cms_NV: 31
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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| 31 |
LEFA SERAN SNF |
295001 |
1ST AND A ST/ PO BOX 1510 |
HAWTHORNE |
NV |
89415 |
2019-01-10 |
761 |
D |
0 |
1 |
0DP411 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and document review, the facility failed to ensure medications were secured for 1 of 12 sampled residents (Resident #7) and to discard opened bottles containing Sodium Chloride 9 % and Sterile Water used for wound care. Findings include: Resident #7 Resident # 7 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 01/07/19 at 11:23 AM, a bottle of 1000 milliliters (ml) Sterile Water for irrigation and a bottle of 500 ml of 0.9 % Sodium Chloride solution for irrigation were found opened on the Resident #7's bedside table. The Sterile Water bottle contained approximately 800 ml and the 0.9% Sodium Chloride bottle had approximately 300 ml solution and had been used to care for Resident #7's suprapubic catheter. On 01/07/19 at 11:28 AM, a Licensed Practical Nurse (LPN) confirmed the presence of the two bottles with Sterile Water and Sodium Chloride solutions on Resident #7's bedside table. The LPN verbalized the Sterile Water and Sodium Chloride should not have been left in the resident's room. On 01/10/18 at 10:35 AM, the Assistant Director of Nursing (ADON) verbalized Resident #7 was not self-administering medications or cleaning the suprapubic catheter site on her own. The ADON explained the solutions left after wound irrigation should have been discarded and no medication should be kept in the residents' rooms. On 01/09/19 at 12:26 PM, the treatment room was observed with a LPN. A bottle of 1000 ml Sterile Water for irrigation and a bottle of 500 ml of 0.9 % Sodium Chloride solution for irrigation were found opened in the treatment room in the wound cart. The Sterile Water bottle contained approximately 800 ml and the 0.9% Sodium Chloride bottle had approximately 300 ml solution. The LPN confirmed both bottles in the wound cart were opened, used once and needed to be discarded. She verbalized the bottles did not have an opening date and the labels indicated not to be used if the seal was broken. On 01/10/19 at 10:40 AM, the ADON verbalized the unused portion of wound irrigations solutions should have been discarded. The original manufacturer's labels for Sterile Water for irrigation and 0.9% Sodium Chloride irrigation documented solutions were sterile, nonpyrogenic, single unit containers and to discard unused portions. |
2020-09-01 |