cms_DE: 76

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
76 BRANDYWINE NURSING & REHABILITATION CENTER 85004 505 GREENBANK ROAD WILMINGTON DE 19808 2018-04-25 761 D 1 0 81S611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Cross refer to F583, examples 1 and 2. Based on observations and interviews, it was determined that for 3 out of 3 medication carts observed, the facility failed to keep medications under safe and secure storage with limited access and failed to keep medication carts under direct observation of authorized staff in areas where residents could access them as the potential for more than minimal harm existed. Findings include: 1. An observation on 4/24/18 at 11:22 AM in the G wing hallway revealed an unattended unlocked G wing medication cart with two clear cups containing medications on top of the cart and R10's eMAR displayed on the computer screen. The first cup (approx. 6-8 oz) contained an assortment of pills and the second medication cup contained one pill. E26 (LPN) exited a resident's room and returned to the unattended medication cart. E26 stated that she was responding to a resident calling for help. E26 stated that she was orienting another nurse who happened to be on lunch break at the time. When asked by the surveyor whose medications were in the cups, E26 stated that some pills were left in a medication cup in the top drawer from a (unidentified) resident that refused them earlier and she placed them in the first cup. E26 stated she was picking up the loose pills in the medication cart drawer and placing them in the first cup. When asked whose pill in the second cup belonged to, E26 could not remember immediately. The surveyor then asked the nurse to bring both cups with the medications in them to E4 (UM) so we could identify each pill and dosage individually. The first cup contained 12 pills listed below: - Sennokot 8.6mg - 2 tablets - [MEDICATION NAME] 100mg - 1 tablet - Aspirin 81mg - 2 tablets - [MEDICATION NAME] - 1 tablet **Controlled Medication** - Nullo - 1 tablet - Carvedilol 25mg - 1 tablet - [MEDICATION NAME] 1mg - 1 tablet **Controlled Medication** - [MEDICATION NAME] 10mg - 1 tablet - [MEDICATION NAME] 325mg - 1 tablet - Vitamin D3 1,000IU - 1 tablet The second cup contained 1 pill listed below: - [MEDICATION NAME] 0.2mg - 1 tablet. Once each pill was identified, E4 disposed of the medications and confirmed the findings with the surveyor. The facility failed to keep medications safe and secure, including 2 Controlled Medications, and the medication cart locked when unattended. Findings were reviewed on 4/25/18 at 4 PM with E1 (NHA) and E2 (DON) during the Exit Conference. 2. An observation on 4/24/18 at 5:05 PM in the F wing hallway revealed an unattended unlocked F wing medication cart with one clear cup containing medications on top of the cart and R11's eMAR displayed on the computer screen. The cup contained 4 pills. AE4 (LPN) exited a resident's room and returned to the unattended medication cart. AE4 stated that she was assisting a resident with toileting. When asked by the surveyor whose medications were in the cup, AE4 stated R11. The cup contained the following 4 pills: - [MEDICATION NAME] 100mg - 1 tablet - [MEDICATION NAME] 25mg - 1 tablet - Eliquis 5mg - 1 tablet - Atorvastatin 20mg - 1 tablet When reviewing each pill with AE4, she stated that R11 does not receive Atorvastatin until bedtime so she removed the pill from the cup and disposed of it in front of the surveyor. Findings were immediately confirmed with AE4. The facility failed to keep medications safe and secure and failed to lock the medication cart when unattended. Findings were reviewed with E3 (Staff Educator) on 4/24/18 at 5:15 PM. 3. An observation on 4/24/18 at 5:10 PM outside the Elsmere dining room revealed an unattended unlocked [NAME] wing hallway medication cart. E27 (LPN) and the nurse orientee returned to the unlocked medication cart from the Elsmere dining room. Findings was immediately confirmed with E27. The facility failed to keep the [NAME] wing medication cart locked when unattended. Findings were reviewed with E3 (Staff Educator) on 4/24/18 at 5:15 PM. 2020-09-01