cms_NH: 361

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.

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
361 BEDFORD HILLS CENTER 305060 30 COLBY COURT BEDFORD NH 3110 2019-06-06 658 D 1 0 7LRG11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interview it was determined that the facility failed to follow the professional standard of practice for physician orders [REDACTED]. (Resident identifier is #2.) Findings include: The reference for the professional standard of practice is the following: Potter, [NAME] [NAME], and Anne Griffin Perry. Fundamentals of Nursing. 7th ed. St. Louis, Missouri: Mosby Elsevier, 2009. Page 713 .A registered nurse compares the list of medications on the MAR indicated [REDACTED]. After administering a medication, record it immediately on the appropriate record form . Recording immediately after administration prevents errors. Review on 6/6/19 at approximately 10:00 a.m. of the physician's orders [REDACTED]. Review on 6/6/19 at approximately 10:00 a.m. of the 'Medication Administration Record [REDACTED] Potassium Chloride ER Tablet Extended Release 20 MEQ Give 1 tablet by mouth two times a day for [DIAGNOSES REDACTED]. Review on 6/6/19 at approximately 10:00 a.m. of the above listed MAR indicated [REDACTED] 20 meq one tablet twice a day for 8 days from 4/2/19 through 4/9/19 for a total of 16 doses. Review on 6/6/19 at approximately 10:00 a.m. of the potassium laboratory results for Resident #2 revealed the following: 4/2/19 potassium level 3.2 (indicating low level) 4/4/19 potassium level 4.5 (indicating within range) 4/10/19 potassium level 6.0 (indicating high level) Interview on 6/6/19 with Staff A (Registered Nurse) at approximately 1:00 p.m. confirmed that the physician was notified on 4/10/19 of the high potassium level for Resident #2 and at that time it was discovered that the 4/2/19 physician order [REDACTED]. 2020-09-01