cms_DE: 86
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 86 |
BRANDYWINE NURSING & REHABILITATION CENTER |
85004 |
505 GREENBANK ROAD |
WILMINGTON |
DE |
19808 |
2017-07-19 |
312 |
D |
1 |
1 |
ZBS111 |
> Based on observations, record review and interviews, it was determined that the facility failed to provide the necessary services to maintain good grooming and personal hygiene for one (R72) resident, who was unable to carry out activities of daily living, out of 55 Stage 2 sampled residents. Findings include: A quarterly MDS assessment, dated 6/23/17, stated R72 required extensive assistance of one staff for dressing and was totally dependent on one staff for toilet use, hygiene and bathing. The MDS stated R72 had weakness of one entire side of the body and was incontinent of bowel and bladder. [NAME] R72 had a care plan, last reviewed 7/12/17, for the problem Unable to do own ADLs without assistance. Approaches included to assist the resident with dressing and hygiene care to the extent required. Observations on 7/11/17 at 3:00 PM, 7/14/17 at 9:40 AM and 7/14/17 at 1:40 PM revealed R72 with elongated jagged fingernails, especially both thumbs, in need of trimming. On 7/14/17 at 1:40 PM, E22 (LPN, Brandywine UM) observed R72's fingernails at the surveyor's request and confirmed they were in need of trimming. B. R72 had a care plan, last reviewed 7/12/17, for the problem Incontinent of bladder and bowel. Approaches included incontinence care every 2 hours and as needed and skin check every 2 hours and as needed with incontinence care. On 7/17/17 at 6:30 AM, E6 (CNA) was observed providing morning care for R72. Observation revealed R72's brief, three (3) Chux, a draw sheet and the mattress cover soaked through with urine. When asked what time R72 was last changed, E6 stated at approximately 2:15 AM. At approximately 7:15 AM, E6 was asked why R72 was not changed for over 4 hours? E6 stated, That's my fault. The facility failed to ensure that R72, a dependent resident, was provided necessary services according to the care plan, which stated incontinence care was to be provided every 2 hours and as needed. Findings were confirmed with E1 (NHA) and E2 (DON) during an interview on 7/17/17 at approximately 4:15 PM. |
2020-09-01 |