cms_AZ: 4

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
4 THE TERRACES OF PHOENIX 35003 7550 NORTH 16TH STREET PHOENIX AZ 85020 2018-08-24 757 D 0 1 D0BP11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, staff interviews, and policy, the facility failed to ensure one resident's (#295) physician's order for an antibiotic had an appropriate [DIAGNOSES REDACTED].#295). Findings include: Resident #295 was admitted (MONTH) 4, (YEAR), with [DIAGNOSES REDACTED]. Review of the physician's orders revealed an order dated (MONTH) 4, (YEAR), for [MEDICATION NAME] solution (antibiotic) 0.3% one drop in both eyes two times a day for a [DIAGNOSES REDACTED]. Review of the current care plan revealed a vision problem related to [MEDICAL CONDITION] with an approach to administer [MEDICATION NAME] per orders. Review of the Medication Administration Record [REDACTED]. Review of an order listing report dated (MONTH) 20, (YEAR), revealed the [MEDICATION NAME] order for resident #295 was circled and a written note ? Diagnosis (Dx) was added. During an interview conducted with the Assistant Director of Nursing/infection preventionist (ADON/staff #15) on (MONTH) 21, (YEAR) at 12:29 p.m., she stated that every morning she prints a report containing antibiotic orders for the previous 24 hours. She stated that a stop date is required on all antibiotics except those that are being administered [MEDICATION NAME]. She also stated that she would make sure that the antibiotic had the correct diagnosis. An interview was conducted with the Director of Nursing (DON/staff #49) on (MONTH) 23, (YEAR) at 8:24 a.m. The DON stated that she would expect the nursing staff to follow the facility's policy and protocol regarding antibiotic use. She stated that she would have expected the infection preventionist to have identified the resident had an antibiotic order dated (MONTH) 4, (YEAR) before (MONTH) 20, (YEAR). The DON also stated that the order should have been clarified. Another interview was conducted with the ADON/infection preventionist on (MONTH) 23, (YEAR) at 9:01 a.m. She stated that she should have checked for the [DIAGNOSES REDACTED]. She further stated that an antibiotic administered without an appropriate [DIAGNOSES REDACTED]. An interview was conducted with a Registered Nurse (RN/staff #29) and a Licensed Practical Nurse (LPN/staff #32) on (MONTH) 23, (YEAR) at 10:48 a.m. They stated that if a resident was admitted with an antibiotic order for a non-infection diagnosis; they would need to notify the physician to clarify the order. Review of the facility's policy regarding the antibiotic stewardship program revealed that overuse and misuse of antibiotics includes the use of antibiotics when not needed and continued treatment when no longer necessary. The policy included the goal is to optimize treatment of [REDACTED]. The policy also included that each order is to contain a stop order. 2020-09-01