cms_DC: 42
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 42 |
WASHINGTON CTR FOR AGING SVCS |
95014 |
2601 18TH STREET NE |
WASHINGTON |
DC |
20018 |
2018-09-26 |
684 |
D |
0 |
1 |
PSFH11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, resident and staff interview of one (1) of 38 sampled residents, the facility staff failed to instruct resident proper administration of medication according to professional standards of practice and manufacturer's specification for one (1) of one resident receiving nasal spray. (Resident # 65) Finding included . The facility staff failed to follow professional standards of practice and manufacturers specification for administering [MEDICATION NAME] nasal spray (indicated for the management of the nasal symptoms of [MEDICATION NAME] nonallergic rhinitis in adult and pediatric patients aged 4 years and older) during medication administration observation for Resident #65. Resident #65 was admitted to the facility on (MONTH) 3, 2013, with [DIAGNOSES REDACTED]. On (MONTH) 20, (YEAR) at approximately 10:15 AM, the surveyor observed Employee #20 handed Resident #65 the [MEDICATION NAME] nasal spray. Resident #65 self-administered [MEDICATION NAME] one spray per nostril. Employee #20 instructed the resident to administer a second dose. The resident administered a second dose of [MEDICATION NAME], one spray per nostril. Employee #20, returned the [MEDICATION NAME] to the medication cart. A review of the physician's orders [REDACTED]. A face-to face interview conducted on (MONTH) 20, (YEAR) at approximately 10:30 AM, Resident #65 stated she could take her own medication. Manufacturer instructions stated the resident should first blow your nose; close one (1) nostril; tilt your head forward slightly; start to breathe in through your nose, and while breathing, press firmly and quickly down one (1) time on the applicator to release the spray; then breathe out through your mouth. If a second spray is required in that nostril, repeat the process. The medication administration observation failed to support that the resident self-administered the nasal spray in accordance with manufacturer's recommendation to ensure adequate delivery of dose. Furthermore, the facility staff did not provide guidance while observing the resident's self-administration of medication. https://www.rxlist.com/[MEDICATION NAME]-d6rug.htm#medguideI A face-to-face interview conducted on (MONTH) 20, (YEAR), at approximately 10:45 AM, Employees' # 20 and #15 acknowledged the findings. |
2020-09-01 |