cms_AZ: 74

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
74 HAVEN OF SCOTTSDALE 35059 3293 NORTH DRINKWATER BOULEVARD SCOTTSDALE AZ 85251 2017-10-25 281 D 1 1 DB1811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on clinical record reviews, staff interviews and policy and procedures, the facility failed to ensure that medications were administered as physician ordered for two residents (#143 and #145). Findings include: -Resident #143 was admitted on (MONTH) 18, (YEAR), with [DIAGNOSES REDACTED]. A review of the (MONTH) (YEAR) physician's orders [REDACTED]. -[MEDICATION NAME] 325 mg (milligrams) by mouth every six hours PRN (as needed) for a pain level of 1-2. -[MEDICATION NAME] 325 mg two tablets by mouth every six hours PRN for a pain level of 3-4. -[MEDICATION NAME] (non steroidal anti [MEDICAL CONDITION]) 500 mg by mouth every 12 hours PRN for pain level of 5-6. -[MEDICATION NAME] (narcotic) 5-325 mg two tablets by mouth every four hours PRN for a pain level of 7-10. However, a review of the (MONTH) (YEAR) MAR (Medication Administration Record) revealed the resident had been administered [MEDICATION NAME] twice for a pain level of seven on (MONTH) 19, and once on (MONTH) 20 for a pain level of 7. Per the physician's orders [REDACTED]. An interview was conducted on (MONTH) 24, (YEAR) at 1:45 p.m., with the ADON (Assistant Director of Nursing/staff #55). Following a review of the physician's orders [REDACTED].#55 stated that the [MEDICATION NAME] was administered for a pain level of seven, which was not as ordered. He stated the physician's orders [REDACTED]. -Resident #145 was admitted on (MONTH) 10, (YEAR), with [DIAGNOSES REDACTED]. A review of the (MONTH) (YEAR) physician's orders [REDACTED]. -Tylenol 325 mg two tablets by mouth every four hours PRN for a pain level of 1-5. -[MEDICATION NAME] (narcotic) 15 mg by mouth every four hours PRN for a pain level of 6-10. A review of the (MONTH) (YEAR) MAR indicated [REDACTED]. There was no clinical record documentation that the physician was notified or additional orders were obtained. An interview was conducted on (MONTH) 24, (YEAR) at 10:20 a.m., with a LPN (Licensed Practical Nurse/staff #2). Following a review of the physician's orders [REDACTED].#2 stated that Tylenol was administered outside of the physician's prescribed pain scale parameters. Staff #2 stated that the physician's orders [REDACTED]. An interview was conducted on (MONTH) 24, (YEAR) at 10:30 a.m., with the DON (Director of Nursing/staff #5). Following a review of the physician's orders [REDACTED]. Staff #5 stated that if a resident requests a medication which is outside of the pain parameters, the physician should be notified and new orders obtained and documented. A facility policy titled, Administering Pain Medications included the following: 6. Administer pain medications as ordered. 2020-09-01