cms_TN: 14262

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
14262	NHC HEALTHCARE, COOKEVILLE	445110	815 SOUTH WALNUT AVENUE	COOKEVILLE	TN	38501	2010-05-26	431	D			F3R311	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure medications were dated when opened and failed to ensure expired biologicals were not available for resident use for one of four medication carts and one of two medication rooms. The findings included: Observation of the medication cart on the 300 hall on [DATE], at 8:00 a.m., with LPN #1 (Licensed Practical Nurse) revealed a drawer containing the following multiple stock medications, not dated when opened: Aspirin 325 mg 125 tablets, ,[DATE] full; Colace Stool Softener 100 tablets, ,[DATE] full; Tussin DM Sugar Free Cough medicine 4 ounces, ,[DATE] full; Aspirin 325 mg 100 tablets, ? full; Enulose one pint, ,[DATE] full; Pepto 8 ounces, ? full; Liquid Acetaminophen 16 ounces more than ? full; Docusate 16 ounces, more than ? full. Observation of a drawer on the cart revealed a glucometer kit (to check blood sugar) containing glucometer strips with an expiration date of March, 2010, and dated as opened [DATE]. Interview with LPN #1 on [DATE], at 8:00 a.m., on the 300 hall confirmed the stock medications had not been dated when opened and the glucometer strips were expired and had been used for a resident's blood sugar checks. Observation of the medication room on the 300 and 400 hall on [DATE], at 8:15 a.m., revealed the following expired biologicals and undated medications: Glucometer strips with an expiration date of March, 2010; Stomahesive (for ostomy bag changes) one ounce expired September, 2009; Hemoccult (to check for blood in stool) 15 mL expired March, 2009; and, in the refrigerator, one Humulin-R insulin ? full, not dated when opened. Interview with the wound care nurse on [DATE], at 8:15 a.m., in the 300 and 400 hall medication room, confirmed the biologicals had expired and were available for resident use. Interview with the Director of Nursing (DON) on [DATE], at 8:20 a.m., in the 300 and 400 hall medication room, confirmed the insulin had not been dated when opened. Interview with the DON on [DATE], at 8:40 a.m., confirmed stock medications and insulin are to be dated when opened.	2014-02-01