cms_NM: 81
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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| 81 |
RIO RANCHO CENTER |
325033 |
4210 SABANA GRANDE SE |
RIO RANCHO |
NM |
87124 |
2018-02-12 |
578 |
D |
0 |
1 |
M2BO11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to update the medical chart for 1 (R #5) of 1 (R #5) residents reviewed for advanced directives, when they failed to update her code status as DNR (Do Not Resuscitate) and inform direct care staff of R #5's wishes. This deficient practice could likely result in residents not having their wishes honored if a life threatening event occurred. The findings are: [NAME] Record review of R #5's Electronic Medical Record, indicated resident is Full Code. B. On [DATE] at 3:18 pm, during interview with RN (Registered Nurse) #2, she stated that R #5 is a full code. RN #2 stated that if R #5 coded, she would start CPR (Cardiopulmonary Resuscitation). C. On [DATE] at 3:19 pm, during interview with RN #1, he stated R #5 was a full code and he would call out for somebody, get a crash cart and start CPR. D. Record review of R #5's MOST (Medical Orders for Scope of Treatment) form dated [DATE], indicated R #5 selected Do Not Attempt Resuscitation/DNR. Options were discussed with R #5 and she signed on [DATE]. E. On [DATE] at 3:36 pm, during interview the Director of Nursing (DON) stated that she was looking into the issue, because she identified a discrepancy yesterday. The DON verified that if R #5 did request to be DNR, the nurse should have immediately went to the physician and got a new order for DNR and it should have been updated in the electronic chart. |
2020-09-01 |