cms_AZ: 59

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
59 HANDMAKER HOME FOR THE AGING 35016 2221 NORTH ROSEMONT BOULEVARD TUCSON AZ 85712 2017-10-19 281 D 0 1 PP4811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, staff interviews and policy review, the facility failed to ensure an order was clarified with the physician regarding the frequency for administering a narcotic pain medication to one resident (#257). Findings include: Resident #257 was admitted (MONTH) 8, (YEAR) with [DIAGNOSES REDACTED]. A physician's orders [REDACTED]. The order did not include a frequency for administration. Review of the Medication Administration Record [REDACTED]. However, the MAR indicated [REDACTED]. Review of the clinical record revealed there was no order for the [MEDICATION NAME] to be administered every four hours PRN. An interview was conducted on (MONTH) 18, (YEAR) at 9:28 a.m., with a licensed practical nurse (staff #141). She stated the order for [MEDICATION NAME] did not have a frequency and should have been clarified with the physician. Staff #141 stated that physician's orders [REDACTED]. An interview was conducted on (MONTH) 18, (YEAR) at 9:51 a.m., with the Assistant Director of Nursing (staff #8). Staff #8 stated medication orders should include the frequency. She stated the expectation is for nurses to call the physician to clarify an order. Staff #8 stated the [MEDICATION NAME] order did not have a frequency and the order was not clarified with the physician. During an interview conducted (MONTH) 19, (YEAR) at 11:23 a.m. with the Director of Nursing (staff #64), staff #64 stated medication orders should include the medication frequency, and if the frequency is not written, the nurse is to clarify the order with the physician. Review of the facility's policy regarding Administering Medications revealed that medications must be administered in accordance with the orders, including any required time frame. 2020-09-01