cms_PR: 37

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
37	RYDER MEMORIAL HOSPITAL INC	405018	355 AVE FONT MARTELO	HUMACAO	PR	792	2018-08-16	607	C	0	1	88RA11	Based on interview, review of the facility's policy and staff training records, the facility failed to include in its abuse and neglect prohibition policy the mandatory timeframes for reporting all allegations of, and the results of all investigations pertaining to, abuse, neglect, exploitation or mistreatment, including injuries of unknown origin and misappropriation of resident property to the State Agency and all other required agencies. The facility also failed to ensure the staff had been trained regarding the mandatory timeframes for reporting allegations of abuse and neglect. Findings include: Review of the facility's Abuso, Negligencia, Maltrato (Abuse and Neglect) policy, dated 07/13/16, revealed the policy did not include the requirement to report all allegations of abuse, neglect, exploitation or mistreatment, including injuries of unknown origin and misappropriation of resident property to the State Agency and other required agencies immediately, but not later than two hours if the alleged violation involved abuse or resulted in serious bodily injury, or not later than 24 hours if the alleged violation did not involve abuse and did not result in serious bodily injury. Further review of the policy indicated the facility would report investigation results according to State and Federal law; however, the policy subsequently indicated the proper authorities would be notified within five days of completing an investigation only when it was determined abuse or neglect had occurred. Review of the facility's (YEAR) and (YEAR) Abuse and Neglect staff's in-service documentation revealed the training did not include the timeframes for mandatory reporting. Interview on 08/16/18 at 12:12 PM with the facility's Director revealed the facility reports to the State Agency only when they have an allegation that the investigation determined that the allegation was substantiated. She stated they initiate their investigations immediately, but the reporting to the State Agency was only completed after an investigation has been completed. The facility Director further stated that the allegation was reported to the State Agency within five days of completing an investigation. The facility's Director stated she was unaware of the reporting timeframe (within 2 hours and within 24 hours) requirements.	2020-09-01