Others titles
- Fire Safety Deficiencies By Nursing Home Information
- CMS Quality Improvement Program
Keywords
- Nursing Home Compare
- Medicare Claims Data
- Nursing Quality of Care
- Nursing Home Compare Information
- Nursing Staffing Information
- Nursing Quality Measures
- Renal Disease Clinical Measures
- Nursing Home Fire Safety
- Fire Safety Data
- Fire Safety Inspection Results
Nursing Home Compare Fire Safety Deficiencies
This dataset contains a list of all fire safety deficiencies currently listed on Nursing Home Compare, including the nursing home that received the deficiency, the associated inspection date, deficiency tag number, scope and severity, the current status of the deficiency and the correction date. Data are presented as one deficiency per row.
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Description
Nursing Home Compare allows consumers to compare information about nursing homes. It contains quality of care and staffing information for all 15,000 plus Medicare and Medicaid-participating nursing homes. Nursing homes aren’t included in Nursing Home Compare if they are not Medicare or Medicaid-certified. These Nursing Homes can be licensed by the state.
The nursing home fires in Hartford and Nashville revealed weaknesses in federal nursing home compare fire safety standards for unsprinklered facilities. For example, federal standards did not require either home to have smoke detectors in resident rooms where the fires originated, and the fire department investigations suggested that their absence may have delayed the notification of staff and activation of the buildings’ fire alarms. In light of inadequate staff response to the Hartford fire, the degree to which the standards rely on staff to protect and evacuate residents may be unrealistic. Moreover, many unsprinklered homes are not required to meet all federal fire safety standards if they obtain a waiver or are able to demonstrate that compensating features offer an equivalent level of fire safety. However, some of these exemptions raise a concern about whether resident safety was adequately considered. For example, a large number of unsprinklered homes in at least two states have waivers of standards designed to prevent the spread of smoke during a fire. State and federal oversight of nursing home fire safety is inadequate. Postfire investigations by Connecticut and Tennessee revealed deficiencies that existed, but were not cited, during prior surveys. For example, a survey conducted of the Hartford home one month prior to the fire did not uncover the lack of fire drills on the night shift and, on the night the fire occurred, the staff failed to implement the home’s fire plan. The survey was conducted during the daytime and relied on inaccurate documentation that all shifts were conducting fire drills.
The limited number of fire safety assessments, though inconsistent with the statutory requirement for federal oversight surveys, nonetheless demonstrate that state surveyors either miss or fail to cite all fire safety deficiencies. CMS provides limited oversight of state survey activities to address these fire safety survey concerns:
1- lacks basic data to assess the appropriateness of uncorrected deficiencies.
2- Infrequently reviews state trends in citing fire safety deficiencies.
3- Provides insufficient oversight of deficiencies that are waived or that homes do not correct because of asserted compensating fire safety features.
About this Dataset
Data Info
Date Created | 2018 |
---|---|
Last Modified | 2024-05-29 |
Version | 2024-05 |
Update Frequency |
Monthly |
Temporal Coverage |
N/A |
Spatial Coverage |
United States |
Source | John Snow Labs; Medicare.gov - Centers for Medicare and Medicaid Services, Nursing Home Compare Data; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Nursing Home Compare, Medicare Claims Data, Nursing Quality of Care, Nursing Home Compare Information, Nursing Staffing Information, Nursing Quality Measures, Renal Disease Clinical Measures, Nursing Home Fire Safety, Fire Safety Data, Fire Safety Inspection Results |
Other Titles | Fire Safety Deficiencies By Nursing Home Information, CMS Quality Improvement Program |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Federal_Provider_Number | Identification number of the facility within the CMS dataset. | string | - |
Provider_Name | The name of the facility or nursing home center. | string | - |
Address | The address of the nursing home center or facility. | string | - |
City | The city name in the location address of the facility being identified. | string | - |
State_Abbreviation | The two-letter abbreviations of the state in the mailing address of the facility. This includes information on hospitals in the U.S states. | string | - |
Zip_Code | The postal code in the mailing address of the hospital. | integer | level : Nominal |
Survey_Date | Indicates the date on which survey is performed. | date | - |
Deficiency_Prefix | The alphabetic character that is assigned to a series of data tags that apply to a provider. | string | - |
Deficiency_Category | Indicates the category of the listed deficiency. | string | - |
Deficiency_Tag_Number | Indicates the tag number of the listed deficiency. | integer | level : Nominal |
Tag_Version | Indicates whether tag was cited before (old) or on/after (new) 7/5/2016, for a small number of life safety deficiencies (K tags), the same deficiency tag number has a different description in the two versions. | string | - |
