cms_OR: 97

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
97 AVAMERE HEALTH SERVICES OF ROGUE VALLEY 385024 625 STEVENS STREET MEDFORD OR 97504 2019-06-20 740 D 1 0 90J611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, interview and record review, it was determined the facility failed to comprehensively assess, to monitor effectiveness of behavior interventions and to re-evaluate behavior/emotional needs for 1 of 4 sampled resident (#8) reviewed for accidents. This placed residents at risk for unmet behavioral and emotional needs and a decrease in their quality of life. Findings include: Resident 8 was admitted to the facility in 5/2018 with [DIAGNOSES REDACTED]. A 11/2018 care plan revealed Resident 8 exhibited inappropriate behavior including resistiveness to treatment, verbally aggressive to staff and residents, sexually inappropriate, swearing and calling staff and other residents names and being physically aggressive to other residents. Resident 8 reported staff did not care about her/him. The plan included the following interventions: -Approach Resident 8 calmly and unhurriedly. -Monitor behaviors every shift. -Provide flexible ADL routine and opportunities for choices. -Speak in calm voice and allow Resident 8 to process. A 2/6/19 Physical investigation revealed Resident 8 was in the hallway and Resident 9 self-propelled her/his wheelchair toward Resident 8. Resident 8 was yelling at Resident 9 and punched Resident 9 in the arm. A 2/2019 Behavior Monitoring Record revealed the following: -Behaviors: Verbally aggressive to staff, sexually inappropriate, refused care, swears and calls names. -Triggers: lonely, bored and agitation with others. -Interventions: Redirect to quiet area, change position, return to room, leave room and return, one on one interaction and toilet. From 2/1/19 through 2/7/19 the following behaviors and interventions were documented: -Two instances of sexually inappropriate with interventions included and outcome improved. -Two instances of verbally aggressive to staff with interventions and no change in outcome. -One instance of refusing care with interventions included and no change in outcome. The monitoring was discontinued on 2/8/19. A 2/2019 Documentation Survey Report revealed the following for Intervention/task for Resident 8: -Behaviors: Verbally aggressive to staff, sexually inappropriate, refused care, swears, calls names and physically aggressive to other residents. -Triggers: lonely, bored, jealously and agitation with others. -Interventions: Redirect to quiet area, change position, return to room, leave room and return, one on one interaction and toilet. -On 2/6/19 no behavior was documented. From 2/8/19 through 2/28/19: -Two instances of abusive language. -Four instances of yelling and screaming. -Two instances of sexually inappropriate behavior. No information was found in the clinical records Resident 8 care planned interventions were implemented for her/his behaviors after 2/8/19. On 6/5/19 at 9:55 AM Staff 11 (RNCM) stated she would expect staff to continue to complete interventions for behaviors for Resident 8. 2020-09-01