cms_OR: 46

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
46 REGENCY GRESHAM NURSING & REHAB CENTER 385015 5905 SE POWELL VALLEY RD GRESHAM OR 97080 2017-10-06 221 D 0 1 353X11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interview and record review, it was determined the facility failed to ensure 1 of 2 sampled residents (# 51) reviewed for restraints was free from restraints. This put residents at risk for decline in function. Findings include: Resident 51 admitted to the facility in 12/2016 with [DIAGNOSES REDACTED]. On 10/5/17 at 9:49 am, Resident 51 was observed up in her/his wheelchair with a seatbelt in place. When the seatbelt was pointed at, and when she/he was asked about the seatbelt, Resident 51 was unable to understand and unable to undo the seatbelt on her/his own. On 10/5/17 at 12:08 pm, Resident 51 was observed to have a clear lap tray fastened to her/his wheelchair across the top of her/his lap which could not be removed by the resident. The Restraint/Adaptive Equipment Evaluation was signed and dated by the resident's representative on 1/27/17. The form indicated the resident used a seatbelt as an adaptive device to improve safety while in wheelchair. The form indicated (using yes/no questions) the device did not cause distress, the device did not limit the resident's voluntary movement, medication did not appear to cause ASE (adverse side effects) contributing to problem, the resident was not experiencing new or untreated pain, and the resident did not have problems with equipment. The Narrative Nursing Evaluation on the form stated Resident to have seatbelt in wheelchair for improved in-chair safety and fall risk reduction. Lap tray was marked on the form as an adaptive device initiated on 5/1/17 to ease with feeding. There was no specific documentation/evaluation regarding the device. The (MONTH) and (MONTH) (YEAR) TARs directed to Confirm meal tray is cleaned off every meal by the CNAs. The fall risk care plan interventions, last updated 8/8/17, included the resident used seat belt while up in wheel chair due to fall risk. The comprehensive care plan did not mention the meal tray or have any further instruction regarding the seatbelt. There was no further evaluation, assessment, or care planning for the devices, in regard to use of the devices when the devices should be released, and if the resident could release the devices on her/his own. No further documentation was found to identify the medical symptoms being addressed for the use of the devices. In interviews on 10/6/17 at 11:11 am and 1:45 pm, Staff 1 (DNS) confirmed Resident 51 was unable to undo the seatbelt or remove the lap tray on her/his own. She acknowledged the devices were not identified as restraints, and acknowledged the reasons why the devices were necessary and not considered restraints were not well documented. 2020-09-01