cms_OR: 29

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
29 REGENCY GRESHAM NURSING & REHAB CENTER 385015 5905 SE POWELL VALLEY RD GRESHAM OR 97080 2018-03-13 695 D 1 0 CI9L11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interviews and record review it was determined the facility did not follow up with information about the resident's need for a [MEDICAL CONDITION] (continuous positive airway pressure machine) or to provide documentation of the use of a [MEDICAL CONDITION] for 2 of 2 sampled residents (#s 1 and 3) reviewed for [MEDICAL CONDITION] usage. This placed the resident at risk for unmet needs. Findings include: 1. Resident 1 was admitted in (MONTH) (YEAR) with [DIAGNOSES REDACTED]. The local hospital transfer orders contained no physician's orders for a [MEDICAL CONDITION]. The facility's Admission Profile completed by Staff 8 (LPN) indicated the Admission Assessment information was obtained from the resident and local hospital records. The Admission Profile checked the box to indicate the resident used a [MEDICAL CONDITION]. There was no follow up about the usage of [MEDICAL CONDITION] by the facility staff. The 12/21/17 progress notes documented the resident had altered mental status and hands in the air trying to grab something. Resident 1 kept dozing off during conversations and had no fever. Vital signs were stable with low O2 sats of 79. The resident was placed on 2 liters of oxygen and O2 sats stayed between 82-86 percent. The local emergency medical transportation service was contacted and the resident was transported to the local hospital emergency department. The 12/26/17 progress notes documented the resident's caregiver called the facility about the concern the resident did not use a [MEDICAL CONDITION] while at the facility. Staff 12 (RNCM) reviewed the resident's discharge records and there was no orders for resident to have a [MEDICAL CONDITION]. Staff 12 called the local hospital to inquire about the [MEDICAL CONDITION] and the local hospital was to send the facility the [MEDICAL CONDITION] setting for physician's order for a [MEDICAL CONDITION] when she/he returned to the facility. On 3/7/18 at 10:36 AM Staff 8 (LPN) stated she could not remember completing the resident's Admission Profile. Staff 8 was asked if the box was checked on the Admission Profile and there was no physician's order for [MEDICAL CONDITION] or the [MEDICAL CONDITION] was in use. Staff 8 stated she would leave a nurse's note for the next shift nurse to review the need for a [MEDICAL CONDITION]. Staff 8 was informed there was no nurse's note for the next shift about the resident's need for [MEDICAL CONDITION]. On 3/8/18 at 4:24 PM Staff 1 (DNS) stated Staff 8 (LPN) could not remember Resident 1. Staff 1 stated the resident and caregiver did not tell the facility during the care conference or to the physician during facility visits. 2. Resident 3 was admitted to the facility in (MONTH) (YEAR) with [DIAGNOSES REDACTED]. The 2/28/18 physician's orders documented the resident had a [MEDICAL CONDITION] at home. The local hospital discharge information documented the resident was bringing her/his [MEDICAL CONDITION] machine from home. The resident was on 2 liters of O2 through nasal cannula. The facility's 2/28/18 Admission Profile identified the resident used a [MEDICAL CONDITION] machine. The 3/1/18 physician notes documented the resident used her/his home [MEDICAL CONDITION] machine at night at home settings with no issues. The resident's vital signs to include O2 sats indicated the O2 sats of room air during the night shift of 3/2/18, 3/3/18, 3/4/18, 3/6/18, 3/7/18, 3/8/18 and 3/9/18. The (MONTH) and (MONTH) (YEAR) TAR included the direction to clean [MEDICAL CONDITION] mask with soap/water weekly and PRN. There was no documentation to monitor the resident's use of the [MEDICAL CONDITION]. On 3/12/18 at 12:24 Staff 1 (DNS) was asked to provide documentation Resident 3's [MEDICAL CONDITION] was used at night. No additional information was provided. 2020-09-01