cms_TN: 70

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.

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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
70 NASHVILLE COMMUNITY CARE & REHABILITATION AT BORDE 445033 1414 COUNTY HOSPITAL RD NASHVILLE TN 37218 2019-04-03 761 D 0 1 PJC211 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on facility policy review, observation, and interview, the facility failed to dispose of expired medications in 2 of 4 medication storage rooms and on 2 of 6 medication carts. The findings include: Facility policy review, Medication Administration General Guidelines, dated 9/18, revealed .Check expiration date on package/container. No expired medication will be administered to a resident .Drugs dispensed in the manufacturer's original container will be labeled with the manufacturer's expiration date .The beyond use dating, which only lists month/year, falls to the last day of that month . Observation of the 200 hall medication storage room on 4/1/19 at 1:00 PM with Licensed Practical Nurse (LPN) #7 revealed the following: 2 multiple dose bottles of Zinc Sulfate (a vitamin/mineral supplement) 220 milligrams (mg),100 count, expired 2/19 and unopened; a multiple dose bottle of [MEDICATION NAME] (a B vitamin supplement) 500mg,100 count, expired 2/19 and unopened; 2 multiple dose bottles of Centravites liquid (a vitamin supplement) 236 milliliters (ml) expired 2/19 and unopened; 3 mutiple dose bottles of [MEDICATION NAME] (a stimulant laxative) 5 mg,100 count, expired 3/19 and unopened; and 4 multiple dose bottles of Senna (a laxative) Syrup 237 ml expired 3/19 and unopened. Interview with LPN #7 on 4/1/19 at 1:16 PM in the 200 hall medication storage room confirmed .that medications should not be used if expired and should be discarded if they are . Observation of the Riberio unit medication storage room on 4/2/19 at 3:00 PM with LPN #8 revealed the following: a multiple dose bottle of Vitamin B1,100 count, expired 3/19 and unopened; 1 tube of [MEDICATION NAME] cream 1% unopened and expired 2/19; and 1 tube of [MEDICATION NAME] cream 1% unopened and expired 9/18. Interview with LPN #8 on 4/2/19 at 3:15 PM in the Riberio medication storage room confirmed .all medications should be used before their expiration date or discarded in the sharps bin here (pointing in the medication room) . Observation of the 200 West medication cart on 4/2/19 at 5:14 PM with LPN #7 on the 200 West hallway revealed a multiple dose bottle of Vitamin B-12 100 mg,130 count, expired 6/26/18. Interview with LPN #7 on 4/2/19 at 5:30 PM on the 200 West hallway confirmed .all expired medications should not be on the cart, should not be used . Observation of the Riberio unit medication cart on 4/3/19 at 2:30 PM with LPN #9 in the Riberio unit medication storage room revealed the following: a multiple dose bottle of Elder Tonic 473 ml expired 12/18 and a multiple dose bottle of D3 (a vitamin supplement) 5000 International Units (IU),100 capsules, expired 2/19. Interview with LPN #9 on 4/3/19 at 2:40 PM in the Riberio unit medication storage room confirmed .that no medications on the cart should be expired . Interview with the Pharmacist on 4/3/19 at 8:00 PM on the telephone confirmed .she reviewed all medication carts and medication storage rooms monthly .she was there on 4/1/19 later in the day at around 5 PM .and she usually removes expired medications by using kitty litter, placing them in sharps boxes, or giving them to the unit manager for disposal .expired medications should not be on the medication carts or in the storage rooms . Interview with the Director of Nursing on 4/3/19 at 8:07 PM in her office confirmed .medication carts and medication storage rooms should not have expired medications .they should be removed and disposed of by taking them back to pharmacy .expired medications should not be used . 2020-09-01