cms_MT: 2247

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
2247	INVIGORATE POST ACUTE OF WHITEFISH	275132	1305 E 7TH ST	WHITEFISH	MT	59937	2016-07-07	281	D	1	0	998S11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on interview and record review, the facility failed to follow physician prescription orders by not giving scheduled pain medication and monitor a resident's pain every shift for 1 (#1) of 5 sampled residents. Findings include: Resident #1 was admitted to the facility on [DATE]. The current [DIAGNOSES REDACTED]. The resident passed away on 4/29/16, while on hospice care. Review of resident #1's Medication Administration Record [REDACTED]. All three orders were scheduled medications starting 4/19/16. The resident was ordered [MEDICATION NAME] sulfate solution, 20 MG/ML, give 30 mg by mouth every four hours for the [DIAGNOSES REDACTED]. Between 4/19/16 and the afternoon of 4/26/16 the order of [MEDICATION NAME] was not given six times, the [MEDICATION NAME] was not given eight times, and the [MEDICATION NAME] was not given two times. Specifically, on 4/25/16, resident #1 was only given 3 of 6 doses of [MEDICATION NAME], missing 3 consecutive doses and only 1 of 3 doses of [MEDICATION NAME] were given. On 4/25/16-4/26/16 the [MEDICATION NAME] dose was missed 5 consecutive times it was to be given. The Medication Administration Record [REDACTED]. In a confidential interview on 7/7/16 at 8:30 a.m., the interviewee stated the medications were changed from PRN to scheduled on 4/19/16 because of resident #1's increased pain, agitation, and anxiety. The PRN medications were not enough. The medications were in a form which could be slipped into the cheek or under the tongue, so doses would not be missed. The interviewee also stated there was never any explanation from the nurses caring for resident #1, as to why the medications were held. The Medication Administration Record [REDACTED]. During the month of (MONTH) (YEAR), there was no documentation for pain monitoring 27 out of 58 times, with no documentation why the monitoring was missed. Nurses are obligated to follow the orders of a licensed physician or other designated health care provider unless the orders would result in client harm. DeLaune, S. & Ladner, A., Fundamentals of Nursing, Standards and Practice (p. 237). Albany, N.Y.	2019-07-01