cms_NV: 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

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
30 LEFA SERAN SNF 295001 1ST AND A ST/ PO BOX 1510 HAWTHORNE NV 89415 2019-01-10 758 D 0 1 0DP411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, interview, and document review, the facility failed to implement gradual dose reductions or provide a clinical justification for continued use of a [MEDICAL CONDITION] medication for 1 of 12 sampled residents (Resident #8). Findings include: Resident #8 Resident #8 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. A physician's orders [REDACTED]. Resident #8's clinical record lacked documented evidence a gradual dose reduction was implemented, or a clinical justification for the continued use was provided, for donepezil [MEDICATION NAME]. On 01/09/19 at 2:32 PM, the Assistant Director of Nursing (ADON) confirmed Resident #8's clinical record lacked documented evidence a gradual dose reduction was implemented for donepezil [MEDICATION NAME]. The ADON confirmed the facility was administering donepezil [MEDICATION NAME] to Resident #8 for the [DIAGNOSES REDACTED]. The facility policy titled, Drug Reduction, revised 10/12/16, documented psychoactive drugs administered to residents, should have received a gradual dose reduction. 2020-09-01