cms_NE: 4933

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
4933	PREMIER ESTATES OF WEST POINT, LLC	285158	960 PROSPECT ROAD	WEST POINT	NE	68788	2018-06-12	757	D	1	1	ELDP11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on record review and interview, the facility failed to ensure 2 residents (Resident 31 and 1) were free from the use of unnecessary medications as medications were given without indication for use and not in accordance with physician's orders [REDACTED]. Findings are: [NAME] Review of Resident 1's Minimum Data Set (MDS-a federally mandated comprehensive assessment tool used for care planning) dated 3/7/18 revealed [DIAGNOSES REDACTED]. Review of Resident 1's Medication Administration Record [REDACTED]. Further review revealed orders dated 9/28/17 for Tylenol 650 mg every 6 hours as needed for mild pain with pain rated as 1-4 on a pain scale. Review of the 5/2018 MAR indicated [REDACTED] -5/12/18 at 8:35 for pain level of 3; -5/14/18 at 7:00 PM for pain level of 4; -5/15/18 at 8:30 AM for pain level of 4; -5/18/18 at 1:44 AM for pain level of 4; -5/21/18 at 9:22 PM for pain level of 4; -5/22/18 at 11:59 PM for pain level of 4; -5/26/18 at 9:39 PM for pain level of 3; and -5/27/18 at 5:41 AM for pain level of 3. Review of the 6/2018 MAR indicated [REDACTED]. Documentation indicated the following: -6/6/18 at 8:01 AM for pain level of 3; -6/7/18 at 9:17 AM for pain level of 2; -6/8/18 at 7:24 PM for pain level of 4; -6/10/18 at 7:05 PM for pain level of 4; -6/11/18 at 8:06 AM for pain level of 4; and -6/12/18 at 7:01 AM for pain level of 3. B. Review of Resident 1's MAR indicated [REDACTED] -[MEDICATION NAME] (medication used to treat anxiety) 1 mg every 8 hours PRN for anxiety (order date 1/2/18); and -[MEDICATION NAME] 1 mg every 6 hours PRN for restlessness related to anxiety disorder (order date 5/15/18). Further review of Resident 1's MAR indicated [REDACTED] -Resident 1 received [MEDICATION NAME] 1 mg on 5/12/18 at 5:03 PM and again at 8:36 PM (3 hours and 30 minutes between doses); -No [MEDICATION NAME] was given on 5/27/18 and an order was obtained for [MEDICATION NAME] 10 mg IM (intramuscular) every 4 hours PRN for agitation/aggression/confrontation/anxiety; and -[MEDICATION NAME] 10 MG IM was given on 5/27/18 at 6:13 PM. C. Interview with the Director of Nurses (DON) on 6/12/18 at 9:00 AM confirmed Resident 1's [MEDICATION NAME] was not given as indicated and ordered for pain and [MEDICATION NAME] was given without an indication for use. D. Review of Resident 31's MDS dated [DATE] revealed [DIAGNOSES REDACTED]. Review of Resident 31's MARs dated 4/2018, 5/2018 and 6/2018 revealed an order dated 7/12/16 for [MEDICATION NAME] 0.5 mg via [DEVICE] (gastrostomy tube, a tube inserted through the abdomen that delivers nutrients directly to the stomach) every 1 hour as needed for [MEDICAL CONDITION] activity. Review of the 4/2018 MAR indicated [REDACTED] -4/1/18 at 2:12 AM; -4/7/18 at 10:31 PM; -4/15/18 at 3:05 AM; -4/17/18 at 11:31 PM; -4/18/18 at 2:02 AM and at 9:26 PM; -4/19/18 at 12:14 AM; -4/21/18 at 2:30 AM; -4/29/18 at 1:06 AM and at 3:02 AM; and -4/30/18 at 1:31 AM and at 3:33 AM. Review of Resident 31's MAR indicated [REDACTED] -5/3/18 at 6:47 PM; -5/17/18 at 11:58 PM; -5/18/18 at 2:46 PM; -5/27/18 at 10:00 PM; and -5/28/18 at 3:10 AM. Review of Resident 31's MAR indicated [REDACTED] -6/9/18 at 5:57 PM; and -6/10/18 at 8:54 PM. During an interview on 6/12/18 at 9:31 AM the DON confirmed Resident 31 was given the [MEDICATION NAME] when the staff felt the resident was restless or was moaning and not for [MEDICAL CONDITION] activity as the practitioner's order for the medication indicated.	2020-03-01