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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.

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
5300 RIVERSIDE HEALTH CARE CENTER 275126 1301 E BROADWAY MISSOULA MT 59802 2011-11-09 514 D 0 1 WOER11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 1. Resident #3 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 11/7/11 at 12:30 p.m., a review of the active medical chart was completed. The physician ordered, "[MEDICATION NAME] 1 mg tablet take one or two tablets every 4 hours if needed for agitation" on 7/13/10". It was printed with the order on the MAR to chart the amount of [MEDICATION NAME] given. It was documented on the MARs: -March, 2011 dosage was not documented 20 of 23 times the [MEDICATION NAME] was given; -July, 2011 dosage was not documented 2 of 2 times the [MEDICATION NAME] was given; and -October, 2011 dosage was not documented 5 of 8 times the [MEDICATION NAME] was given. The MARs lacked consistent documentation of whether [MEDICATION NAME] 1 mg or 2 mg was administered to resident #3. The back of the MARs for 3/11, 7,11 and 10/11 lacked documentation of the dosage. The physician ordered, "[MEDICATION NAME] 1 mg take one tablet four times daily if needed for anxiety," on 7/13/10. It was documented on the MARs: -March, 2011 [MEDICATION NAME] PRN was administered 21 times; -April, 2011 [MEDICATION NAME] PRN was administered 11 times; -July, 2011 [MEDICATION NAME] PRN was administered 2 times; -August, 2011 [MEDICATION NAME] PRN was administered 2 times; and -September 2011 [MEDICATION NAME] PRN was administered 2 times. There was no documentation provided regarding the rationale for administering the as needed [MEDICATION NAME]. The physician ordered, "Ambien 5 mg take one tablet or two tablets at bed time," on 5/28/10. It was printed with the order on the MAR to chart the amount [MEDICATION NAME]. It was documented on the MARs for 8/2011, 9/2011, 10/2011 and 11/2011 [MEDICATION NAME] administered nightly. The MARs lacked documentation of whether one tablet or two tablets were administered. On 11/8/11 at 10:00 a.m., the DON stated that nursing staff were to document if one or two tablets were administered for [MEDICATION NAME] resident #3. 2. Resident #2 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On admission resident #2 had an order for [REDACTED].). On the September 2011 MAR, three doses of [MEDICATION NAME] had been given on 9/7/11, 9/24/11, and 9/25/11. Of the three doses charted as administered, all lacked the amount given. On the October 2011 MAR, six doses of [MEDICATION NAME] had been given on 10/3/11 (2 doses), 10/6/11, 10/9/11, 10/13/11, and on 10/14/11. Of the six doses charted as administered, all lacked the amount given. On 10/14/11 the physician's orders [REDACTED]." On the October 2011 MAR, three doses of [MEDICATION NAME] had been given under the new order on 10/14/11, 10/15/11, and 10/16/11. Of the three doses charted as administered, all lacked the amount given. On the November 2011 MAR, two doses of [MEDICATION NAME] had been given on 11/2/11 and 11/3/11. Of the two doses charted as administered, both lacked the amount given. The nurses notes were reviewed and the amount of [MEDICATION NAME] given for the doses indicated could not be determined. Based on record review and staff interview, the facility failed to ensure medical records were complete and accurate for 2 (#s 2 and 3) of 15 residents reviewed. Findings include: 2014-10-01