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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
3 BRUSHY CREEK POST ACUTE 425004 101 COTTAGE CREEK CIRCLE GREER SC 29650 2019-01-21 755 D 1 0 ZBYG11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review, interview, and review of the facility's policy, the facility failed to assure that each cottages' narcotic medications that were locked in the cottages' medication cart corresponded with the cottages' narcotic count recorded in the narcotic book for two of 12 cottages. Findings include: On 01/18/19 at 4:30 PM, review of the narcotic medications that were locked in the locked compartment of the medication cart and in the presence of the Assistance Director of Nursing (ADON), Licensed Practical Nurse (LPN) 4 stated that Resident (R) 1 had nine tablets of [MEDICATION NAME]-ACET 5 mg (milligrams)-325 mg. However, R1's narcotic sheet for [MEDICATION NAME]-ACET 5 mg-325 mg tablet indicated 10 tablets. LPN4 stated that R1 had two tablets of [MEDICATION NAME] HCL 50 mg; however, review of R1's narcotic sheet for [MEDICATION NAME] HCL 50 mg tablet indicated three tablets. During an interview on 01/18/19 at 4:30 PM, LPN 4 stated that s/he gave R1 one [MEDICATION NAME] tablet when s/he returned from her/his doctor's appointment around 2 PM. LPN4 stated that s/he administered the [MEDICATION NAME] at 12 PM at the scheduled time. LPN4 stated that s/he forgot to document on each of the narcotic sheets that s/he had administered the medications. LPN 4 stated it was the facility's policy to document the administration of the medication after the medication was administered. Review of the Electronic Medication Administration Record (EMAR) with LPN4 and the ADON, revealed that there was no documentation that R1 had received one tablet of [MEDICATION NAME] at 2 PM; however, the [MEDICATION NAME] was documented as administered during the scheduled time at 12 PM. During an interview on 01/19/19 at 8:50 AM with the Administrator, ADON, and Unit Manger, the Unit Manager stated that s/he expected the nurses to document on the EMAR and, if applicable, the narcotic sheet immediately after administering any medication. Review of R15's Face Sheet revealed the facility readmitted the resident on 01/10/19, with [DIAGNOSES REDACTED]. Review of the (MONTH) 2019 Physician order [REDACTED]. Review of the Controlled Medication Utilization Record and the count of R15's [MEDICATION NAME] tablets on 01/18/19 at 4:44 PM revealed, the Utilization Record indicated the resident should have six [MEDICATION NAME] tablets remaining of his/her narcotic pain medication with the last dose being signed out on 01/17/19 at 9:00 PM; however, count of the residents [MEDICATION NAME] tablets revealed only five [MEDICATION NAME] tablets remaining, indicating inaccurate reconciliation. Review of R17's Face Sheet revealed the facility admitted the resident on 12/27/18, with [DIAGNOSES REDACTED]. Review of R17's (MONTH) 2019 Physician order [REDACTED]. Review of the Controlled Medication Utilization Record and observation of R17's [MEDICATION NAME] tablets on 01/18/19 at 4:44 PM revealed the Utilization Record indicated the resident should have had 20 [MEDICATION NAME] tablets remaining of her/his narcotic pain medication with the last dose being signed out on 01/18/19 at 5:20 AM; however, count of the residents [MEDICATION NAME] tablets revealed only 19 tablets remaining, indicating inaccurate reconciliation. During an interview, on 01/18/19 at 4:44 PM with Register Nurse (RN) 3 revealed both R15's and R17's medication cards showed one less narcotic medication than indicated on the narcotic count sheets because s/he got caught up with everything else going on around her/him and forgot to sign it out on the narcotic count sheet. The RN revealed s/he would have seen the discrepancy at the end of her/his shift and would have fixed it then. RN3 revealed s/he should have signed the narcotic medication on the narcotic count sheet before s/he pulled the medication. The RN stated it was important to record the narcotic medication on the narcotic count sheet to keep an accurate record. Review of the undated policy, Narcotics, Controlled Substances and Preventing Drug Diversion indicated Policy interpretation and Implementation . 2. Administration of medication must be documented immediately after (never before) it is given. 2020-09-01