cms_ND: 32

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
32	THE MEADOWS ON UNIVERSITY	355024	1315 S UNIVERSITY DR	FARGO	ND	58103	2018-06-28	658	D	0	1	ROZG11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, review of professional reference, and staff interview, the facility failed to administer medications in accordance with acceptable standards of practice for 1 of 1 resident (Resident #16) with a physician's orders [REDACTED]. Failure to follow acceptable standards of practice for medication administration has the potential to result in medication errors and/or adverse reactions for the resident. Findings include: Kozier & Erb's Fundamentals of Nursing, Concepts, Process and Practice, 10th Edition, (YEAR), Pearson, Boston, Massachusetts, page 776, states . Administering Oral Medications . Preparation: . 2. Check the MAR (medication administration record). Check for the drug name, dosage, frequency, route of administration, . If the MAR is unclear or pertinent information is missing, compare the MAR with the prescriber's most recent written order. Performance. 3. Obtain the appropriate medication. Read the MAR and take the appropriate medication . Compare the label of the medication container or unit-dose package against the order on the MAR . 4. Prepare the medication. While preparing the medication, recheck each prepared drug and container with the MAR again. Rationale: this second safety check reduces the chance of error. During an interview on 06/26/18 at 9:37 a.m., Resident #16 stated her digestive system problems cause some of her pills to pass through without even dissolving, so the doctor said to crush those pills. Resident #16 stated some nurses crush the pills, and others don't. It says it right on the record, but I have to keep telling staff. Review of Resident #16's medical record occurred on all days of survey. The physician's orders [REDACTED]. and recommend crushing this med. Review of the (MONTH) MAR on 06/27/18, identified the following: 6/20/18 [MEDICATION NAME] 30 mg (milligrams) po (by mouth) BID (two times a day) Crush. Observation of medication pass occurred on 06/28/18 at 7:54 a.m. The nurse (#12) placed 19 oral medications in a medication cup (for a total of 21 pills). The nurse (#12) stated one of the tablets needs to be crushed but she does not know which one and would need to ask the resident. The nurse emptied the pills from the medication cup into Resident #16's hand and asked the resident which of the pills needed to be crushed. Resident #16 initially expressed frustration and said she was not sure, but then began to identify each of the pills in her hand and found the two pills that should be crushed. The pills were identified as two 15 milligram tablets of [MEDICATION NAME]. The nurse went to the medication cart, crushed the medications, mixed them in applesauce, and administered them to the resident. During an interview on the afternoon of 06/28/18, two administrative staff members (#1) and (#2) confirmed the nurse should refer to the physician's orders [REDACTED].	2020-09-01