cms_OR: 82

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
82 AVAMERE HEALTH SERVICES OF ROGUE VALLEY 385024 625 STEVENS STREET MEDFORD OR 97504 2019-06-20 602 E 1 0 90J611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review it was determined the facility failed to ensure residents were free from misappropriation of property for 5 of 6 sampled residents (#s 8, 14, 16, 21 and 22) reviewed for misappropriation. This placed residents at risk for loss of property. Findings include: 1. Resident 8 was admitted to the facility in 5/2018 with [DIAGNOSES REDACTED]. An undated document revealed Staff 2 (DNS), Staff 9 (Social Service Director) and an unidentified RCM interviewed Resident 8 who stated she/he had approximately $4,000 in the facility safe. Staff 28's (Scheduler) statement was Resident 8 had over $5,000 in the facility safe. A 5/2/19 documented statement revealed Staff 9 reported Staff 10 (Administrator in Training) inquired if Resident 8 had money in the facility safe. The safe was opened and on an envelope was written Resident 8's name and $5,195 with $60.00 signed out as withdrawn in 9/2018. It was discovered $4,300.00 was unaccounted for in regard to the amount written on the front of the envelope. On 5/22/19 at 10:41 AM Staff 9 stated she had not completed an inventory of the safe until the week of 5/8/19. On 5/22/19 at 10:43 AM Resident 8 stated she/he did not feel safe with her/his money in the facility. Resident 8 further stated the administration came into her/his room with a master key and went through her/his personal drawer without notification. Resident 8 stated the facility did not contact her/him in regard to reimbursement of her/his missing money. On 6/4/19 at 9:00 AM Resident 8 stated he/she was upset about being robbed in the facility. On 6/6/19 at 11:02 AM Staff 1 (Administrator) and Staff 2 stated the facility did not have a good inventory system for the money and Resident 8 was not reimbursed for his/her money. Staff 1 confirmed misappropriation of Resident 8's money. 2. Resident 14 was admitted to the facility in 4/2019 with [DIAGNOSES REDACTED]. A 3/1/19 Grievance Communication Form revealed Resident 14 was missing two AARP cards, a social security card, a silver script card, and a piece of paper with a Medicare number on it. Resident 14 stated she/he placed them in a sealed envelope and gave them to the social service director to place in the facility safe. Immediate action taken was the RCM and nursing staff were interviewed. The form revealed some items were stored in Resident 14's locked cabinet but not the items the resident reported missing. No documentation was found in clinical records which RCM or staff were interviewed and if misappropriation was confirmed or not. On 6/6/19 at 10:50 AM Staff 1 (Administrator) stated he thought there was additional information regarding to Resident 14's missing personal items. No additional information was provided. 3. Resident 16 was admitted to the facility in 4/2019 with [DIAGNOSES REDACTED]. A 5/1/19 Damaged/Missing Item Report revealed Resident 16 was missing $100 in cash. The money was found missing the evening of 4/30/19. The investigation included an undated, unsigned typed RCM Investigation which revealed a friend transported Resident 16 to the bank and withdrew $100 and she/he placed it in her/his room. The friend and Resident 16 left the room and approximately 45 minutes later it was discovered missing. On 5/30/19 at 12:30 PM Resident 16 stated she/he believed the facility put the amount owed towards her/his bill but she/he was not sure as she/he did not hear from the facility. On 6/6/19 at 11:23 AM Staff 1 (Administrator) stated he would provide more information regarding the investigation and if misappropriation was substantiated or unsubstantiated. Staff 1 stated social services attempted to reimburse Resident 16 but she/he would not accept. On 6/11/19 at 7:17 AM Staff 1 stated the investigation revealed misappropriation was substantiated for Resident 16's missing money. 4. Resident 21 was admitted to the facility in 10/2018 with [DIAGNOSES REDACTED]. A 5/9/19 Damaged/Missing Item Report revealed Resident 21 was missing $135 and a RCM and CNA were interviewed on 5/9/19. The missing money was not found and Resident 21 was reimbursed for the missing amount of money. On 5/21/19 at 10:14 AM Resident 21 stated she/he gave the money to the facility for safe keeping and when she/he wanted the money the facility could not find the money. On 6/11/19 at 7:17 AM Staff 1 (Administrator) stated the investigation determined misappropriation was substantiated for Resident 21's missing money. 5. Resident 22 was admitted to the facility in 10/2017 with [DIAGNOSES REDACTED]. A 5/10/19 Damaged/Missing Item Report revealed Resident 22 was missing $120. The cash was not located and Resident 22 was reimbursed for her/his money. An undated Resident 22 statement revealed Resident 22 had a total of $120 in her/his room which went missing. On 6/3/19 at 8:03 AM Resident 22 stated she/he was unsure what happened with her/his money. The money was in her/his room and then the money was gone. On 6/11/19 at 7:17 AM Staff 1 (Administrator) stated the investigation revealed misappropriation was substantiated for Resident 22's missing money. 2020-09-01