cms_WV: 9980

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
9980	SPRINGFIELD CENTER	515188	ROUTE 1 BOX 101-A	LINDSIDE	WV	24951	2012-06-14	428	D	1	0	18U511	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on medical record review and staff interview, the facility did not ensure the physician provided a rationale for the decision to decline a reduction in an antipsychotic medication recommended by the pharmacist. One (1) of five (5) residents on the sample had a drug regimen review in which the pharmacist recommended a gradual dose reduction for Risperdal. The physician declined the gradual dose reduction, but did not provide any rationale as to why she declined the reduction. Resident identifier: #24. Facility census: 52. Findings include: a) Resident #24 Medical record review for this resident, conducted on 06/13/12, at approximately 3:00 p.m., revealed the pharmacist had identified an irregularity for an antipsychotic medication. A communication from the pharmacist to the attending physician, dated 03/20/12, indicated a request for a reduction of Risperdal. The pharmacist recommended attempting a gradual dose reduction (GDR) for the antipsychotic medication, Risperdal 0.5 mg hs (at night). The physician had disagreed with the pharmacist and signed the "note to the attending physician/prescriber" on 04/07/11. The physician provided no clinical rationale stating why she did not wish to reduce the dosage of Risperdal. On 06/13/12, at approximately 4:00 p.m., Employee #8 (licensed practical nurse) indicated the physician normally documented the information related to her rejection of a pharmacist's recommendation on the "note to the attending physician/prescriber" or in the physician progress notes [REDACTED]. .	2015-08-01