cms_SD: 95

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
95 ROLLING HILLS HEALTHCARE 435035 2200 13TH AVE BELLE FOURCHE SD 57717 2018-03-01 759 D 0 1 2S8V11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and policy review, the provider failed to ensure two of two randomly observed residents' (40 and 56) insulin had been administered according to policy and procedure by one of one licensed practical nurse (LPN) (B). Those observations created a medication error rate of 12.9 %. Findings include: 1. Observation and interview on 2/28/18 from 7:40 a.m. through 7:50 a.m. with LPN B revealed: *During resident 26's [MEDICATION NAME]pen administration she had not held the needle into the resident's skin for more then two seconds after administration and prior to removing it. *During resident 56's administration of the following insulins revealed:-[MEDICATION NAME] 1.8 milligram per 3 ml insulin pen administration. -[MEDICATION NAME] 40 units insulin pen. -[MEDICATION NAME] 7 units insulin pen. She had not held the needles into the resident's skin more than two seconds after administration and prior to removing them. Sherevealed it had been her usual practice to leave the insulin pen in place for only two seconds after injecting the medication. She stated she counted one-thousand-one and one-thousand-two then removed the needle. Interview on 3/1/18 at 8:45 a.m. with the director of nurses revealed: *The above practice by LPN B had been wrong. *Insulin injection pens should have remained inserted in the skin for at least five seconds. Review of the provider's last revised (MONTH) (YEAR) Insulin and Non-Insulin Pen Delivery Systems policy and procedure revealed: *The length of insulin injection times were to have been: -[MEDICATION NAME] 6 seconds. -[MEDICATION NAME] 6 seconds. -[MEDICATION NAME] 6 seconds. *Dose buttons should be pressed down and needle kept under the skin for a full count of seconds to insure the full dose is injected. 2020-09-01