cms_VI: 2

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

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
2 SEA VIEW NURSING HOME 485000 7500 BOLONGO BAY ST THOMAS VI 802 2010-08-25 281 D 0 1 MZE911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a review of the Medication adminisrration Records and Physician orders, it was determined that the facility does not assure that medication orders are transcribed in an accurate manner to ensure the appropriate doseage of medications to reisidents: The Findings are: Following obeservation of a Medication Pass conducted on 8/20/10, When the surveyor reviewed Physician order [REDACTED]. 1. An physician's orders [REDACTED].M , However, it was transcribed on the Medication Administration record as 2 units of [MEDICATION NAME] subcutaneously in the P.M. According to interivews conducted with the Director of Nursing on 8/20/10, the medication was not given to the resident erroneously because the transcription error was discovered and corrected prior to administration to the resident. The Incident Report of the transcription error dated 6/10/10, reads, the error was discovered and corrected prior to administration to the patient. The Incident report specifies that the nurse making the incorrect documentation was notified and informed of her error and teaching re-inforced regarding the need to double check all medication prescriptions. 2. A resident was prescribed [MEDICATION NAME] 2mg on 7/9/10 by the Physician, however the medication order was transcribed as [MEDICATION NAME] 20mg. on the Medication administration record. During an interview conducted with the Director of Nursing on 8/20/10 regarding this error in transcription the surveyor was informed that the medication was not given as erroneously transcribed, but was discovered by a nurse prior to administering medications. An incident report dated 6/10/10, 7:A.M., written by the nurse finindg the transcription error and which documents this occurence reads: Medication [MEDICATION NAME] transcribed incorrectly on MARS. I found this on 6/10/20 at 7:30 A.M. [MEDICATION NAME] was ordered as 2mg, transcribed 20mg ; Corrected MAR immediately. Error was reviewed with Ms._______ (nurse) and the importance of double checking all medications transcribed was re-inforced. Interviews were held with the Director of Nursing regarding both transcription errors. The Nurse responsible for writing the errors was not available for interview, however, according to the Director of Nursing Neither incorrect dose was given, the Nurse who came after was reviewing the physician orders [REDACTED]. He knows the residents and what medications they get very well, so he re-wrote the correct doseages. 2017-01-01