cms_ID: 20

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
20 ST LUKE'S ELMORE LONG TERM CARE 135006 895 NORTH 6TH EAST MOUNTAIN HOME ID 83647 2018-10-12 759 D 0 1 SC7O11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, it was determined the facility failed to ensure a medication error rate less than 5 percent. This was true for 2 of 33 medications (6.06%) administered during medication pass and effected 2 of 5 residents (#65 and #114) observed during medication pass. This failed practice placed residents at risk of not receiving medications as ordered by the physician and had the potential to lessen the effectiveness of the medications administered. Findings include: 1. Resident #114 was admitted to the facility on [DATE], with multiple [DIAGNOSES REDACTED]. Resident #114's physician orders, dated 9/27/18, included [MEDICATION NAME] (an acid reflux medication) 40 mg by mouth every morning before breakfast (served at 7:45 AM - 8:45 AM). On 10/12/18 at 8:45 AM, RN #1 was observed as she administered morning medications to Resident #114, which included the medication [MEDICATION NAME]. Resident #114 had finished her breakfast and was sitting in the activity room. 2. Resident #65 was admitted to the facility on [DATE], with multiple [DIAGNOSES REDACTED]. Resident #65's physician's orders [REDACTED]. On 10/12/18 at 9:11 AM, RN #1 was observed as she administered morning medications to Resident #65, which included [MEDICATION NAME]. Resident #65 had finished her breakfast and was sitting in her wheelchair in her room. On 10/12/18 at 9:30 AM, RN #1 stated she did not know why the [MEDICATION NAME] for Resident #114 and Resident #65 were scheduled for 8:00 AM. RN #1 stated [MEDICATION NAME] was usually scheduled for 7:00 AM. On 10/12/18 at 2:35 PM, the DON stated sometimes the medication delivery times in the EMR changed. The DON stated the [MEDICATION NAME] should be given during the 7:00 AM medication pass. 2020-09-01