cms_OR: 83

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
83 AVAMERE HEALTH SERVICES OF ROGUE VALLEY 385024 625 STEVENS STREET MEDFORD OR 97504 2019-06-20 610 D 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 incidents of suspected resident misappropriation were investigated timely for 2 of 3 sampled residents (#s 8 and 16) reviewed for misappropriation. This put residents at risk for potentially avoidable incidents. Findings include: The facility's Abuse Prevention Policy and Procedure dated 3/2017 revealed the following: As soon as a report of alleged or suspected abuse was received, the investigation would begin in order to rule out or identify abuse. The investigation will include at a minimum the following: -Identification of the parties involved. -Sign and symptoms, or the complaint received that requires investigation. -Identification of witnesses. -Interview of all parties involved, including the resident if interview able. -Assessment of the involved for injury and the need for medical and emotional support. -The investigation will be completed within five days. -Refer to the investigation procedure for further information on investigative process for all accidents and incidents. The facility's Abuse Investigations policy revised dated 4/2010 revealed the following: -Witness reports would be obtained in writing. -Witnesses would be required to sign and date the reports. 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 revealing an envelope marked with Resident 8's name and $5,195 with $60.00 signed out as withdrawn in 9/2018. It was discovered $4,300 was unaccounted for regarding the amount written on the front of the envelope. On 5/22/19 at 10:43 AM Resident 8 stated the facility did not contact her/him regarding reimbursement of her/his missing money. The investigation did not include the date it was completed. On 6/11/19 at 7:17 AM Staff 1 confirmed the investigation was not completed within the five days as per policy and the determination was substantiated for misappropriation. 2. 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 room. The friend and Resident 16 left the room and approximately 45 minutes later the money was discovered missing. On 6/6/19 at 11:23 AM Staff 1 (Administrator) stated he would provide more information in regard to the investigation when the investigation was completed, and if misappropriation was substantiated or unsubstantiated. Staff 1 stated social services attempted to reimburse Resident 16 but she/he would not except. On 6/11/19 at 7:17 AM Staff 1 (Administrator) confirmed the missing money was reported on 4/30/19 and the investigation was completed on 5/9/19. The facility policy revealed investigations would be completed after five days. 2020-09-01