cms_NV: 33

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
33 LEFA SERAN SNF 295001 1ST AND A ST/ PO BOX 1510 HAWTHORNE NV 89415 2019-01-10 881 D 0 1 0DP411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, clinical record review and document review, the facility failed to monitor the administration of antibiotics in the Antibiotic Stewardship Program for 2 of 12 sampled residents (Resident #3 and #18). Findings include: Resident #3 Resident #3 was admitted to the facility on [DATE], with dementia without behavioral disturbance, history of [MEDICAL CONDITION] and cerebral infarction, open wound, left foot. A physician's orders [REDACTED]. A physician order [REDACTED]. Resident #3's Medication Administration Record [REDACTED]. On 01/09/19 at 4:15 PM, review of the Antimicrobial Stewardship Program revealed the facility's antibiotic tracking sheet and the infection control log for (MONTH) (YEAR) lacked documented evidence of any resident on antibiotic treatment. On 01/09/19 at 4:20 PM, the Chief Nursing Officer (CNO) confirmed Resident #3 had been on antibiotic treatment on (MONTH) (YEAR) for a wound at left foot. The CNO verbalized the purpose of the antibiotic stewardship program was monitoring of the use of the antibiotics. Resident #18 Resident #18 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. A physician's orders [REDACTED]. Resident #18's MAR for (MONTH) (YEAR) indicated [MEDICATION NAME] 250 mg twice a day started on 11/30/18. On 01/10/19 at 10:30 AM, the Assistant Director of Nursing (ADON) confirmed Resident #18 had been on an antibiotic in (MONTH) and the antibiotic tracking sheet and the infection control log lacked documented evidence of the antibiotic monitoring for Resident #18. The facility policy titled, Anticrobial (antimicrobial) Stewardship Program, effective 07/17, documented the purpose was to provide a reliable, consistent method of surveillance and documentation regarding appropriate antibiotic usage for patients. 2020-09-01