cms_PR: 66

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
66 CENTRO MEDICO WILMA N VAZQUEZ SNF 405025 ROAD 2 KM 39 5 BO ALGARROBO VEGA BAJA PR 693 2019-05-15 655 F 0 1 K21011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a recertification survey, review of twelve medical records and resident interview and the Director of Nursing ( employee #1 ) during a survey process performed from 05/13/19 thru 05/16/19, from 8:00 am thru 4:30 pm, it was determined that the facility failed to provide written care plan to residents/relatives as required by 483.21 (a) Comprehensive Person - Centered Care plan in tag F 655 of the State Operations Manual appendix PP -Guidance to Surveyors for Long Term Care Facilities. This deficient practice was identified in 8 out of 12 active cases reviewed. ( RS #64, #65 , #68, #69, #71, #72, #74, #75) Findings include: 1. A mechanism to ensure that facility provide residents with a copy of the baseline care plan developed within the first 48 hours of admission was not performed, accordingly with the following findings identified during survey procedures performed from 05/13/19 thru 05/16/19, from 8:00 am thru 4:30 pm: Four residents (R#64, #65, #68, #69) were interview during survey procedures and they stated that Facility did not provide a written copy of the baseline care plan developed the first 48 hours right after admission. During interview on 05/15/19 at 1:55 pm the Director of Nursing ( employee #1 ) stated that facility personnel discuss with residents and relatives the baseline care plan developed the first 48 hours right after admission. He also stated that facility did not implement a mechanism to comply with this requirement yet. He said that facility are in the process of design a format to document the information of the baseline care plan. b. Resident #71 of room [ROOM NUMBER]-B stated on interview on 5/14/19 at 11:07 am the resident stated that she participated in the initial care plan within the first twenty four hours of being admitted and sings it but did not receive a copy of it a. Resident #72 of room [ROOM NUMBER]-A, the resident was interviewed on 5/13/19 at 10:30 am and he said I participated in the care plan, the personnel discuss with me and explain all related to the plan and I sign the document however, the personnel did not provide a copy for me. c. Resident #74 of room [ROOM NUMBER]-B stated on interview on 5/13/19 at 11:15 am related to the participation in the initial care plan he said yes he signed the plan but the facility did not provide a copy of this plan to the resident. c. Resident #75 of room [ROOM NUMBER]-A stated on interview on 5/13/19 at 11:30 am that facility performed a plan of care in the first 24 hours and discuss with the resident the care plan however did not provide a copy to the resident in a first 48 hours right after admission. 2020-09-01