cms_PR: 30
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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| 30 |
RYDER MEMORIAL HOSPITAL INC |
405018 |
355 AVE FONT MARTELO |
HUMACAO |
PR |
792 |
2019-05-23 |
756 |
F |
0 |
1 |
L8MV11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a recertification survey, review of ten medical records and resident interview with Pharmacist (employee #7 and #8) performed on 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 reviewed every resident drug regimen. This deficient practice was identified in 4 out of 16 active cases reviewed. (RS #80, #182, #231 and #233) Findings include: A mechanism to ensure that facility conduct a medication regimen review of each resident in order to identify irregularities and act upon those irregularities 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: 1. Resident Sample # 80 is a female resident admitted on [DATE] with a diagnostic of left [MEDICAL CONDITION]. Resident had ordered and was receiving medications for Hypertension, insulin [MEDICATION NAME] and Humalog, anticoagulant among other eleven medications ([MEDICATION NAME], [MEDICATION NAME], [MEDICATION NAME] , [MEDICATION NAME] DS [MEDICATION NAME] and [MEDICATION NAME] ) medications since admitted to receive services. No evidence was found of a medication regimen review performed by a pharmacist as required by 483.45 (c) Drug Regimen Review Requirement, in order to assess the potential or actual unnecessary medication therapy. 2. Resident #182 is a [AGE] years old female with a [DIAGNOSES REDACTED]. During the record review performed on 05/22/19 10:27 AM provide evidence that the physician ordered on [DATE] at 4:20 pm [MEDICATION NAME] 300 mg 1 tab PO at Bed Time (HS), [MEDICATION NAME] 10 mg 1 tab PO HS, [MEDICATION NAME] 40mg 1 tab PO HS, [MEDICATION NAME] 1 mg 1 tab PO daily, Integra Plus 1 tab PO daily, Folic Acid 1 mg 1 tab PO daily, [MEDICATION NAME] ([MEDICATION NAME]) 20 mg 1 tab PO daily, [MEDICATION NAME] 100 mg 1 tab PO daily, Eliquis 2.5 mg 1 tab PO daily, Pre protein 30 ml PO 3 time daily (TID), [MEDICATION NAME] 2 tab PO every 6 hour for pain per 48 hour. On 5/18/19 at 6:40 am the physician ordered Pneumococcus vaccine and Influenza vaccine IM at discharge home. On 5/18/19 the physician ordered Tylenol 500 mg 2 tab PO stat. On 5/19/19 at 2:45 pm the physician ordered [MEDICATION NAME] 15 mg 1 tab PO HS per 5 days. On 5/19/19 at 9:00 pm the physician ordered [MEDICATION NAME] 50 mg 2 tab PO every 6 hour as needed for pain per 48 hour. On 5/21/19 at 7:20 am the physician ordered [MEDICATION NAME] cream plus Zinc Oxide apply in the gluteus area and in the posterior side of the thigh. No evidence was found that the License Pharmacist performed a Medication Regimen review in order to assess the potential or actual unnecessary medication therapy. 3. Resident # 231 is a [AGE] years old male admitted on [DATE] with a [DIAGNOSES REDACTED]. During the record review performed on 05/21/19 09:48 AM provide evidence that the Resident have high risk medication orders [REDACTED]. No evidence was found that the License Pharmacist performed a Medication Regimen review in order to assess the potential or actual unnecessary medication therapy. 4. Resident # 233 is a [AGE] years old female admitted on [DATE] with a [DIAGNOSES REDACTED]. During the record review performed on 05/21/19 10:29 AM provide evidence that the Resident have high risk medication orders [REDACTED]. No evidence was found that the License Pharmacist performed a Medication Regimen review in order to assess the potential or actual unnecessary medication therapy. |
2020-09-01 |