cms_NV: 92

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
92 LAS VEGAS POST ACUTE & REHABILITATION 295006 2832 S. MARYLAND PARKWAY LAS VEGAS NV 89109 2018-05-11 755 D 1 1 QB3511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review, the facility failed to provide a medication as ordered by the prescriber to meet the resident's needs for 1 of 18 sampled residents (Resident #19). Findings include: Resident #19 Resident # 19 was admitted on [DATE], with [DIAGNOSES REDACTED]. On 05/10/18 at 8:30 AM, the resident indicated not receiving [MEDICATION NAME] 0.5 milligrams (mg) from 04/05/18 to 04/09/18 due to the medication being unavailable. The resident verbalized difficulty managing anxiety issues even without missed doses. A physician's orders [REDACTED]. by mouth (PO) every eight hours (Q8h) for anxiety. The Nurses Medication Notes documented the following: - 04/05/18 at 10:00 AM [MEDICATION NAME] not available. - 04/06/18 at 10:00 AM [MEDICATION NAME] not available. MD (Medical Doctor) notified. - 04/06/18 at 6:00 PM [MEDICATION NAME] not available. Called MD again and left message. - 04/07/18 at 10:00 AM [MEDICATION NAME] not available. Called MD and left message. - 04/08/18 at 2:00 AM [MEDICATION NAME] not available. Waiting for MD to sign script. - 04/08/18 at 10:00 AM [MEDICATION NAME] not available. New prescription. - 04/09/18 at 6:00 AM [MEDICATION NAME] not available. MD to sign script. - 04/09/18 at 10:00 AM [MEDICATION NAME] not available. MD aware. On 05/09/18 at 2:16 PM, a Licensed Practical Nurse (LPN) #1 verbalized filling out a Refill Reorder Form if a medication was running low. LPN #1 indicated she would also verbally inform the next shift nurse. On 05/09/18 at 3:54 PM, LPN #2 clarified the psychiatric doctor came once or twice a week to renew orders for narcotics and controlled substances. LPN #2 indicated not being certain on whether the psychiatric doctor came the week of 04/05/18 to 04/09/18. On 05/11/18 at 11:20 AM, the Director of Nursing (DON) verbalized pharmacy required a five-day notification when a medication was running low. The DON confirmed not being informed by nursing staff regarding the resident not receiving the medication. The DON indicated the staff should have completed the correct paperwork so the medication would have been delivered timely and the resident would not have missed five days of the medications. 2020-09-01