cms_ND: 22

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
22	THE MEADOWS ON UNIVERSITY	355024	1315 S UNIVERSITY DR	FARGO	ND	58103	2019-05-16	695	D	1	1	FA2L11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on record review, staff interview, and family interview, the facility failed to provide necessary respiratory care and services for 1 of 2 sampled residents receiving scheduled nebulizer medications (Resident #49). Failure to ensure the availability of medications may result in worsening respiratory symptoms and/or respiratory distress. Findings include: During an interview on the afternoon of 05/13/19, a family member stated she was upset as Resident #49 had been without one of her nebulizers going on three weeks now. Review of Resident #49's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. Current medications included [MEDICATION NAME] nebulizer (used to treat shortness of breath) twice per day, started on 11/30/2018. Nurses' notes identified the following: 05/01/19 at 7:34 a.m.: . [MEDICATION NAME] Nebulization Solution . Medication awaiting Prior Authorization per MD (medical doctor) at this time . 05/01/19 at 7:49 p.m.: . [MEDICATION NAME] Nebulization Solution . Product not available. Requires prior auth (authorization) . 05/02/19 at 7:04 p.m.: . [MEDICATION NAME] Nebulization Solution . not available . 05/03/19 at 7:09 a.m.: . [MEDICATION NAME] Nebulization Solution . no supply available at this time . 05/03/19 at 3:20 p.m.: . This writer contacted pharmacy at the beginning of this shift regarding [MEDICATION NAME] which has not been available for sometime now. This writer spoke with (pharmacy technician) who told this writer that they have contacted the prescribing physician for prior authorization and that they are awaiting approval. Will follow up. 05/03/19 at 7:52 p.m.: . [MEDICATION NAME] Nebulization Solution . Product not available. MD and pharmacy aware . 05/13/19 at 11:47 p.m.: . This writer contacted pharmacy and (clinic name) pulmonology department regarding pending prior authorization for [MEDICATION NAME]. Told by pharmacist (name) that they have email (sic) the provider and that they are still awaiting her response. This writer called and left message at (pulmonology department) regarding status of prior authorization. Awaiting return call. 05/14/19 at 10:37 p.m.: . This nurse received a fax from the (pulmonology clinic) for approval for [MEDICATION NAME]. A call was placed to pharmacy with an update and they stated it had not cleared insurance yet. This nurae (sic) also faxed a copy of approval to pharmacy. *05/15/19 at 6:02 p.m.: . This writer received call from pharmacy that they contacted patient insurance and the doctor office regarding [MEDICATION NAME]. According to the pharmacist Prior authorization was signed by the doctor and mailed to insurance. Awaiting delivery. During an interview on the morning of 05/16/19, a supervisory nurse (#1) identified the facility is still waiting for the medication. Resident #49's Medication Administration Record [REDACTED]. The record identified Resident #49 last received [MEDICATION NAME] on 04/30/19 and lacked evidence of facility communication/follow up regarding the unavailability of the nebulizer from (MONTH) 4 until (MONTH) 13. When asked for further information regarding the above situation, the facility provided no additional information.	2020-09-01