cms_PR: 29

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
29 RYDER MEMORIAL HOSPITAL INC 405018 355 AVE FONT MARTELO HUMACAO PR 792 2019-05-23 661 D 0 1 L8MV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a recertification survey, review of ten medical records, resident interview and interview with the Nursing Personnel (employee #3 ) performed from 05/21/19 thru 05/23/19, from 8:00 am thru 4:30 pm, it was determined that the facility failed to ensure that discharge summary include relevant information related with medication regimen to be followed after discharge home. This deficient practice was identified in 1 out 1 closed record cases reviewed. (CR # 31). Findings include: 1. A mechanism to ensure that facility perform reconciliation of all pre-discharge medications with the resident's post-discharge medications (both prescribed and over-the-counter) during discharge process was not performed, accordingly with the following findings identified during survey procedures performed from 05/21/19 thru 05/23/19, from 8:00 am thru 4:30 pm: a. Closed record review # 31 is a [AGE] years old female resident admitted on [DATE] with a [DIAGNOSES REDACTED]. No evidence was found documented on the medical record related with reconciliation of all pre-discharge medications with the resident's post-discharge medications. During interview with Registered Nurse (employee #3) on 05/23/19 at 9:15 am, she stated that facility did not perform reconciliation of all pre-discharge medications with the resident's post-discharge medications during the discharge process. b. During review of facility medication reconciliation policy reviewed on 07/20/16 it was identified that procedure did not include the reconciliation of all pre-discharge medications with the resident's post-discharge medications during the discharge process as part of the policy. 2020-09-01