cms_PR: 99

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
99 SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC 405029 CALLE 4-L-10 URB COLINAS DEL OESTE HORMIGUEROS PR 660 2018-07-23 578 D 0 1 7WTE11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure three of 14 ((R)2, R6, and R8) resident records reviewed during the initial pool process indicated their decision whether they wished to formulate an advance directive on the facility's Advance Directive/Informed Decision for Health form. Findings include: 1. According to the Face Sheet R6 was admitted to the facility on [DATE]. An admission Minimum Data Set (MDS), an assessment tool completed by the facility staff used to identify resident care problems and assist with care planning, had been started for R6 (it was not required to be completed at the time of the survey) with an Assessment Reference Date (ARD), the end-point of the evaluation period, of 07/24/18. As specified under Section C: Cognitive Patterns, the resident had a Brief Interview for Mental Status (BIMS) (a cognitive evaluation) score of 15 out of 15, which indicated the resident was cognitively intact and could make independent decisions. Review of the resident's clinical record revealed an Advance Directive/Informed Decision for Health form signed by the resident on 07/20/18. The form did not indicate whether the resident did or did not want to formulate an advance directive. 2. According to the Face Sheet Resident R8 was admitted to the facility on [DATE]. An admission MDS had been started for R8 (it was not required to be completed at the time of the survey) with an ARD of 07/24/18. As specified under Section C: Cognitive Patterns, the resident had a s BIMS score of 15 out of 15, which indicated the resident was cognitively intact and could make independent decisions. Review of the resident's clinical record revealed an Advance Directive/Informed Decision for Health form signed by the resident on 07/20/18. The form did not indicate whether the resident did or did not want to formulate an advance directive. 3. According to the Face Sheet Resident R2 was admitted to the facility on [DATE]. An admission MDS had been started for R2 (it was not required to be completed at the time of the survey) with an ARD of 07/22/18. As specified under Section C: Cognitive Patterns, the resident had a BIMS score of 15 out of 15, which indicated the resident was cognitively intact and could make independent decisions. Review of the resident's clinical record revealed an Advance Directive/Informed Decision for Health form signed by the resident on 07/18/18. The form did not indicate whether the resident did or did not want to formulate an advance directive. 4. On 07/21/18 at 2:15 PM, the Director of Nursing (DON) was shown the three Advance Directive/Informed Decision for Health forms and was asked if the forms had been completed correctly. She stated they were not complete as the resident should indicate their decision as to whether they did or did not wish to formulate an advance directive. 2020-09-01