cms_DE: 73

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
73 BRANDYWINE NURSING & REHABILITATION CENTER 85004 505 GREENBANK ROAD WILMINGTON DE 19808 2018-04-25 756 D 1 0 81S611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Cross refer to F757 Based on clinical record review and interview, it was determined that for one (R7) out of 11 sampled residents, the facility's pharmacist failed to identify and report irregularities with respect to R7's monthly drug regimen review to the attending physician and the director of nursing. Findings include: Review of R7's clinical record revealed the following: 2/20/18 - R7 was admitted to the facility with a [DIAGNOSES REDACTED]. 2/20/18 - R7's admission physician orders [REDACTED]. - [MEDICATION NAME] tablet - give 1 tablet daily for hypertension with the parameters to hold the medication for SBP less than 100 and heart rate less than 60; and - [MEDICATION NAME] tablet - give 1 tablet daily for hypertension with the parameters to hold the medication for SBP less than 100 and heart rate less than 60. 3/5/18 - The facility's pharmacist completed R7's drug regimen review and noted no irregularities. The facility's pharmacist failed to identify and report that R7's heart rate was not being consistently monitored prior to receiving two anti-hypertensive medications with physician ordered parameters. 4/4/18 - The facility's pharmacist completed R7's drug regimen review and again failed to identify and report that R7's heart rate was not being consistently monitored prior to receiving two anti-hypertensive medications with physician ordered parameters. 4/23/18 at 2:58 PM - During an interview, findings were reviewed with E2 (DON). The facility's pharmacist failed to identify and report the inconsistent monitoring of R7's heart rate as per physician ordered parameters prior to administering two anti-hypertensive medications after completing two monthly drug regimen reviews. 2020-09-01