interim DON), when asked if the facility identified a system failure with respect to code status, E1 stated that the QAA Committee talked about having a code status for each resident during QAA meetings. However, E1 stated that the QAA Committee never identified an issue with code status, specifically the failure to follow the facility's DNR policy and procedure. E1 stated that the QAA Committee never developed an official performance improvement plan for code status. [DATE] at 12:30 PM - Findings were reviewed with E1 (NHA), E2 (former DON), E3 (interim DON) and E6 (NP) during the Exit Conference. The facility's Quality Assessment and Assurance Committee failed to identify a system failure to follow the facility's DNR policy and procedure that was in place since ,[DATE] to ensure completion of code status' for 7 residents. |
2020-09-01 |