cms_NM: 36

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

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
36	SANTA FE CARE CENTER	325030	635 HARKLE ROAD	SANTA FE	NM	87505	2018-10-28	677	D	0	1	GNFO11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to provide ADL (activities of daily living) assistance for nail care for 1 (R #30) of 1 (R #30) residents reviewed for ADL's. This deficient practices has the potential to affect the dignity and health of the residents. The findings are: [NAME] On 10/23/18 at 2:24 pm, during observation, R #30 was observed with dirty and uncut fingernails. R #30 has a slight contracture (abnormal shortening of muscle tissue, making it difficult to open hand) of the right hand and the nails were long enough to dig into his hand. B. On 10/27/18 at 10:05 am, a second observation of R #30 revealed, R #30's nails had a black substance under the nails and were not clean or cut. C. Record review of the care plan for R #30 dated 09/21/17 revealed, Self care deficit: requires 1 person assist for all transfers related to (r/t) [DIAGNOSES REDACTED]. (Name of Resident) also has generalized weakness and loss of function in right arm and limited function in right leg. Requires set up for all meals and eats in dining room. Staff times 1 to assist with showers as scheduled. Set up and assist with all grooming/hygiene needs. 05/14/18 Requires extensive assist with most ADL's such as bed mobility, transfers, dressing toileting, hygiene and showers. D. On 10/27/18 at 10:10 am, during an interview, the Director of Nursing (DON) stated I think that was a pretty poor job of hygiene, the nurse should be cutting his nails. E. On 10/27/18 at 10:30 am, during an interview, Certified Nurse Aide (CNA) #6, stated that nails should be cleaned at every shower and as needed. F. On 10/27/18 at 10:39 am, during an interview, Licensed Practical Nurse (LPN) stated that R #30 nails should be cut and cleaned.	2020-09-01