cms_NM: 65

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
65 SANDIA RIDGE CENTER 325032 2216 LESTER DRIVE NE ALBUQUERQUE NM 87112 2017-03-20 282 D 0 1 30NH11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to implement the plan of care for 1 (R #160) of 4 (R #s 79, 128, 156 and 160) residents reviewed for accidents and [MEDICAL TREATMENT] by not palpating (examining by touch) for thrill (a vibration of blood going through the access site) and auscultating (listen to the internal sound) for bruit (audible sound associated with obstructed blood flow) the resident's A/V (arteriovenous) graft (an artificial vein that can be used repeatedly for needle placement and blood access during [MEDICAL TREATMENT]-a machine that filters wastes, salts and fluid from the body when the kidneys are no longer healthy enough to do this work). This deficient practice has the potential to prevent identification of complications with the A/V graft site and may prevent the completion of [MEDICAL TREATMENT]. The findings are: [NAME] Record review of the Care Plan dated 02/08/17 indicated the following: (Name of R #160) is at risk for impaired renal function and is at risk for complications related to [MEDICAL TREATMENT] .Monitor [MEDICAL TREATMENT] access for bruit and thrill q (every) shift and prn (as needed). B. Record review of R #160's medical record revealed no documentation to indicate that the [MEDICAL TREATMENT] site was assessed. C. On 03/17/17 at 4:14 pm, during interview with the Director of Nursing (DON), he stated that the [MEDICAL TREATMENT] should be assessed daily and documented on the TAR (Treatment Administration Record). When informed that this was not the case, he verified this with the documentation and stated that the [MEDICAL TREATMENT] should have been assessed per the resident's care plan (q shift) and that without ongoing assessments of the site, staff would have no way of knowing if there were problems with the area that would prevent successful [MEDICAL TREATMENT]. D. Record review of the [MEDICAL TREATMENT] Policy and Procedure dated 11/28/16 indicated the following: Evaluate [MEDICAL TREATMENT] site upon return from [MEDICAL TREATMENT] center, every shift and more frequently if complications suspected . 2020-09-01