cms_OR: 4

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
4	LAURELHURST VILLAGE	385010	3060 SE STARK STREET	PORTLAND	OR	97214	2019-02-27	637	D	1	1	71NL11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on interview and record review, it was determined the facility failed to complete a significant change assessment for 1 of 2 sampled residents (#8) reviewed for a decline in status. This placed residents at risk for unmet needs. Findings include: Resident 8 was admitted to the facility in 11/2018 with [DIAGNOSES REDACTED]. The 11/2018 signed physician's orders [REDACTED]. [MEDICATION NAME] [MEDICATION]) and [MEDICATION NAME] (antipsychotic medication) were ordered for the resident's [DIAGNOSES REDACTED]. The 11/20/18 Admission MDS coded no feeding tube was used and an antipsychotic medication was given the past seven days. On 11/27/18, Resident 8 was hospitalized . The 12/8/19 hospital discharge summary identified the resident was likely experiencing end-stage dementia with chronic dysphagia (difficulty swallowing). A NG (Nasogastric) tube was placed. The 12/2018 signed physician's orders [REDACTED]. The orders also reflected [MEDICATION NAME] and [MEDICATION NAME] were discontinued. When interviewed on 2/26/19 at 2:09 PM, Staff 25 (CNA) stated the resident had asked for assistance to get in her/his wheelchair prior to the hospitalization , but now stayed in bed. The resident also came back from the hospital not eating. In a 2/26/19 interview at 1:59 PM, Staff 10 (Resident Care Manager-LPN) confirmed a Significant Change in Status Assessment should have been completed due to the multiple changes the resident had experienced.	2020-09-01