cms_DC: 1

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
1 WASHINGTON CTR FOR AGING SVCS 95014 2601 18TH STREET NE WASHINGTON DC 20018 2019-03-28 675 D 1 0 192W11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on staff and resident interviews and record review for three (3) discharged residents, it was determined that facility staff failed to ensure that the Resident #1's medication was available to administer. The findings include: Resident #1 was admitted to the facility on (MONTH) 19, 2019. According to the Minimum Data Set (MDS) assessment with a target date of (MONTH) 1, 2019, Resident #1 scored 15/15 on the Brief Interview for Mental Status in Section C (Cognitive Patterns). According to the MDS 3.0 User's Manual page C-14, a score of 13-15 suggests that the resident is cognitively intact. Resident #1 was assessed as requiring supervision for eating, and extensive assistance for bed mobility, transfers, toilet use, and personal hygiene in Section G (Functional Status). Disease [DIAGNOSES REDACTED]. A review of the (MONTH) and (MONTH) 2019 Medication Administration Records (MARs) revealed the following: All of the following physician's orders [REDACTED]. Aspirin 81 mg daily - resident unavailable 1/21/2019 at 11:26 AM physician's orders [REDACTED]. Eliquis 5 mg twice a day - 1/21/2019 resident unavailable at 11:26 AM physician's orders [REDACTED]. [MEDICATION NAME] 20 mg daily - 1/21/2019 resident unavailable at 11:26 AM physician's orders [REDACTED]. [MEDICATION NAME] 40 mg daily - 1/21/2019 resident unavailable at 11:26 AM physician's orders [REDACTED]. Humalog 35 units TID - 1/21/2019 -resident unavailable at 11:26 AM physician's orders [REDACTED]. [MEDICATION NAME] 100 mg TID - resident unavailable 1/21/2019 at 11:26 AM physician's orders [REDACTED]. There was no evidence in the resident's record that showed further attempts to administer the above listed medications. There was no explanation in the nurses' notes or the MARs as to why the resident was unavailable or why further attempts were not made to administer the medication. [MEDICATION NAME] 20mg every 8 hours - 7 AM and 8 pm drug unavailable 1/20/19 physician's orders [REDACTED]. [MEDICATION NAME] 200 mg - resident unavailable 1/21/2019 physician's orders [REDACTED]. Sevelamer [MEDICATION NAME] - TID- 1/20/2019 - drug not available physician's orders [REDACTED]. There was no evidence in the resident's record of any attempts to secure the above three (3) listed medication. There was no explanation in the nurses' notes or the MARs as to why there medications were not available. A telephone interview was conducted with Employee #1 on (MONTH) 5, 2019 at 2:30 PM. He/she acknowledged the above information and confirmed that the missing medications were available in the stock cart. The records were reviewed (MONTH) 21, 2019. 2020-09-01