cms_OR: 28

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.

Data source: Big Local News · About: big-local-datasette

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
28	REGENCY GRESHAM NURSING & REHAB CENTER	385015	5905 SE POWELL VALLEY RD	GRESHAM	OR	97080	2018-03-13	684	D	1	0	CI9L11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on interviews and record review it was determined the facility failed to follow physician's orders regarding narcotic pain medication for 1 of 2 sampled residents (#1) reviewed for narcotic pain medication. This placed the resident at risk for increased pain medication. Findings include: Resident 1 was admitted to the facility in (MONTH) (YEAR) with [DIAGNOSES REDACTED]. The 12/13/17 physician's order indicated the resident was to receive 1-3 tablets of [MEDICATION NAME] every 6 hours and the facility was to document the amount given. The 12/16/17 physician's order received by the facility at 9:08 AM for [MEDICATION NAME] 5-20 mg (1-4 tablets) po every six hrs (hours) pain for 2 days. The completion of 2 days was 12/18/17 at 9:08 AM. From 12/18/17 through 12/20/17 the (MONTH) (YEAR) MAR contained one page containing the 12/13/17 physician's order for 1-3 tablets of 5 mg of [MEDICATION NAME] (5-15 mg) to be provided every 6 hours and another page with the 12/16/17 physician's order completed on 12/18/17 for 1-4 tablets of 5 mg of [MEDICATION NAME] to be provided every 6 hours. The page with the completed physician's order did not contain an area for the facility staff to document the amount of medication provided. On 3/12/18 at 12:24 PM Staff 1 (DNS) was asked about the physician's orders to document the amount of [MEDICATION NAME] provided. At 1:56 PM Staff 1 (DNS) provided the narcotic medication record for Resident 1's [MEDICATION NAME] usage. The narcotic medication record also contained the 12/16/17 physician's orders for 1-4 tablets by mouth every 6 hours for 2 days. The (MONTH) (YEAR) MAR and narcotic record on 12/18/17 documented the resident received 3 tablets of [MEDICATION NAME] at 12:26 PM and then received 3 tablets of [MEDICATION NAME] at 4:46 PM, this constituted a four hour and twenty minute period of time between doses of [MEDICATION NAME]. The (MONTH) (YEAR) MAR and narcotic record on 12/19/17 documented the resident received 4 tablets of [MEDICATION NAME] at 6:50 PM. On 3/12/18 at 2:00 PM Staff 1 (DNS) verified the resident's (MONTH) (YEAR) MAR continued to reflect the 12/16/17 completed physician's orders. On 3/13/18 at 11:17 AM Staff 1 (DNS) stated the facility was able to provide medications one hour before and one hour after the scheduled time. Staff 1 verified the resident received [MEDICATION NAME] too early on 12/18/17 and received 4 tablets instead of 3 tablets of [MEDICATION NAME] on 12/19/17.	2020-09-01