cms_NH: 85

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
85 EDGEWOOD CENTRE (THE) 305022 928 SOUTH STREET PORTSMOUTH NH 3801 2017-11-15 281 B 0 1 L8GV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, it was determined that the facility failed to provide parameters for PRN (as needed) pain medications for 8 resident in a standard survey sample of 24 residents. (Resident identifiers are #2, #6, #8, #9, #11, #12, #17, and #19.) Findings Include: Potter, [NAME] [NAME], and Anne Griffin Perry. Fundamentals of Nursing. 7th ed. St. Louis, Missouri: Mosby Elsevier, 2009. Pages 699 Prescriber must document the diagnosis, condition, or need for use for each medication ordered Page 708 The prescriber often gives specific instructions about when to administer a medication Resident #2 Review of the Medication Administration Record [REDACTED] [MEDICATION NAME] Tablet 400 mg (milligrams). Give 400 mg by mouth every 6 hours as needed for pain/fever. Tylenol tablet 325 mg. Give 2 tablets by mouth every 4 hours as needed for pain or elevated temperature. Resident #12 Review of the MAR indicated [REDACTED] [MEDICATION NAME] Tablet 325 mg. Give 2 tablets by mouth (PO) every 4 hours as needed for pain/elevated temp. [MEDICATION NAME] Solution 20 mg/ml (milliliters). Give 5 mg PO every 4 hours as needed for pain/dyspnea. Interview on 11/14/17 at approximately 3:00 p.m. with Staff C (Director of Nursing), confirmed that the PRN pain orders were missing indications/parameters for administration. Resident #17 Review 11/15/17 of Resident #17's MAR for (MONTH) (YEAR), revealed that this resident had an order for [REDACTED]. Administer 650 mg. PO q4h (every 4 hours) PRN for pain or elevated temperature, per standing order. Review 11/15/17 of Resident #17's MAR for (MONTH) (YEAR), also reveals that this resident has an order for [REDACTED]. should be administered. Interview on 11/15/17 at approximately 4:40 p.m. with Staff A (Registered Nurse/Resource Nurse) acknowledged that this issue has come to their attention and they are working to make sure all residents have parameters for the administration of pain medications. Resident #8 Review on 11/13/17 of resident # 8's MAR for (MONTH) (YEAR) revealed an order for [REDACTED]. Review on 11/13/17 of resident #8's MAR indicated [REDACTED]. There were no parameters for when to give the medication. Interview on 11/15/17 at approximately 1:00 p.m. with Staff C (Director of Nursing) confirmed the above findings. Resident #19 Review on 11/14/17 of Resident #19's MAR for (MONTH) (YEAR) revealed an order for [REDACTED]. Interview on 11/15/17 at approximately 1:00 p.m. with Staff C (Director of Nursing) confirmed the above findings. Resident #9 Review of Resident #9's MAR indicated [REDACTED] Tylenol tablet 325 MG ([MEDICATION NAME]) Give 2 tablets by mouth every 6 hours as needed for pain scale 1-3. Start Date 10/10/17 1200 and a second PRN pain medication as listed below was noted to be missing a parameter/pain severity for use: [MEDICATION NAME] Tablet 50 MG ([MEDICATION NAME] HCI) (sic) Give 1 tablet by mouth as needed for pain (MONTH) use BID (twice a day) Interview on 11/15/17 at approximately 1:40 p.m. with Staff C (Director of Nursing) confirmed the above findings. Resident #11 Review on 11/14/17 of Resident #11's MAR indicated [REDACTED]. Resident #11 also had an order for [REDACTED]. Interview on 11/14/17 at approximately 11:30 a.m. with Staff F (Unit Manager) confirmed that there was no clear indication of whether to give Tylenol or [MEDICATION NAME] for pain. 2020-09-01