cms_TN: 7242

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
7242 ST BARNABAS AT SISKIN HOSPITAL 445008 1 SISKEN PLAZA CHATTANOOGA TN 37403 2014-10-22 333 D 0 1 UNTM11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, the facility failed to ensure significant medication errors did not occur for one resident (#18) of four residents reviewed for medications. The findings included: Resident #18 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review of a physician order [REDACTED]. Medical record review of a communication form from the [MEDICAL TREATMENT] center dated October 8, 2014, revealed the [MEDICAL TREATMENT] center desired the Phoslo 667 mg be increased to two tablets three times a day to lower the phosphorus level of 7.4 to a goal of 3.5-5.5. The recommendation was noted by the physician on October 9, 2014, but the order was not written until October 10, 2014. Further medical record review of a physician order [REDACTED]. Medical record review of a Medication Administration Record (MAR) for October 2014, revealed Phoslo 667 mg 1 tablet was being given three times a day with meals from October 1, 2014, through October 14, 2014. Further review of the MAR revealed the Phoslo 667 mg was not increased to 2 tablets three times a day until October 14, 2014, at 5:00 p.m. Interview with Licensed Practical Nurse (LPN) #1 on October 22, 2014, at 1:40 p.m., at the 300 nursing station, confirmed the resident was receiving Phoslo 1 tablet since September 5, 2014. Further interview confirmed the LPN noticed a lot of pills in the medication drawer, checked the physician's orders [REDACTED]. Interview with the Director of Nursing on October 22, 2014, at 2:45 p.m., in the conference room, confirmed the order was not documented on the MAR and the patient did not receive the medication as was ordered for four days. 2018-02-01