cms_OR: 7

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
7 LAURELHURST VILLAGE 385010 3060 SE STARK STREET PORTLAND OR 97214 2019-02-27 697 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 manage pain for 1 of 3 sampled residents (#30) reviewed for pain. This placed residents at risk for unmanaged pain. Findings include: Resident 30 was admitted to the facility in 4/2017 with [DIAGNOSES REDACTED]. Physician orders [REDACTED]. Resident 30's Care Plan for chronic pain instructed staff to provide pain medication per physician order. Resident 30 received palliative care from Elder Place. Elder Place managed the resident's medications and the facility administered the resident's medications. The 9/2018 Palliative Care Plan revealed the resident did not want pain [MEDICATION NAME] Gel was included as an intervention for pain. The 12/2018 Quarterly MDS Assessment revealed Resident 30 experienced pain which limited her/his day to day activities. The 12/2018 Pain Evaluation revealed Resident 30 experienced pain daily and received [MEDICATION NAME] gel as a scheduled pain medication. There were a total of 18 times on the 1/2019 TAR the [MEDICATION NAME] Gel was not documented as being administered: -1/4/19, 1/7/19, 1/11/19, 1/13/19, 1/14/19, 1/16/19, 1/18/19, 1/20/19, 1/21/19, 1/25/19 to 1/29/19, 1/30/19 (three times) and 1/31/19. There were a total of 15 times on the 2/2019 TAR the [MEDICATION NAME] Gel was not documented as being administered: -2/1/19, 2/3/19, 2/4/19, 2/6/19, 2/10/19, 2/11/19 (two times), 2/12/19, and 2/14/19 to 2/20/19. On 2/26/19 at 8:42 AM, Staff 2 (DNS) confirmed multiple blanks on the 1/2019 and 2/2019 TAR and acknowledged physician orders [REDACTED]. On 2/26/19 at 10:55 AM, Resident 30 stated she/he experienced pain in her/his left knee when the [MEDICATION NAME] Gel medication was not applied. On 2/26/19 at 11:00 AM, Staff 3 (LPN) indicated if the TAR was blank the administration of the order was missed. 2020-09-01