cms_AZ: 3

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
3	THE TERRACES OF PHOENIX	35003	7550 NORTH 16TH STREET	PHOENIX	AZ	85020	2018-08-24	693	D	0	1	D0BP11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, staff interviews, and policy, the facility failed to ensure one resident (#7) with a Percutaneous Endoscopic Gastrostomy (PEG) tube received appropriate services when administering medications. Findings include: Resident #7 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Review of the physician's orders [REDACTED]. The current care plan regarding tube feeding revealed an intervention to check for tube placement and gastric contents/residual volume per facility protocol. During a medication administration observation conducted on (MONTH) 21, (YEAR) at 07:56 AM, a Registered Nurse (RN/staff #6) was observed administering [MEDICATION NAME] and [MEDICATION NAME] via the resident's PEG tube. However, the RN was not observed to check the PEG tube for placement prior to administering the medications. An interview was conducted with staff #6 on (MONTH) 21, (YEAR) at 9:19 a.m. Staff #6 stated that the PEG tube placement should be checked by using a stethoscope to listen for air in the stomach before administering medications. She also stated that she did not check the PEG tube placement before administering [MEDICATION NAME] and [MEDICATION NAME]. During an interview conducted with the Director of Nursing (staff #49) on (MONTH) 23, (YEAR) at 10:37 AM, she stated that the expectation is that the nurse would check the PEG tube placement before administering medications. Review of the facility's policy regarding the administration of medications via PEG tube revealed that gastrostomy tubes should be auscultated by administering approximately 10 cc (cubic centimeters) of air into the tube and listening for a whooshing sound to check placement of the tube in the stomach before administering medications.	2020-09-01