cms_OR: 25
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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| 25 |
LAURELHURST VILLAGE |
385010 |
3060 SE STARK STREET |
PORTLAND |
OR |
97214 |
2018-10-29 |
684 |
D |
1 |
0 |
O7YK11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review it was determined the facility failed to ensure a resident was administered the correct medications for 1 of 3 sampled residents (#3) reviewed for medication administration. This placed residents at risk for adverse medication reactions. Findings include: Resident 3 was admitted to the facility in (YEAR) with [DIAGNOSES REDACTED]. The resident's (MONTH) (YEAR) MARs revealed the resident was to be administered medications including blood pressure and narcotic pain medication. The MAR indicated [REDACTED]. The facility Medication Error report indicated on 7/30/18 Witness 1 (Former CMA) administered Resident 3 another resident's medications. The medications included an iron supplement, anti-gout medication, blood pressure medication, diuretic, narcotic pain medication, potassium and an anti-reflux medication. The resident's Resident Care Manager and Nurse Practitioner were immediately notified and assessed the resident in person. Resident 3's blood pressure medications and diuretics were held, blood tests were ordered and the resident's vital signs were to be monitored closely. The resident's Nurse Practitioner note indicated Resident 3 was assessed after the resident was accidentally administered the incorrect medications. Several of the resident's medications were held, laboratory studies were obtained and there resident was to be monitored. The resident was otherwise stable. The (MONTH) (YEAR) Blood Pressure Summary indicated on 7/30/18 the residents blood pressure did not go below 120/60 (normal is below 120/80). The Resident's 7/30/18 laboratory results revealed there were not critical laboratory results. On 10/19/18 at 1:35 pm Staff 1 (DNS) indicated Witness 1 was familiar with all the residents and was not new to the facility. Witness 1 was outside of Resident 3's room door, prepared medications for another resident and administered the medications to Resident 3. Resident 3 was on the phone so she left the medications at the bedside and went to the medication cart to sign off the medications in the computer. She immediately realized she administered the medications to the wrong resident, went into the resident's room but the resident swallowed the medications before she could stop the resident. Witness 1 immediately reported the error to the nurse manager. The resident's Nurse Practitioner was in the facility and immediately assessed the resident, reviewed the resident's medications and held some of Resident 3's medications. The other resident did not receive the wrong medications. Staff 1 indicated Witness 1 was removed from the floor pending investigation and no longer worked at the facility. |
2020-09-01 |