cms_NM: 30
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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| 30 |
SANTA FE CARE CENTER |
325030 |
635 HARKLE ROAD |
SANTA FE |
NM |
87505 |
2017-09-21 |
332 |
D |
0 |
1 |
FY1511 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and observation, the facility failed to ensure medication error rate did not exceed 5% when the medication error rate was 8.57% (3 errors out of 35 opportunities) when 3 medications were left in the resident's room and not administered by the nurse to 1 ( R # 54) of 9 (R #9, R #31, R #43, R #66, R #68, R #140, R #180, R #194 and R #196) residents reviewed during medication pass. This deficient practice could likely result in the resident not receiving the intended therapeutic relief from the medications to help with his breathing. The findings are: [NAME] On 09/21/17 at 8:20 am, during observation of LPN (Licensed Practical Nurse) #5 during a medication pass, it was observed that LPN #5 left 3 ampoules (small, sealed containers) of medications that are meant to be nebulized (aerosolized for inhalation via a nebulizer machine) on the resident's table and then LPN #5 left the room. The medications left were: 1) [MEDICATION NAME] (a medication to reduce inflammation in the airways), 0.5/mg ( milligram, a metric measurement) /2 ml (milliliter a metric measurement) 2) [MEDICATION NAME] (a medication to treat [MEDICATION NAME]--a spasm and narrowing of the breathing tubes), 2.5 mg/3 ml solution 3) [MEDICATION NAME]/[MEDICATION NAME] sulfate (combined medications to treat [MEDICATION NAME] and to reduce inflammation in the airways) 0.5 -3(2.5) mg/3 ml B. On 09/21/17 at 8:30 am, during an interview with LPN #5, she stated, I leave them (the medications) with him. (Name R #54) prefers to give them himself. Occasionally, he lets me set one up (prepare the treatment), but he usually doesn't allow it. When asked if R #54 was care planned for self-administration of the medication, LPN #5 replied, Yes he is. C. On 09/21/17 at 10:46 am, during an interview with the DON (Director of Nurses), he stated, The nurse should have not left the medications with him (R #54). She should have stayed and helped him. He (#54) has not been evaluated for self -administration of medication. D. Record review of the medical record for R #54 did not include an assessment for self-administration of medication. E. Review of the facility policy for Medication Administration Self-Administration by Resident, Section 7.3, dated 10/07 revealed: Policy: Residents who desire to self-administer medications are permitted to do so with a prescriber's order and if the nursing care center's interdisciplinary team has determined that the practice would be safe. |
2020-09-01 |