cms_AZ: 2

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
2 THE TERRACES OF PHOENIX 35003 7550 NORTH 16TH STREET PHOENIX AZ 85020 2018-08-24 658 D 0 1 D0BP11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, clinical record reviews, staff and resident interviews, and policy, the facility failed to ensure the administration of an intravenous (IV) medication for one resident (#1) was administered according to professional standards and failed to ensure one resident's (#7) medication order was verified for route. Findings include: Resident #1 was admitted on [DATE], with [DIAGNOSES REDACTED]. Review of the physician's orders [REDACTED]. During a medication administration observation conducted on (MONTH) 21, (YEAR) at 9:10 AM , the Licensed Practical Nurse (LPN/staff #41) was observed administering [MEDICATION NAME] via the PICC. However, the LPN was not observed to check the PICC line for a blood return before administering the antibiotic. An interview was conducted with staff #41 on (MONTH) 21, (YEAR) at 9:16 AM. Staff #41 stated that she usually checks the PICC line for a blood return before administering the antibiotic but that she did not check for a blood return this time. During an interview conducted with the Director of Nursing (DON/staff #49) on (MONTH) 23, (YEAR) at 10:37 AM, the DON stated that it is her expectation that nurses properly check the PICC line for placement before flushing and administering medications. The facility's policy Flushing Midline and Central Line IV Catheters did not include checking the line for a blood return. -Resident #7 was admitted on (MONTH) 24, (YEAR) with a re-admission on (MONTH) 3, (YEAR), with [DIAGNOSES REDACTED]. A review of the resident's clinical record revealed a physician's orders [REDACTED]. On (MONTH) 10, (YEAR), the order was changed to [MEDICATION NAME] by mouth. A review of the resident's MDS (Minimum Data Set) assessments from (MONTH) 10, (YEAR) to (MONTH) 8, (YEAR), revealed the resident had a tube feed. A review of the resident's MARs (Medication Administration Records) from (MONTH) (YEAR) through (MONTH) 20, (YEAR), revealed the resident's [MEDICATION NAME] was administered by mouth. An interview was conducted with resident #7 on (MONTH) 20, (YEAR) at 10:24 a.m. The resident stated that he receives his food and medications through his PEG tube. On (MONTH) 21, (YEAR) at 10:58 a.m., an interview was conducted with RN/staff #6 who stated that she administers all the medications for resident #7 via his PEG tube and that the resident has been NPO (nothing by mouth) since admission. Staff #6 stated the resident is administered the [MEDICATION NAME] on the night shift, but that she knows that the resident receives all medications via the PEG tube. A review of the facility's medication administration policy revealed that the individual administering the medication must check the label to verify the right resident, right medication, right dosage, right time, and right method (route) of administration before giving the medication. 2020-09-01