cms_NM: 24

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
24 SANTA FE CARE CENTER 325030 635 HARKLE ROAD SANTA FE NM 87505 2019-07-19 881 F 0 1 W7WU11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure staff implemented a program of antibiotic stewardship (a set of commitments and actions designed to optimize the treatment of [REDACTED]. This deficient practice can affect any of the 98 residents in the facility (on the census list provided on 07/15/19 by the Administrator) who might be placed on antibiotics or come into contact with another resident on antibiotics. This deficient practice could result in the inappropriate use of antibiotics that can lead to unnecessary treatment, illness, adverse reactions, and contribute to the development of antibiotic-resistant organisms. The findings are: [NAME] On 07/18/19 at 2:35 pm, during an interview, the Infection Control Nurse stated that she was not familiar with the antibiotic stewardship policy. She keeps track residents and their infections and relate diagnosis. B. On 07/19/19 at 10:35 AM during an interview, the DON confirmed that the Infection Control Logs for 2019 revealed the information: admitted , onset date, site, infection related DX (diagnosis), culture, x-ray date, antibodies, Healthcare Associated Infection (HAI) and date resolved. There was no documentation for all organisms of the need for isolations. C. Record review of the Antibiotic Stewardship revised (MONTH) (YEAR) revealed: Policy Statement Antibiotics will be prescribed and administered to the residents under the guidance of the facility's Antibiotic Stewardship Program. Policy Interpretation and implementation 1. The purpose of the antibiotic Stewardship Program is to monitor the use of antibiotics in our residents. 2. Orientation, training and education of staff will emphasize the importance of antibiotic stewardship and will include how map propriate is of antibiotics affects individual residents and the overall community. 3. Training and education will include emphasis on the relationship between antibiotic use . 4. If an antibiotic is indicated, prescribers will provide complete antibiotic orders including the following elements . 5. When a resident is admitted from an emergency department, acute care facility, or other care facility, the admitting nurse will review discharge and transfer paperwork for current antibiotic/anti-anti-infective orders. 6. Discharge or transfer medical records must include all the above drugs and dosing included . 7. When a resident is discharged home, the nurse will review complete antibiotics orders with the resident including . 8. When a nurse calls physician/proscribed to communicate a suspended infection, he will have the following information available . 9. When an interacting antibiotic is to be administered concomitantly with [MEDICATION NAME], an INR will be ordered with n 3 days 2020-09-01