cms_PR: 31

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
31 RYDER MEMORIAL HOSPITAL INC 405018 355 AVE FONT MARTELO HUMACAO PR 792 2019-05-23 757 E 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) 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 promote mechanisms to identify unnecessary drug regimen on residents receiving services and treatment. 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 ensure each resident's drug regimen is free from unnecessary drugs 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] 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 and identify situations where the medications ordered and administered to this resident had the potential to be use in excessive dose (including duplicate drug therapy); or for excessive duration; or without adequate monitoring; or without adequate indications for its use; or in the presence of adverse consequences which indicate the dose should be reduced or discontinued. 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 requirement in order to assess and identify situations were the medicatios ordered and administered to this resident had the potential to be use in excessive dose (including duplicate drug therapy); or for excessive duration; or without adequate monitoring; or without adequate indications for its use; or in the presence of adverse consequences which indicate the dose should be reduced or discontinued. 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 requirement in order to assess and identify situations where the medications ordered and administered to this resident had the potential to be use in excessive dose (including duplicate drug therapy); or for excessive duration; or without adequate monitoring; or without adequate indications for its use; or in the presence of adverse consequences which indicate the dose should be reduced or discontinued. 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 requirement in order to assess and identify situations where the medications ordered and administered to this resident had the potential to be use in excessive dose (including duplicate drug therapy); or for excessive duration; or without adequate monitoring; or without adequate indications for its use; or in the presence of adverse consequences which indicate the dose should be reduced or discontinued. 2020-09-01