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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
11406 MAPLESHIRE NURSING AND REHABILITATION CENTER 515058 30 MON GENERAL DRIVE MORGANTOWN WV 26505 2010-11-02 309 D     QWDA11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Based on record review and staff interview, the facility did not ensure one (1) of seven (7) sampled residents did not receive the influenza vaccine in accordance with the legal representative's wish to decline the vaccine due to an allergy. Resident identifier: #19. Facility census: 75. Findings include: a) Resident #19 Record review revealed a facility consent form titled "Vaccine Administration Authorization", upon which was recorded either acceptance or refusal to receiving the influenza vaccine, indicated that Resident #19's legal representative declined administration of the influenza vaccine, because the resident was allergic to it. On 10/21/10 at approximately 6:30 a.m., a nurse administered the influenza vaccine to the resident contrary to the wishes of the legal representative. At 8:00 a.m. on 10/21/10, Resident #19 became unconscious and was transferred to the hospital and admitted . Review of hospital records for Resident #19 revealed, "[AGE] year old female nursing home resident presented to the hospital after having two [MEDICAL CONDITION]. Patient had received [MEDICATION NAME] at the nursing home after getting the flu vaccine which she is allergic to. Patient had recently been taken off [MEDICATION NAME] which she was on for a number of years for agitation. Two weeks prior to having [MEDICAL CONDITION], [MEDICATION NAME] was discontinued abruptly and she was started on [MEDICATION NAME]. Patient was admitted and we restarted [MEDICATION NAME]." The hospital obtained an electrocardiogram (EKG), serial cardiac enzymes, CT of the brain, electroencephalogram (EEG), a chest X-ray, and blood work, and all results were within normal limits. An interview with the assistant director of nursing (ADON - Employee #32), on 11/01/10 at 1:30 p.m., revealed she was called to Resident #19's room after the influenza vaccine was administered to the resident by mistake at approximately 6:30 a.m. on 10/21/10. She immediately told the nurse to call the physician to obtain an order for [REDACTED]. The family of the resident had told her the resident was not allergic to eggs but was allergic to a preservative that was in the influenza vaccine and that she could not have the vaccine. The ADON also described the procedure the facility completed before administering the influenza vaccine, which involved gathering all consent forms for the vaccine and reviewing any allergies [REDACTED]. On the morning of 10/21/10, the nurse and the staff development coordinator had assembled the consent forms. The nurse had not reviewed the physician orders [REDACTED]. An interview with the director of nursing (DON), on 11/01/10 at 2:00 p.m., revealed, the nurse who administered the influenza vaccine to Resident #19 was no longer working at the facility. She further stated the nurse had not looked at the authorization form that indicated the resident was not to receive the vaccine and the nurse did not review the resident's physician orders [REDACTED]. An interview with the current staff development coordinator (Employee # 82), on 11/02/10 at 10:30 a.m., revealed he and another nurse had gathered vaccine administration authorization forms and the nurse was going to give the vaccine to the residents. The former staff development had asked them if they had reviewed the physician orders [REDACTED]. The nurse told him she had not looked at the physician orders [REDACTED]. He further stated the nurse apparently had not looked at the authorization form, because the resident received the vaccine and the authorization form indicated a refusal for the vaccine. A telephone interview with the facility's medical director, on 11/02/10 at 10:30 a.m., revealed he was not certain why the resident had the two (2) [MEDICAL CONDITION] after the flu vaccine was administered. The physician further reported he had never seen an influenza vaccine cause [MEDICAL CONDITION]. 2014-03-01