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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.

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
158 HUNTINGTON HEALTH AND REHABILITATION CENTER 515007 1720 17TH STREET HUNTINGTON WV 25701 2019-10-10 757 E 0 1 RPKM11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure each resident's drug regimen was free from unnecessary medications for three (3) random opportunities of discovery. This failed practice had the potential to affect more than a limited number of residents residing at the facility. Resident identifiers: #139, #182, and #151. Facility census: 182. Findings included: a) Resident #139 Review of Resident #139's medical record found an order for [REDACTED]. Order effective 08/15/19. Review of the August, (MONTH) and (MONTH) 2019, Medication Administration Record [REDACTED]. Interview with the DON on 10/10/19 at 10:00 am, confirmed the resident's blood pressure and heart rate was not taken and documented prior to the administration of the [MEDICATION NAME]. b) Resident #182 Review of Resident #182's medical record found an order for [REDACTED]. Order effective 06/17/19. Review of the June, July, and (MONTH) 2019, Medication Administration Record [REDACTED]. Interview with the DON on 10/10/19 at 10:00 am, confirmed the resident's heart rate was not taken and documented prior to the administration of the [MEDICATION NAME]. c) Resident (R#151) received Calcium Acetate after the [MEDICAL TREATMENT] Center wanted it to be discontinued. Resident (R#151) was transferred and admitted to the facility on [DATE], after the resident had a failed kidney transplant. Some pertinent [DIAGNOSES REDACTED]. The resident was admitted to current [MEDICAL TREATMENT] services on 09/04/19. Interview with Licensed Practical Nurse (LPN#84), on 10/09/19 at 01:55 PM, revealed the facility maintains a communication record with the [MEDICAL TREATMENT] center in a [MEDICAL TREATMENT] communication book. Review of the resident's [MEDICAL TREATMENT] communications book with LPN#84 revealed a [MEDICAL TREATMENT] center communication dated 09/06/19 for R#151 to stop taking Calcium Acetate. ` Review of orders revealed Calcium Acetate Capsule 667 mg (milligrams). Give 2 capsule by mouth with meals every Mon, Wed, Fri related to End Stage [MEDICAL CONDITION] (Time on [MEDICAL TREATMENT] days) 2 capsules to equal 1334 mg; and Calcium Acetate Capsule 667 mg. Give 2 capsule by mouth with meals every Tue, Thu, Sat, Sun related to End Stage [MEDICAL CONDITION] (Timed for non-[MEDICAL TREATMENT] days) 2 capsules to equal 1334 mg. Review of R#151's Medication Administration Record [REDACTED]. The resident received Calcium Acetate (a base binder) for thirty-three (33) more days after it should have been discontinued. On 10/10/19 at 11:53 AM, a phone interview with the [MEDICAL TREATMENT] Center Clinic Manager revealed R#151 was admitted to [MEDICAL TREATMENT] service on 09/04/19 and labs were taken at that time showing the resident's calcium was high and phosphorus level was low. Calcium and phosphorus are essential minerals found in the bone, blood and soft tissue of the body and have a role in numerous body functions. The [MEDICAL TREATMENT] Center Clinic Manager stated their doctor does not like to use a calcium base binder (binds to phosphorus to remove phosphorus from the body) and since the resident's phosphorus was already low. The [MEDICAL TREATMENT] Center Clinic Manager voiced concern that by R#151 continuing to take the binder it could make R#151's phosphorus levels even lower. The [MEDICAL TREATMENT] Center Clinic Manager said the facility had contacted them yesterday and notified them the resident had continued to receive the Calcium Acetate, so labs were drawn, and they were awaiting the results. (Surveyor was notified by the [MEDICAL TREATMENT] Center Clinic Manager the last lab results were within normal limits.) 2020-09-01