cms_TN: 529
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 529 |
MAJESTIC GARDENS AT MEMPHIS REHAB & SNC |
445150 |
131 N TUCKER |
MEMPHIS |
TN |
38104 |
2017-08-24 |
157 |
D |
0 |
1 |
5LE311 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, the facility failed to notify the physician of a significant change in status for 1 of 17 (Resident #24) sampled residents reviewed of the 35 residents included in the stage 2 review. The findings included: Closed medical record review revealed Resident #24 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A physician's orders [REDACTED].HumaLOG Solution .Inject as per sliding scale .For blood glucose .300-349 = (equal) 20 (units); 350 + (plus) (=) 24 If BS (Blood Sugar) over 349 give 24 units and call physician, subcutaneously before meals . A physician's orders [REDACTED].inject as per sliding scale .300-349 = 20 units, 350-600 = 24units and call MD (Medical Doctor), subcutaneously before meals and at bedtime for DM (Diabetes Mellitus) . Review of the Medication Administration Records (MARs) for 7/8/17 through 7/15/17 revealed the following blood sugar levels greater than 349: 7/8/17 at 9:00 PM = 376 7/11/17 at 4:00 PM = 450 7/13/17 at 9:00 PM = 571 7/15/17 at 5:00 AM = 454 The facility was unable to provide any documentation that the physician or nurse practitioner was notified regarding the elevated blood sugar levels on 7/8/17, 7/11/17, 7/13/17, and 7/15/17. Interview with the Director of Nursing (DON) on 8/24/17 at 9:55 AM, in the restorative dining room, the DON was asked what the protocol was for elevated blood sugar levels. The DON stated, Follow physician's orders [REDACTED]. The DON was asked if the nurses should document that the physician was notified. The DON stated Yes .in the progress notes . The DON was unable to find any documentation that the physician had been notified for the elevated blood sugar levels. Interview with the Doctor of Nursing Practice (DNP) on 8/24/17 at 11:37 AM, in the conference room, the DNP was asked when she expected to be notified regarding elevated blood sugar levels. The DNP stated, .there are standing orders that they are supposed to call me if their blood sugar is greater than 350 . The DNP was asked if she could remember being notified by the nursing staff that Resident #24's blood sugar was greater than 350. The DNP stated, At home? No . |
2020-09-01 |