cms_NH: 365
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 365 |
BEDFORD HILLS CENTER |
305060 |
30 COLBY COURT |
BEDFORD |
NH |
3110 |
2019-10-11 |
758 |
D |
0 |
1 |
ECKJ11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, it was determined that the facility failed to ensure that a PRN (as needed) [MEDICAL CONDITION] drug was limited to 14 days except if the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days, he or she should document their rationale in the resident's medical record and indicate the duration for the PRN order, for 1 resident in a final sample size of 27 residents. (Resident identifier is #39.) Findings include: Review on 10/10/19 of Resident #39's current physician orders [REDACTED].#39 had an order for [REDACTED]. Review on 10/10/19 of Resident #39's (MONTH) to (MONTH) 2019 EMAR (Electronic Medication Administration Record) revealed that Resident #39 received PRN [MEDICATION NAME] 25 mg on 6/25/19, 6/28/19, 6/29/19, 7/5/19, 7/7/19, 7/12/19, 7/18/19, 7/21/19, 7/23/19, 7/27/19, 7/31/19, 8/1/19, 8/11/19, 8/30/19, 9/1/19, 9/8/19, 9/9/19, 9/30/19 and 10/4/19. Review on 10/11/19 of Resident #39's progress notes and chart between (MONTH) 2019 and (MONTH) 2019 revealed that Resident #39's in-house psychiatrist did not have documentation for the rationale and indication of duration for Resident #39's PRN [MEDICATION NAME] order that was started on 6/25/19. Review on 10/11/19 of Resident #39's APRN (Advanced Practice Registered Nurse) progress note dated 6/21/19 revealed that Resident #39's APRN had ordered for PRN [MEDICATION NAME] 25 mg but with no documented rationale and duration for the order. Further review of Resident #39's APRN progress notes revealed that Resident #39 had APRN progress notes dated 7/2/19, 7/8/19, 7/26/19, 8/1/19, 8/27/19, 9/4/19, 9/16/19 and 9/27/19 with no documented rationale and indication of duration for Resident #39's PRN [MEDICATION NAME] order that was started on 6/25/19. Interview on 10/11/19 at 10:00 a.m. with Staff G (Unit Manager) confirmed that above findings. Staff G stated that there should have been an ordered duration for the PRN [MEDICATION NAME] and documented rationale on Resident #39's medical record. |
2020-09-01 |