Deficiency_Description | Describes the details about the deficiency. | string | - |
Scope_Severity_Code | Indicates the level of harm to the resident(s) involved and the scope of the problem within the nursing home. The code for 'Scope and Severity' represents a system of rating the seriousness of deficiencies. For each deficiency, the level of harm to the resident or resident(s) involved and the scope of the problem within the nursing home is determined. Then an alphabetical scope and severity value, A through L, is assigned to the deficiency. "A" is the least serious and "L" is the most serious rating. | string | - |
Deficiency_Corrected | Indicates whether the deficiency has been corrected, a plan of correction has been devised, or the deficiency has yet to be corrected. | string | - |
Correction_Date | Indicates the date on which deficiency is corrected. | date | - |
Inspection_Cycle | Indicates the inspection period or cycle. Standard inspection cycles are counted sequentially into the past, complaint inspection cycles are counted annually into the past. The most recent comprehensive inspection are rated as 1 and the latest as 3 with 12-36 months of complaint inspections. Because of the new health inspection process, these deficiencies aren’t necessarily used to calculate the 5-star health inspection rating. Inspecton cycle 1 = 12 months, inspection cycle 2 = 13-24 months, inspection cycle 3 = 25-36 months. | integer | level : Nominal |
Is_Standard_Deficiency | Indicates whether the deficiency listed is a standard deficiency or not. | boolean | - |
Is_Complaint_Deficiency | Indicates whether the deficiency listed is a complaint deficiency or not. | boolean | - |
Is_Infection_Control_Inspection_Deficiency | Indicates whether the deficiency listed is a infection control deficiency or not. | boolean | - |
Is_Citation_Under_IDR | Describes whether the deficiency is under Informal Dispute Resolution (IDR). | boolean | - |
Is_Citation_Under_IIDR | Describes whether the deficiency is under Independent Informal Dispute Resolution (IIDR). | boolean | - |
Data Preview
Federal Provider Number | Provider Name | Address | City | State Abbreviation | Zip Code | Survey Date | Deficiency Prefix | Deficiency Category | Deficiency Tag Number | Tag Version | Deficiency Description | Scope Severity Code | Deficiency Corrected | Correction Date | Inspection Cycle | Is Standard Deficiency | Is Complaint Deficiency | Is Infection Control Inspection Deficiency | Is Citation Under IDR | Is Citation Under IIDR |
15009 | BURNS NURSING HOME, INC. | 701 MONROE STREET NW | RUSSELLVILLE | AL | 35653 | 2023-02-15 | K | Egress Deficiencies | 226 | New | Have horizontal exits used in accordance with safety requirements. | E | Deficient, Provider has date of correction | 2023-02-16 | 1 | True | True | True | True | True |
15009 | BURNS NURSING HOME, INC. | 701 MONROE STREET NW | RUSSELLVILLE | AL | 35653 | 2023-02-15 | K | Smoke Deficiencies | 324 | New | Provide properly protected cooking facilities. | D | Deficient, Provider has date of correction | 2023-02-16 | 1 | True | True | True | True | True |
15009 | BURNS NURSING HOME, INC. | 701 MONROE STREET NW | RUSSELLVILLE | AL | 35653 | 2023-02-15 | K | Smoke Deficiencies | 345 | New | Have approved installation, maintenance and testing program for fire alarm systems. | F | Deficient, Provider has date of correction | 2023-02-25 | 1 | True | True | True | True | True |
15009 | BURNS NURSING HOME, INC. | 701 MONROE STREET NW | RUSSELLVILLE | AL | 35653 | 2023-02-15 | K | Smoke Deficiencies | 353 | New | Inspect, test, and maintain automatic sprinkler systems. | E | Deficient, Provider has date of correction | 2023-03-22 | 1 | True | True | True | True | True |
15009 | BURNS NURSING HOME, INC. | 701 MONROE STREET NW | RUSSELLVILLE | AL | 35653 | 2023-02-15 | K | Smoke Deficiencies | 374 | New | Install smoke barrier doors that can resist smoke for at least 20 minutes. | E | Deficient, Provider has date of correction | 2023-02-22 | 1 | True | True | True | True | True |
15009 | BURNS NURSING HOME, INC. | 701 MONROE STREET NW | RUSSELLVILLE | AL | 35653 | 2023-02-15 | K | Services Deficiencies | 521 | New | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | E | Deficient, Provider has date of correction | 2023-02-21 | 1 | True | True | True | True | True |
15009 | BURNS NURSING HOME, INC. | 701 MONROE STREET NW | RUSSELLVILLE | AL | 35653 | 2018-08-09 | K | Egress Deficiencies | 211 | New | Keep aisles, corridors, and exits free of obstruction in case of emergency. | D | Deficient, Provider has date of correction | 2018-09-13 | 3 | True | True | True | True | True |
15009 | BURNS NURSING HOME, INC. | 701 MONROE STREET NW | RUSSELLVILLE | AL | 35653 | 2018-08-09 | K | Egress Deficiencies | 222 | New | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | E | Deficient, Provider has date of correction | 2018-09-13 | 3 | True | True | True | True | True |
15010 | COOSA VALLEY HEALTHCARE CENTER | 260 WEST WALNUT STREET | SYLACAUGA | AL | 35150 | 2022-04-13 | K | Egress Deficiencies | 211 | New | Keep aisles, corridors, and exits free of obstruction in case of emergency. | D | Deficient, Provider has date of correction | 2022-05-18 | 1 | True | True | True | True | True |
15010 | COOSA VALLEY HEALTHCARE CENTER | 260 WEST WALNUT STREET | SYLACAUGA | AL | 35150 | 2022-04-13 | K | Smoke Deficiencies | 363 | New | Install corridor and hallway doors that block smoke. | E | Deficient, Provider has date of correction | 2022-05-18 | 1 | True | True | True | True | True |