cms_DE: 70

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
70	BRANDYWINE NURSING & REHABILITATION CENTER	85004	505 GREENBANK ROAD	WILMINGTON	DE	19808	2018-04-25	676	D	1	0	81S611	> Based on clinical record review and interviews, it was determined that for 1 (R7) out of 11 sampled residents, the facility failed to provide care and services in accordance with an activity of daily living, specifically bathing. Findings include: Review of R7's clinical record revealed the following: 2/20/18 - R7 was admitted to the facility and was scheduled for showers twice a week on Sunday and Thursday evenings. 2/20/18 - R7 was care planned for ADLs with an intervention that included, but not limited to, assisting R7 with showering and/or bathing as per her needs. 2/26/18 - Review of R7's MDS admission assessment revealed that she was cognitively intact, did not reject care offered by facility staff and required extensive assistance of one staff person for bathing. 4/19/18 evening shift - Review of R7's CNA ADL Flow Sheet revealed that R7 was provided a shower as per E5's (CNA) documentation. 4/19/18 through 4/23/18 - Review of R7's nurse's notes during this timeframe lacked evidence that R7 refused her scheduled shower on Thursday evening, 4/19/18. 4/23/18 at 8:20 AM - During an interview, R7 stated that she was scheduled for showers on Sunday and Thursday evenings. R7 stated that she did not receive her shower on Thursday evening, 4/19/18. R7 stated that she received a shower on Sunday evening, 4/15/18, and the next shower provided was on the following Sunday evening, 4/22/18. 4/23/18 at 2:28 PM - During an interview, E4 (UM) stated that she heard about R7's lack of shower earlier today and stated that she left a voicemail with E5 (CNA) to call her back about the issue. 4/23/18 at 2:43 PM - During a follow-up interview, E5 stated that she spoke with E4, who stated that R7 refused her shower and she incorrectly documented that R7 had a shower on the CNA ADL Flow Sheet. 4/25/18 at 11:10 AM - During a follow-up interview, R7 stated that she did not refuse a shower. 4/25/18 at 2:45 PM - Findings were reviewed with E2 (DON). The facility failed to provide R7's scheduled shower during the evening shift of 4/19/18. 4/25/18 at 4 PM - Findings were reviewed with E1 (NHA) and E2 during the exit conference.	2020-09-01