cms_ID: 68

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
68 WEISER CARE OF CASCADIA 135010 331 EAST PARK STREET WEISER ID 83672 2016-10-21 463 D 0 1 224111 Based on observation and resident and staff interview, it was determined the facility failed to ensure the resident call system was functional and equipped to receive resident Emergency calls from private bathrooms for 2 of 30 residents residing in the facility (#12 and #13). This created the potential for harm when residents were unable to summon staff assistance when needed. Findings include: Resident #12 who resided in room 204, and Resident #13 who resided in room 206, shared an adjoining bathroom. During environmental rounds with the Maintenance Director on 10/19/16 at 10:50 am, the emergency call bells for residents who resided in rooms 204 and 206 were tested for proper functioning. When the bathroom emergency call bell was pulled for testing, the Maintenance Director immediately reported this call bell has not worked since 10/6/16. The Maintenance Director provided the following information: On the morning of 10/6/16, a CNA presented him with a detached pull cord from the emergency call bell that serviced rooms 204 and 206. It was observed that the call light was not illuminating at the nurses' station or over the door of either resident's room, even when the call bell was pulled manually. On 10/6/16, electric company representatives came to the facility to assess the problem. They were unable to fix the call bell. Cordless doorbells were placed in the residents' bathroom for them to push when they needed assistance while in the bathroom. The doorbells sounded at the nurses' station through a cordless speaker. A TABS (trademark) Alarm was also placed for the 2 residents to use in the event they fell and could not reach the doorbell. Resident #12 resided in room 204. Her MDS assessement, dated 9/15/16, documented she had the ability to express her ideas and the ability to understand others. On 10/19/16 at 10:55 am, she was asked how she would call for help if she were in her bathroom and required assistance. She reported she was mostly independent but would use the call bell in the bathroom. Resident #12 reported she knew nothing of a door bell or that her call bell was non-functional. On 10/20/16 at 10:50 am, the doorbell in the bathroom of room 204/206 was pushed for testing in the presence of the Maintenance Director. During an interview with CNA #1, who was also in the room, CNA #1 reported I do not know what that sound is. I think it means it is time to exercise the residents. The Maintenance Director confirmed facility staff had not received education or in-service regarding the broken emergency call bell in rooms 204 and 206, nor had they been educated on the placement of the doorbell, sound of the doorbell, or placement of the TABS alarm. The electric company's report, dated 10/6/16, included a notation indicating the system was old with replacement parts not normally available. On 10/20/16, at approximately noon, the Administrator presented a written document that indicated a cordless doorbell was installed on the left side of the toilet with a speaker placed at the nurses' station to inform nursing staff that help was needed in the bathroom serving rooms 204 and 206, due to no visual cue at the nurses' station. On 10/20/16, at approximately noon, the Administrator reported staff would be educated, Resident #13 in room 206 was being discharged home, and Resident #12 in room 204 would be moved to a room with a functional call bell, and the electric company would make a return visit today (10/20/16) to make another attempt to fix the broken call bell. 2020-09-01