cms_NM: 83

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
83 RIO RANCHO CENTER 325033 4210 SABANA GRANDE SE RIO RANCHO NM 87124 2018-02-12 655 D 0 1 M2BO11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to develop a baseline care plan for a resident with a moderate to high nutritional risk for 1 (R #307) of 1 (R #307) resident reviewed for nutrition. The care plan failed to address R #307's therapeutic diets and did not include nutritional services that were to be furnished to attain the resident's highest level of well-being. This deficient practice has the potential to result in inconsistent care of residents, through misinterpretation of residents' needs. The findings are: [NAME] Record review of R #307's medical record revealed she was originally admitted to the facility on [DATE], discharged on [DATE] and then was readmitted on [DATE]. B. Record review of R #307's physician diet orders revealed the following: 1. An order dated 01/06/18 for a Heart Healthy (no added salt) diet. This diet order was discontinued on 01/23/18. 2. An order dated 01/23/18 for a Regular/Liberalized diet. This diet order was discontinued on 01/29/18. 3. An order dated 01/29/18 for a Dysphagia Advance texture (mechanical soft). C. Record review of R #307's Nutritional Assessment completed by the dietician dated 01/11/18 stated, Resident at moderate to high nutritional risk 2/to (secondary to) hx (history) of R (right) lung mass which is presumably Ca (cancer), [MEDICAL CONDITION] ([MEDICAL CONDITIONS] is a disease that causes obstructed airflow from the lungs), pAF([MEDICAL CONDITION]), DM (Diabetes Mellitus), ETOH (alcohol) abuse . D. Record review of R #307's Nutritional Assessment completed by the dietician dated 01/29/18 stated, Resident at moderate to high nutritional risk 2/to hx of R lung mass which is presumably Ca, [MEDICAL CONDITION], pAF, DM, ETOH abuse . E. Record review of R #307's baseline care plan originally dated 01/06/18 revealed it did not address her Heart Healthy (no added salt) diet or her Dysphagia Advance texture (mechanical soft) diet. The care plan did not address her nutritional risk related to her diagnoses. F. On 02/08/18 at 2:37 pm, during an interview with the Registered Dietician, she stated that she does not complete nutritional care plans for residents unless they have significant weight loss/gain or have nutritional [DIAGNOSES REDACTED]. She stated that she does not do a care plan for residents solely because of a mechanical soft diet or a no added salt diet. She stated that she writes moderate to high nutritional risk in every nutritional assessment she does. 2020-09-01