cms_DE: 33

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
33 PARKVIEW NURSING 85002 2801 W. 6TH STREET WILMINGTON DE 19805 2017-05-03 332 D 0 1 ZLDY11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview, it was determined that the facility failed to ensure that their medication error rate was not 5 percent (%) of greater. The facility medication error rate was 6.9%. Findings include: Medication pass observations on 4/25/17 in the 400's unit, revealed the following: 1a. At 9:15 AM, E4 (RN) incorrectly administered Vitamin D3 1,000u by mouth to R141. The physician's orders [REDACTED]. R141 was to start Vitamin D3 1,000u daily on 6/14/17. The facility failed to administer the correct form and dosage of Vitamin D to R141. Findings were reviewed and confirmed with E4 on 4/25/17 at approximately 2:40 PM. 1b. At 9:25 AM, E4 administered [MEDICATION NAME] (also known as [MEDICATION NAME]) 20 mg by mouth to R24. The physician's orders [REDACTED]. Warnings on the medication label from the pharmacy used by the facility, stated, .Take before food/meal. The Medication Guide for [MEDICATION NAME] (www.fda.gov/downloads/drugs/drugsafety/ucm 9.pdf) stated, .Take [MEDICATION NAME] before a meal . R24 was interviewed on 4/25/17 at 11:32 AM and stated she had breakfast about 8:30 AM. E6 (CNA assigned to R24) was interviewed on 4/25/17 at approximately 11:40 AM and stated that R24 ate around 8:00 to 8:15 AM and was finished eating breakfast about 8:30 AM. R24 was given [MEDICATION NAME] approximately 1 hour after she ate breakfast, not before a meal as per the facility's pharmacy warning and the FDA's (Food and Drug Administration) guidance. Findings were reviewed with E4 and confirmed during an interview on 4/25/17 at 2:40 PM. During the medication pass on 4/25/17 in the 400's unit, 2 medication errors occurred which made the med error rate 6.9% out of 29 opportunities. 2020-09-01