cms_DE: 78

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
78	BRANDYWINE NURSING & REHABILITATION CENTER	85004	505 GREENBANK ROAD	WILMINGTON	DE	19808	2018-04-25	812	E	1	0	81S611	> Based on observations and interviews it was determined that the facility failed to ensure storage, preparation, distribution and the serving of food in accordance with professional standards for food service safety. The facility failed to ensure that insulated domes and bases used to serve meals to residents were not in disrepair. 69 out of 144 domes and 50 out of 101 bases were observed in disrepair. Findings include: The following observations and interviews were conducted: 4/20/18 11:53 AM - During a dining observation of the midday meal it was observed that multiple insulated dome plate covers were in disrepair. The outer rims of the dome covers were observed with discoloration and evidence of having surface chipping. The inner aspect of the domes were observed with peeling and/or blistering. 4/23/18 10:40 AM - Observation in the kitchen of insulated dome plate covers and plate bases revealed them stacked or placed on a ready to use rack in preparation for the midday meal. 69 out of 144 dome covers were observed in disrepair with either fading and chipping of the exterior rim or peeling and/or blistering of the inner surface. 50 out of 101 insulated plate bases were observed in disrepair. 4/23/18 approximately 10:40 AM - During an interview, E22 (Cook) stated that some of the domes and bases had been thrown out and new ones ordered. 4/24/18 approximately 10:30 AM - During an interview, E21 (FSD) stated that approximately 2 to 3 weeks ago he began replacing the plate domes and bases by the dozen, as they were expensive. E21 stated then they received a complaint from a resident's family and so ordered the rest to replace. Review of an email order provided by E21 revealed that on 3/20/18, one case (containing one dozen) each of the dome lids and bases was ordered. Review of an email, dated 4/19/18 (approximately 30 days after the order was first placed), revealed that E21 sent the email to the supplier questioning when the dome lids and bases would be delivered. An email response from the supplier stated that on 4/3/18 and 4/16/18, orders were placed for a dozen domes and bases (total of 2 dozen). A handwritten notation revealed that the 4/3/18 order was received by the facility on 4/21/18. E21 placed an additional order for 3 dozen more domes and bases. Although the facility identified that the plate domes and bases were in disrepair and needed to be replaced, they failed to do so in a timely manner in order to ensure safe food delivery practices. The facility continued to utilize plate domes and bases that were in disrepair that had the potential to contaminate resident's food. Findings were reviewed with E1 (NHA) and E2 (DON) during the exit conference on 4/25/18 at approximately 4:00 PM.	2020-09-01