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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
16 BENEFIS SENIOR SERVICES 275012 2621 15TH AVE S GREAT FALLS MT 59405 2018-05-17 761 E 0 1 FGZ511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, several facility staff failed to ensure opened multi-dose vials of insulin, being administered to residents, were dated when opened, and not being used past the open-expiration date of 28 days, for 5 (#s 16, 36, 45, 56, and 77) of 37 sampled and supplemental residents; and failed to identify multi-dose vials were missing opened dates. Findings include: During an observation and interview on 5/16/18 at 9:10 a.m., review of the East View campus medication cart, showed opened, undated, multi-dose vials of insulin for residents #16, #36, #56, and #77 that were available for use. Staff member J stated staff were required to write an open date on multi-dose vials of insulin when opened. Staff member J stated if multi-dose vials of insulin have been opened, and were not dated, the vials should be discarded. Staff member J stated all staff members providing medications were responsible for checking the opened and the expiration dates for all medications administered by the staff. 1. a. Resident #16 was admitted to the facility with [DIAGNOSES REDACTED]. Review of resident #16's (MONTH) (YEAR) MAR indicated [REDACTED]. b. Resident #36 was admitted to the facility with [DIAGNOSES REDACTED]. Review of resident #36's (MONTH) (YEAR) MAR indicated [REDACTED]. c. Resident #56 was admitted to the facility with [DIAGNOSES REDACTED]. Review of resident #56's (MONTH) (YEAR) MAR indicated [REDACTED] - Humalog 100 units/ml- 10 ml vial with sliding scale instructions; and inject 2 units subcutaneous (SQ) 15 minutes prior to each meal. Hold if he is not going to eat a meal or if premeal (sic) capillary blood glucose (CBS) - [MEDICATION NAME] 100 units/ml- 10 ml vial; inject 10 units (SQ) every day at 8:00 a.m. d. Resident #77 was admitted to the facility with [DIAGNOSES REDACTED]. Review of resident #77's (MONTH) (YEAR) MAR indicated [REDACTED] - [MEDICATION NAME] 100 units/ml- 10 ml vial; inject 8 units SQ every evening. - [MEDICATION NAME] 100 units/ml- 10 ml vial with sliding scale instructions. During an observation and interview on 5/16/18 at 9:30 a.m., review of Memory Care Unit medication cart showed an opened, undated, multi-dose vial of insulin for resident #45. Staff member T stated staff were required to write open dates on multi-dose vials of insulin when opened. Staff member T stated she had not noticed the multi-dose vial of insulin was missing the opened date. 2. Resident #45 was admitted to the Memory Care Unit with [DIAGNOSES REDACTED]. Review of resident #45's (MONTH) (YEAR) MAR indicated [REDACTED]. During an interview on 5/16/18 at 3:05 p.m., staff member D stated staff were required to write an open dates on multi-dose vials of insulin when opened. She stated vials of insulin were to be discarded after 30 days of being opened. Staff member D stated multi-dose vials of insulin were only stable until the 30 days, therefore staff were required to date each vial when opened. Review of the facility's policy, Expiration Dating of Medications, read, .B. Multi-Dose Vials . 2. Any multi-dose vial not marked with date and initials after opening, is discarded. References: https://www.cdc.gov/injectionsafety/providers/provider_faqs_multivials.html If a multi-dose has been opened or accessed (e.g., needle-punctured) the vial should be dated and discarded within 28 days unless the manufacturer specifies a different (shorter or longer) date for that opened vial. 2020-09-01