cms_ND: 87

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
87 MINOT HEALTH AND REHAB, LLC 355031 600 S MAIN ST MINOT ND 58701 2018-08-16 756 D 0 1 B0I611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, review of facility policy, and staff interview, the consulting pharmacist failed to identify and report drug regimen irregularities regarding duplicate therapy of opiate pain medications to the attending physician, the medical director, and the director of nursing for 1 of 18 sampled residents (Resident #35) reviewed. Failure to ensure the pharmacist reported the medication irregularities may result in the residents receiving unnecessary medications and experiencing adverse consequences related to the medications. Findings include: Review of the facility policy titled Consultant Pharmacist Reports occurred on 08/16/18. This policy, dated (MONTH) 2011, stated, . The administration schedule is appropriate for the resident, considering side effects (such as sedation), compatibility with other medications and manufacturer's recommendations. Resident #35's record identified the following physician's orders for opiate pain medications: [REDACTED] * 04/05/18: [MEDICATION NAME] 50 milligrams (mg) by mouth three times a day for uncontrolled pain * 04/13/18: [MEDICATION NAME]-[MEDICATION NAME] 5-325 mg one tablet by mouth four times a day for pain Review of the resident's Medication Administration Record [REDACTED]. This schedule resulted in the resident receiving two opiate medications at 8:00 a.m. and at 8:00 p.m. each day. During an interview on 08/16/18 at 11:00 a.m., an administrative nurse (#16) reported she was unable to locate any Pharmacy reviews pertaining to either of these two pain medications. 2020-09-01