cms_OR: 48

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
48 REGENCY GRESHAM NURSING & REHAB CENTER 385015 5905 SE POWELL VALLEY RD GRESHAM OR 97080 2018-10-15 842 E 1 0 EFS011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review it was determined the facility failed to ensure records were accurate for 5 of 6 sampled residents (#s 2, 3, 7, 9 and 10) reviewed for medications. This placed residents at risk for inaccurate records. Findings include: 1. Resident 2 was admitted to the facility in 12/2016 with [DIAGNOSES REDACTED]. The resident had the following physician's orders [REDACTED].>-[MEDICATION NAME] 20 mg/ml give 0.25 ml every hour as needed for pain. Start 4/14/18 end 8/24/18 -[MEDICATION NAME] 20 mg/ml give 0.25 ml every four hours for pain. Start 6/28/18 end 9/19/18. -[MEDICATION NAME] 20 mg/ml give 0.5 ml every three hours for pain during awake hours. Start 9/19/18. Review of the 9/2018 and 10/2018 MAR and the Narcotic Drug Disposition Record (NDDR) revealed the following errors: - On 9/8/18 the MAR revealed the resident received six doses of 0.25 ml [MEDICATION NAME] every four hours. The NDDR record revealed the resident received four doses. -On 9/28/18 the MAR revealed the resident received seven doses of 0.5 ml [MEDICATION NAME] every three hours. The NDDR revealed the resident received eight doses. -On 10/6/18 the MAR revealed the resident received seven doses of 0.5 ml of [MEDICATION NAME]. The NDDR revealed the resident received six doses. On 10/9/18 at 2:37 PM Staff 7 (CMA) revealed they were to document on the MAR and narcotic book when they gave a narcotic to a resident. Staff 7 indicated she tried to be as accurate as she could. On 10/10/18 at 1:20 PM Staff 2 (DNS) indicated they were aware staff were not always double documenting and they tried to be as accurate as possible. 2. Resident 3 was admitted to the facility in 11/2006 with [DIAGNOSES REDACTED]. The resident had the following physician's orders [REDACTED].>-[MEDICATION NAME] 20 mg/ml 0.5 ml three times a day for pain. Review of the 8/2018, 9/2018 and 10/2018 MAR and the Narcotic Drug Disposition Record (NDDR) revealed the following errors: -On 8/13/18 the MAR revealed the resident received three doses of 0.5 ml [MEDICATION NAME]. The NDDR revealed the resident received two doses. -On 9/9/18 the MAR revealed the resident received three doses of [MEDICATION NAME]. The NDDR revealed the resident received two doses. -On 10/3/18 the MAR revealed the resident received three doses of 0.5 ml [MEDICATION NAME]. The NDDR revealed the resident received two doses. On 10/9/18 at 2:37 PM Staff 7 (CMA) revealed Staff 7 they were to document on the MAR and narcotic book when they give a narcotic to a resident. Staff 7 indicated she tried to be as accurate as she could. On 10/10/18 at 1:20 PM Staff 2 (DNS) indicated they were aware staff were not always double documenting and they tried to be as accurate as possible. 3. Resident 7 was admitted to the facility in 9/2018 with [DIAGNOSES REDACTED]. The resident had the following physician's orders [REDACTED].>-[MEDICATION NAME] 20 mg/ml give 1 ml every hour as needed for pain. Review of the 9/2018 MAR and the Narcotic Drug Disposition Record (NDDR) record revealed the following errors: -The NDDR with a start date of 9/14/18 and end date of 10/5/18 had numerous scratch outs and staff wrote over existing numbers rendering the document inaccurate. -On 9/26/18 the facility documented on the NDDR they gave the resident .25 ml of [MEDICATION NAME] instead of the 1 ml. On 10/9/18 at 2:37 PM Staff 7 (CMA) revealed Staff 7 they were to document on the MAR and narcotic book when they give a narcotic to a resident. Staff 7 indicated she tried to be as accurate as she could. On 10/10/18 at 1:20 PM Staff 2 (DNS) indicated they were aware staff were not always double documenting and they tried to be as accurate as possible. 4. Resident 9 was admitted to the facility in 5/2017 with [MEDICAL CONDITION]. The resident had the following physician's orders [REDACTED].>-[MEDICATION NAME] 20 mg/ml give 0.25-1 ml as needed for pain. Review of the 9/2018 MAR and the Narcotic Drug Disposition Record (NDDR) record revealed the following errors: -On 9/15/18 the MAR revealed the resident received one dose of 0.25 ml [MEDICATION NAME]. The NDDR revealed there was no dose administered on 9/15/18. On 10/9/18 at 2:37 PM Staff 7 (CMA) revealed Staff 7 they were to document on the MAR and narcotic book when they give a narcotic to a resident. Staff 7 indicated she tried to be as accurate as she could. On 10/10/18 at 1:20 PM Staff 2 (DNS) indicated they were aware staff were not always double documenting and they tried to be as accurate as possible. 5. Resident 10 was admitted to the facility in 8/2018 with [DIAGNOSES REDACTED]. The resident had the following physician's orders [REDACTED].>-[MEDICATION NAME] 20 mg/ml give 0.25 ml every three hours as needed for pain. Review of the 9/2018 MAR and the Narcotic Drug Disposition Record (NDDR) record revealed the following errors: -On 9/7/18 the MAR revealed the resident received one dose of 0.25 ml [MEDICATION NAME]. The NDDR revealed there was no entry on 9/7/18 for the [MEDICATION NAME]. On 10/9/18 at 2:37 PM Staff 7 (CMA) revealed Staff 7 they were to document on the MAR and narcotic book when they give a narcotic to a resident. Staff 7 indicated she tried to be as accurate as she could. On 10/10/18 at 1:20 PM Staff 2 (DNS) indicated they were aware staff were not always double documenting and they tried to be as accurate as possible. 2020-09-01