cms_DE: 89

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
89	BRANDYWINE NURSING & REHABILITATION CENTER	85004	505 GREENBANK ROAD	WILMINGTON	DE	19808	2017-07-19	329	D	1	1	ZBS111	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on clinical record reviews and interview, it was determined that for 2 (R197 and R143) out of 55 Stage 2 sampled residents, the facility failed to provide adequate indications for use and non-pharmacological interventions (such as redirect, 1 on 1, activity, food/fluids, toilet, reposition) prior to administering prn [MEDICAL CONDITION] medications. Findings include: 1. Review of R197's clinical record revealed the following: 3/10/17 - A physician's orders [REDACTED]. 3/10/17 - A physician's orders [REDACTED]. R197's progress notes lacked evidence of her behaviors and non-pharmacological interventions used prior to the prn [MEDICATION NAME] administrations on the following dates and times: - 3/13/17 at 6:35 PM; - 3/15/17 at 2:01 PM; - 3/20/17 at 5:53 PM; - 3/21/17 at 9:33 PM; - 4/3/17 at 7:30 PM; - 4/19/17 at 6:58 PM; - 6/14/17 at 1:18 PM; - 6/26/17 at 3:21 PM; - 7/10/17 at 3:23 PM. 2. Review of R143's clinical record revealed the following: 2/11/16 - A physician's orders [REDACTED]. 1/31/17 - A physician's orders [REDACTED]. R143's progress notes lacked evidence of her behaviors and non-pharmacological interventions used prior to the prn [MEDICATION NAME] administrations on the following dates and times: - 7/1/17 at 2:52 PM; - 7/4/17 at 4:57 PM; - 7/8/17 at 2:10 PM; - 7/10/17 at 6:48 PM. During an interview on 7/19/17 at 1 PM, E13 (RN) acknowledged that non-pharmacological interventions should be used prior to the administration of prn [MEDICAL CONDITION] medications. Findings for R197 and R143 were immediately reviewed with E13. Findings were reviewed with E2 (DON) and E3 (RN/Staff Ed) on 7/19/17 at 3 PM. The facility failed to provide adequate indications for use and non-pharmacological interventions prior to administering prn psychoactive medications.	2020-09-01