cms_PR: 34

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
34	RYDER MEMORIAL HOSPITAL INC	405018	355 AVE FONT MARTELO	HUMACAO	PR	792	2019-05-23	865	C	0	1	L8MV11	Based on a recertification survey, review of QAPI program activities and interview with hospital pharmacist (employee #8) and facility director (employee #2) 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 Quality Assurance and Performance Improvement QAPI program plan include relevant information of QAPI/QAA activities, related with medication use and the appropriateness of pharmacy services. Findings include: 1. A mechanism to ensure that facility maintain written plan containing the process that will guide the facility's efforts in assuring the appropriateness of medication use and pharmacy services 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. The facility QAPI documentation, reviewed on 5/23/19 at 10:17 am with facility director did not include information related with the appropriateness of medication use and pharmacy services. During interview on 5/23/19 at 10:29 am the facility director (employee #2) stated that they used to have a pharmacist assigned exclusively for the Skilled Nursing Facility (SNF) but this professional no longer works with them since year (YEAR). The facility director (employee #2) also stated that she had assigned a nurse in the facility to perform medication reconciliation and supervise medication use and related therapies of the resident. Other aspects related with medication use irregularities (ej- medication error and adverse drug reactions) will be reported analyzed and discussed in the hospital pharmacy and therapeutic committee meeting. However no indicators, results, or discussions related with the appropriateness of medication use in the SNF was included in their QAPI program documentation. This information is documented and remain as part of the hospital pharmacy and therapeutic committee meeting documentation. b. QAPI documentation, related with medication use and pharmacy services were reviewed on 5/23/19 at 10:30 am with hospital pharmacist (employee #8). Information presented by hospital pharmacist (employee #8) are only included on the hospital pharmacy and therapeutic committee meeting discussions as stated during interview by the hospital pharmacist (employee #7) on 5/23/19 at 10:35 am. c. The facility QAPI plan did not contain indicators related with the appropriateness of pharmacy services. Hospital pharmacist (employee #8) provide evidence and explain activities performed by hospital pharmacy and therapeutic committee who meet every three months were the members of committee discuss appropriateness of pharmacy services in the SNF. However this information is not included as part of the documentation of SNF QAPI program.	2020-09-01